Postpartum Depression – The Overwhelming Emotions Nobody Told Me Came With the Baby

Postpartum Depression - The Overwhelming Emotions Nobody Told Me Came With the Baby

In my nursing school maternity rotation, I remember briefly talking about the “baby blues”. It sounded so benign and universal, like a shadowy cloud quickly drifting through the sky, crying a few tears as the hormones crash. In my mental health rotation, the idea of postpartum psychosis seemed like a rare anomaly on the opposite end of the spectrum.  

It never occurred to me there were a thousand different experiences in between.

From Birth to Postpartum Depression – And Everything In Between

The emotions I experienced after giving birth shocked me. I had never experienced anything of that intensity, or that out of control, in my life. I cried all of day three postpartum. My midwife was there to tell me it was normal and gradually I adjusted. I found a letter years later I had written my daughter when she was colicky, in it, I apologize for bringing her to earth where she had to feel so much pain. Reading it outside of the moment, I realized just how altered my mental state must have been.

With my second baby, the waters were smooth. Other than a few tears on day three that I knowingly embraced as a physical reaction to hormonal shifts, I felt tired but happy. She was born in the summer and the days were sunny.

Then baby number three. We had feeding issues from the beginning. I was in pain physically and mentally distressed at my perceived failure. I quickly spiraled into day three on repeat. I couldn’t stop crying. It was like a fog had settled. It took a solid support network to see me through.

Some Postpartum Truths

My experiences made me curious, as I’ve watched my friends experience postpartum depression and talked to the moms in the NICU where I work I began to see themes emerging.

No two experiences are alike.

Every woman who enters into childbearing comes with a unique genetic makeup. If there is a family history of depression her risk of experiencing it herself goes up. Each pregnancy is unique and depression may even begin in pregnancy. A loss in pregnancy or the delivery of a baby with complications increases the risk again. A traumatic delivery can result in symptoms of post traumatic stress for women, and for their partner, again increasing the chances that she will experience a form of postpartum depression.

Even the same person, as in my case, can have completely different experiences with each baby.

Having a baby is something you need to recover from both physically and mentally.

While having babies is commonplace, the immensity of this life shift is often downplayed. Media is saturated with women looking great after recently giving birth. Social media allows us to share the good moments, while withholding the bad, causing a skewed perspective. In many cultures around the world, women are honored after birth for a period of time. They are taken care of and encouraged to take the time to heal physically.

The recovery needs to fit the person.

Some women may find that staying home and having help with the baby care is what they need to recover. Other may need to get out, and themselves be supported in caring for their families. When we apply a prescribed solution to our stress because a nurse, our Mother in Law, or the internet told us we should, it can have the opposite effect. It can be difficult to advocate for our mental health needs when culture dictates something different.

For me, I had a lot of anxiety about others taking care of my existing children. The money and stress of putting them in care to help me when I was struggling would have had the opposite effect I wanted it to.

Birth and caring for a newborn sets you up for poor self-care.

Caring for a new baby is demanding. Even if delivery is ideal, and often it’s not, women and their partners are faced suddenly with broken sleep, learning how to take care of a baby, and remembering to eat. There can be unresolved feelings about the pregnancy and birth. If women are the first in their families and peer groups to have a baby it can be isolating. Many moms joke about never being able to shower or even go to the bathroom alone, but having to renegotiate these basic behaviors of self care can contribute negatively to mental health.

It’s something that isn’t talked about that much especially to new moms.

Recently, women have begun speaking out about the mental challenges that come along with a new baby. From celebrities, to friends over coffee, there has been a big shift towards realization, that while postpartum mood disorders are concerning and should be treated, they are common.

When the stigma is removed it gives women the confidence to admit they are struggling, which is often the first big step towards recovery. When shame stops women from speaking out, it also fosters denial. Instead of spending energy on finding treatment, it can be easy to put all that energy into convincing ourselves that these feeling aren’t real.

There are things to do to help prevent it.

There are many things we can do to buffer the stress of having a baby. Managing expectations is the biggest one. Having a realistic view of just how little sleep, or how hard breastfeeding will be, can go a long way in normalizing it when it happens. If women realize the challenges, they can be prepared with meals, knowing where to get support for feeding, and strategies for getting rest.

It has taken me three kids to finally acknowledge that self-care is not an indulgence. It is a necessity that makes me a better mom. It’s also something that looks different at each stage of motherhood. When I had a newborn just having 20 minutes for an uninterrupted shower was amazing. As my kids get older I’m looking forward to a whole weekend away.

There are things to do to fix it.

All the things that help depression can be used to fight postpartum mood disorders with some creativity.

  • Walk

My easiest postpartum was in the summer where we walked every day out in the sun. It’s harder when the weather is cold and dreary, but getting out even if it’s just for a brisk walk in the mall before the stores open, can make a big difference.  

  • Connect

Some of my best friends still are coworkers who had babies at the same time. We would drag each other out for walks even when we didn’t feel like it and be reminded that it’s hard for everyone as we shared our joys and struggles with motherhood.

  • Recharge

Mindfulness and relaxation are important too. From baby and me yoga to listening to a relaxation meditation or mindfulness app while the baby is sleeping. I used instagram to take pictures everyday of the small things I was a grateful for.

  • Nourish

Then there is nourishment. It is so easy to forget to eat and drink when there are small people demanding our attention but our bodies need whole, healthy foods and plenty of water to recover from birth, to produce milk and to cope with caring for a baby. Sometimes good food need to be supplemented with iron, omega 3s and other vitamins to address specific deficiencies as well.

  • Medication

Then there is medication. There comes a time when the symptoms of depression and anxiety are so overwhelming that all of the above seems insurmountable. Medication can be the one thing that allows women to reclaim their life. It can be what it takes to bring them back to a place where they are capable of eating, drinking and sleeping.

It doesn’t make you a bad mom.

There is a lot of shame around perinatal mood disorders. There is shame for many of us who thought we could do it all and were sideswiped with realizing just how challenging motherhood can be. There is guilt over needing medication, and over not taking it, over stopping breastfeeding, and for powering through.

Shame and guilt has become the norm for so many parenting decisions. When moms are vulnerable with their stories of how hard it is, and the many factors that went into their decisions, it is harder to judge and easier to empathize. Managing expectations can only be done when other mothers share not just the joys, but the challenges.

When We Share our Story

When I share my struggles with motherhood it is met with an overwhelming response of “me too.” Knowing that other moms feel the same way makes it harder to believe there is something wrong with me. It’s normalizing.

All women find parts of motherhood challenging, as it should be. The task of raising human beings is one that comes with great honor, but also great expectations from society and ourselves. There is so much pressure to find the one right way that we’ve lost sight of the millions of good ways.

Knowing that anger and anxiety, sadness and numbness are all things that come with the positive emotions of having a baby, can leave us prepared for both. It’s normal to feel everything.

When the negative feelings take over and crowd out the joy and the happiness, when they steal the peace and the calm, knowing that it is ok to seek help can aid in creating a better balance.

When we suffer alone, we fight alone and it becomes a vicious circle of not realizing we need help, and not realizing that we are not alone.

If you, or someone you know is struggling with the emotions that come with pregnancy and postpartum, which left untreated can extend far into motherhood, Postpartum Progress is an excellent resource. It has everything from current research to personal stories.

Women shouldn’t suffer alone. As a society we need to care for our mothers who are raising the next generation. Then they can be empowered and equipped emotionally to do it well. It affects us all.


About the Author: Jenn Shehata

Jenn is a messy mom and ordinary nurse living a beautiful life. She writes to remember and to reimagine the story. You can find her at www.cryandnurseon.com writing about motherhood and nursing and all the thing that make her cry.

When she’s not chasing her three kids, watching Netflix with her husband, or working in the NICU, she is a voracious reader, always looking to understand the world better through people’s stories. Preferably with a latte in hand.

Find out more about Jenn on Facebook, Pinterest, and Twitter.

4 Comments

An

I too suffered postpartum depression that I was no way prepared for. All the prenatal magazines and books I read, this in 1985-86 during my first pregnancy, also talked about baby blues but not about postpartum depression. Depression for me manifested in increased anxiety. My son was almost 2 years old before I finally sought professional help. Thankfully by 1990, when my second son was born, I was prepared and recognized the symptoms and got help quickly. I think more obstetricians, doulas, midwifes, pediatricians, and perinatal healthcare nurses should be fully educated in postpartum mental health so they can in turn educate their moms-to-be before, during and after the birth…to ask perinent questions regarding exactly how they are doing, not just 6 weeks after birth, but during well baby checks as well.

Reply
Jenn

yes, yes, yes. I agree so much. Health care professionals need to be much better as assessing and straight up discussing mental health with women and know the resources to offer them.

Reply
Jana

Great article. I think those in a ‘compatible’ profession with raising children (I’m a teacher and ex-nanny) end up with greater perceived pressures to ‘excel’ at motherhood, which is totally unachievable – we all find our own way and have different strengths and weaknesses. I followed all your bulletpoints in my own journey to recovery, and now I speak freely to people about my own experiences in the hope it will encourage them to not feel the pressure (self-imposed I hasten to add) that I felt to be a self-sufficient, perfect mum. They don’t exist – we all need others and no-one is perfect!

Reply
Jenn

I agree. I think when we take care of children professionally we give ourselves less room for struggle and have skewed expectations.

I love this. “They don’t exist – we all need others and no-one is perfect!”

I’m slowly learning this.

Reply

Leave a Reply

Your email address will not be published. Required fields are marked *

Follow Hey Sigmund on Instagram

We humans feel safest when we know where the edges are. Without boundaries it can feel like walking along the edge of a mountain without guard rails.

Boundaries must come with two things - love and leadership. They shouldn’t feel hollow, and they don’t need to feel like brick walls. They can be held firmly and lovingly.

Boundaries without the ‘loving’ will feel shaming, lonely, harsh. Understandably children will want to shield from this. This ‘shielding’ looks like keeping their messes from us. We drive them into the secretive and the forbidden because we squander precious opportunities to guide them.

Harsh consequences don’t teach them to avoid bad decisions. They teach them to avoid us.

They need both: boundaries, held lovingly.

First, decide on the boundary. Boundaries aren’t about what we want them to do. We can’t control that. Boundaries are about what we’ll do when the rules are broken.

If the rule is, ‘Be respectful’ - they’re in charge of what they do, you’re in charge of the boundary.

Attend to boundaries AND relationship. ‘It’s okay to be angry at me. (Rel’ship) No, I won’t let you speak to me like that. (Boundary). I want to hear what you have to say. (R). I won’t listen while you’re speaking like that. (B). I’m  going to wait until you can speak in a way I can hear. I’m right here. (R).

If the ‘leadership’ part is hard, think about what boundaries meant for you when you were young. If they felt cruel or shaming, it’s understandable that that’s how boundaries feel for you now. You don’t have to do boundaries the way your parents did. Don’t get rid of the boundary. Add in a loving way to hold them.

If the ‘loving’ part is hard, and if their behaviour enrages you, what was it like for you when you had big feelings as a child? If nobody supported you through feelings or behaviour, it’s understandable that their big feelings and behaviour will drive anger in you.

Anger exists as a shield for other more vulnerable feelings. What might your anger be shielding - loneliness? Anxiety? Feeling unseen? See through the behaviour to the need or feeling behind it: This is a great kid who is struggling right now. Reject the behaviour, support the child.♥️
Can’t wait to see you Brisbane! Saturday 20 May had bounded up to us with its arms open - and we’re so ready.

If you don’t have a ticket and would give your very last lamington for one, don’t worry - tickets are still available from ‘Resilient Kids Conference’ (on google). Here are the details:
 
Date and Time: Sat 20th May

Time: 9.30am – 3:00pm (Doors open at 9.00am for a 9.30am start)

Location: Main Auditorium, iSee Church, 8 Ellen Street, Carina Qld 4152

Parking: Free parking onsite

Cost: $85.00 AUD 

We’d love you to join us.♥️
Our nervous systems are designed to receive their distress. Fight or flight in them raises fight or flight in us - to get our bodies ready to fight for them or flee with them.

When they’re in actual danger, it’s a brilliant response, but ‘danger’ is about what the brain perceives. 

Big feelings and behaviour are a sign of a brain that has registered ‘threat’. A felt sense of relational threat and emotional threat all count as ‘threat’.

This can happen any time there is any chance at all of humiliation, judgement, missing out on something important, felt disconnection, not feeling seen, heard, validated, not having the resources for the immediate demands (stress).

Think of this in terms of interruption, transition times, sibling arguments, coming home after a big day at school.

When the threat isn’t a true physical danger, there is nothing to fight with or flee from (except maybe siblings and instructions).

This is when the fight or flight that’s been raised in us can move us to fight with them (we might get irritated, frustrated, angry, annoyed, raise our voices) or flee from them.

These are really valid feelings and signs of things working as they should, but it’s what we do in response that matters.

Think of it this way. Brains don’t care for the difference between actual danger and things that are safe, but annoying or upsetting. They all count as ‘danger’. 

Pause for a moment, and see that this is a young person with a brain that doesn’t feel ‘safe’ right now. Whether it’s emotionally safe, relationally safe, physically safe - they all matter.

First, they need to be brought back to safety. We’ll do this most powerfully through relationship - co-regulation, validation, touch. 

In practice this looks like breathe (to calm your nervous system so you can recalibrate theirs), be with (validate with or without words - let them feel you believing them and not needing anything from them in that moment), and wait.

If you need to hold a boundary, add that in (‘I won’t let you …’) but don’t take relationship away.

Then, when they are calm, have the chat - ‘What happened?’ ‘What can we do to put things right?’ ‘What might next time look like?’♥️
Brisbane - not long to go! We’d love you to join us at The Resilient Kids Conference. The feedback from Launceston has been incredible, and we can’t wait to do it again with you Brisbane.

All the details...
Date: Sat 20th May,
Time: 9.30am – 3:30pm 
Doors open at 8.30am for a 9.30am start
Location: Main Auditorium, iSee Church, 8 Ellen Street, Carina Qld 4152
Parking: Free parking onsite
Cost: $85.00 AUD

👍 What to Bring: Print your e-ticket or show your ticket on your phone at the main entrance for easy scanning and entry.

👍 Resources:  A big aim of RKC is to resource communities. For that reason, we offer a range of stalls filled with helpful resources, and of course the speakers books. Eftpos will be available on the day for all purchases.

👍 Food on the day:  We strive to keep our ticket prices low, to make it possible for anyone to experience RKC. To help, the ticket price does not include food or drinks. While a cafe and other food options nearby will be available at each event, we hope this low-price gesture enables you to be with us!

Grab some friends and let's make this a day to remember. It won't be complete without you....🧡
This error message is only visible to WordPress admins
Error: Access Token is not valid or has expired. Feed will not update.

Pin It on Pinterest

Share This