10 Facts about Postpartum Depression(Perinatal Mood Disorders)

It can hit you out of the blue or slowly creep up on you. Postpartum depression is fairly common and it isn't talked about as much as it should be. There are some misconceptions surrounding the term postpartum depression. Here are 10 facts to help you understand it a little better. 

1. It isn't just Postpartum Depression

Postpartum depression is part of the perinatal mood and anxiety disorder spectrum.  For some moms it is postpartum anxiety, obsessive compulsive disorder, post-traumatic stress disorder or psychosis. Some mothers may also experience a combination of two or more. 

2. The #1 Complication of Pregnancy

Yes that is correct. It is not preeclampsia, gestational diabetes, cholestasis, etc. While almost all women get tested for gestational diabetes and other screenings, many do not get screened for perinatal mood and anxiety disorders. Perinatal encompasses the period of time during which a woman is pregnant or has given birth. 

3. You are not alone!

1 in 5 women are affected by perinatal mood and anxiety disorders. Many don't even get diagnosed and are left wondering what happened and why they are feeling the way they didn't expect too. 

4. Media Misconception

The news often depicts a mother who is described in having "postpartum depression" and has committed a terrible act such as hurting herself, her baby or both. But the fact is, the term is not postpartum depression, but it is postpartum psychosis which affects 0.1% of births. It is much rarer then postpartum depression. 

5. You Will be You Again!

It is temporary. With help and in time you will be well again! Knowing when to get help (see below) and where to get help (see below) is very important. It doesn't mean you need medications. There are several ways of getting help. 

6. Healing Comes in Various Ways!

Getting help isn't just medication,s as some women and others think. Certainly there are times where medication is needed but also support groups, talk therapy are essential as well. Some mothers do well with just going to a support group and having therapy from a professional. Medication management is best left to a professional of psychiatry who has experience in working with women who have perinatal mood disorders. Some mothers opt to try things naturally through a naturopathic physician,  or placenta encapsulation. 

7. It is Not Baby Blues!

Baby blues is not the same as postpartum depression. This involves mood swings and weepiness. Baby blues are normal and affect about 80% of moms and last only the first two weeks after birth. This resolves without medical assistance.

8. Not a Reflection of Mothering!

Postpartum depression and other perinatal mood disorders is an illness and in no way a reflection on you as a mother and as a woman. It is hard to believe this and those who are going through it don't sometimes realize it. You are not a horrible mother and you are enough for you and your baby! When a mother has a perinatal mood disorder it affects her mind physically and also emotionally and mothers often feel like they can't think straight or have a hard time coming up with solutions on their own. Taking that step to getting better for yourself is one of the greatest acts of love for you and your baby. 

9. It Affects Dad Too!

It is not as common but dads can have postnatal depression too. An illness called paternal postnatal depression. It is not a sign of weakness in character but there is also a hormone change for dads immediately after the birth of their child that can contribute to this. There is an awesome book by Karen Kleiman, "The Postpartum Husband: Practical Solutions for living with postpartum depression" that is very helpful for dads to get a better understanding of the illness and healing process.

10. You are Not to Blame!

While you can do all you can to prevent it or steer away from it, there are biological, psychological, and environmental contributors that one can't control and it happens. But remember you are not alone and you will be well again. 

What do we do with this! It is tough having a baby but there is hope. If you are feeling any of the following reach out to someone to get help. There are some wonderful resources at the bottom for you to go to for help!

• "Why am I so sad, this is supposed to be the best time of my life?"
• "I would feel better if I just got better sleep at night."
• "I am a terrible mother. My child deserves better."
• "Why am I having thoughts that are scaring me?"
• "I want to leave my baby." "I want to run away."
• "Why can't I just snap out of it?"
• "I can't leave with my baby, it is too much for me to handle."
• "I feel angry all the time. "
• "I can't be alone with my baby." "I want to hit my baby."

National Resources for Postpartum Support:

Postpartum Support International- www.postpartum.net

Postpartum Progress - www.postpartumprogress.com

For Immediate Help Please Call 1-800-SUICIDE

National Hopeline - www.hopeline.com

Virginia Resources for Postpartum Support

Postpartum Support Virginia - www.postpartumva.org

Postpartum Doulas at Northern Virginia Birth Services

Postpartum Doula Worth It?

Is it worth it?

It’s a question I ask myself often.  Whether I am about to spend my time, money or energy on something, I want to know if what I am about to do is going to be beneficial to me in the long run.  I almost always think it through, analyze, read reviews, ask questions and get opinions.

I think it is safe to say we all think this way.  Most of us live full lives and don’t want to spend our time and money on things that we will later feel was wasteful.

So is having a postpartum doula REALLY worth it? Well, as a postpartum doula, I, of course, think the answer is YES!! But I would love to expand on this a bit more for you…

Envision this…

You have just spent the last 40 weeks carrying and nurturing your baby in your womb and have now completed the hard journey of labor and delivery.  Maybe this is your first baby, or maybe you’ve lost count, but wherever this new bundle of joy falls in your family’s birth order, their arrival means it is time to figure out your family’s new normal.

And the cold hard truth is newborns require A LOT of time and energy.

If you are breastfeeding, you will be nursing your baby 8-12 times a day, and at least every 2 hours at night, which leaves very little sleep for yourself.  And don’t forget, babies can be fussy and gassy and often don’t want to sleep when we want them to sleep. 

And how about you?  You just gave birth to your beautiful baby (you deserve a medal by the way!!) and you are probably still exhausted, maybe a bit depleted, and most likely a little (ok, a lot) sore.

And don’t get me started on the hormones (sigh).

Caring for your newborn can often feel like a full time job, leaving very little time for nurturing your body and for things that used to feel like a priority.

Are you supposed to juggle all of it on your own while also figuring out how to swaddle a screaming squirmy newborn? Nope! That is where someone like me, a postpartum doula, comes in.

When they said “it takes a village” they weren’t joking.  We all need help and support in our lives, especially during the delicate transition of bringing a new baby into the family.   

Whether it is support with breastfeeding or bottle feeding, help learning to swaddle or bathe baby, preparation of meals, getting into a new rhythm, help with pets, or giving you time to sleep, I can do all of that and much more.  Everything is customized to your family’s needs and your goals and hopes for the postpartum period.

My goal when I come into your home is to allow you to heal, rest, and bond with your sweet new baby all the while having the peace of mind knowing everything else is being taken care of.  The better cared for you are, the better cared for your baby will be. When you are taken care of after the birth of your baby, you will most likely heal quicker, get more rest, and feel more empowered overall as a mom - and from where I sit it doesn’t get much better than that!

As for my original question, is it worth it for you, your baby, and your family to get a postpartum doula? If you desire to have a smooth transition when baby arrives with support tailored to fit your needs, then yes, it is completely worth it. 

Find out more about our Postpartum Doula, Cortney Thomas here!

The Healing of Bone Broth

Paleo and Prehistoric Bone Broth

A few days after I delivered my firstborn, my mother in law kindly prodded me as to when she could prepare some chicken soup for me. In my husband’s culture “Sopa de Gaunita” or hen soup as it is translated is given to honor and nourish a new mother after her delivery. I told my mother in law I would be happy to have the soup whenever she had the time to prepare it. I will never ever forger her response. “Okay good! Just give me some time because I have to catch the hen.” Suddenly my feeling of being a “culturally knowable” woman fell away. HA! In my Anglo Saxon upbringing I had never heard of such a thing. Growing up, chicken soup came from a can or was made with premade stock, so talk about a little culture shock.

I felt guilty that this poor hen would get butchered for my sole benefit. So after weighing my conscious I asked my dear husband to kindly thank his mother but refuse the soup. Bad move. Not only was I unable to reap the benefits of this amazing form of nourishment but I also had unintentionally disrespected my mother in law by refusing something that is a very special form of showing respect and honor to a new mother. Very often in my husband’s culture it is the new mom’s mother who makes this soup for her. So this was indeed an act of many symbolic meanings.       

This experience was a huge lesson for me. We can dig in our heels and deny it till the sun goes down but no matter how easy or difficult it is to admit, there’s a wealth of wisdom that our mothers have passed down to us. When she told us that chicken soup was the best medicine for most of our ailments you better believe that she was not far off. On a side note upon the arrival of my second born I did receive a most delicious and unctuous bowl of “Sopa de gaunita” and I have no regrets whatsoever!  

History of Bone Broth

Bone broth has been named a “prehistori paleo drink” by many, and its increasing reputation and popularity has filtered into the social consciousness of the birth world of late. In almost every culture some form of bone broth has been traditionally used to nourish our postpartum mothers. If you look, evolutionary, the chicken soup that was indoctrinated into our American culture has roots that date back to our own hereditary lineages. The sad fact is that the evolution of bone broth has been diminished to what we pour out of a can of Campbell’s.

So what is bone broth? And why is it significantly beneficial more than soups, stocks, or simple broths? The differences between these three are very small, minuscule even to some, but very important when it comes to understanding and reaping the benefits for your postpartum body.

·         Broth is typically made with meat and a small amount of bone. The ratio of meat to bone is much higher. The cooking process for broth is around 45 minutes to 2 hours, the consistency of the broth in thin and watery and the flavor is very light. This broth has a good source of protein.

·         Stock is made with the ratios of broth only reversed. This means that there is more bone and very little meat. Think of the sinews or muscular tissue that clings to the bones. Usually the bones are roasted before they cook in the stock for 3-4 hours. This broth has a good source of gelatin.

·         Bone broth like stock, bone broth contains more bone than meat. Vinegar is often used before cooking to draw out the minerals and infused them into the broth. Bone broth is cooked the longest with a minimum of 24 hours. This broth is rich in gelatin, protein, and minerals which is what makes it the trifecta of both stock and broth.  

Bone Broth Benefits

After labor your body is at its most vulnerable. It needs the time and resources to properly heal and recover from the incredible journey of pregnancy and birth.

·         Cartilage –strengthens the structure of your bones and supports joints and tendons

·          Bone Marrow – the myeloid and lymphoid stem cells found in the bone marrow help the formation and function of white and red blood cells

·         Glycine & Proline - Are amino acids that play a crucial role in: healing wounds and soft tissue, having healthy connective tissue, effective detoxification by the liver, and the production of plasma

·         Minerials  

o   Calcium & Magnesium: allow muscle contraction and relaxation (which is needed for your organs to return to their original size and position) assists in clotting and tissue repair, and supports normal nerve functioning and endocrine balance.

o   Phosphorus: generates energy and regulates intercellular pressure which prevents weakness and fatigue.

o    Potassium: supports electrolyte functioning and assists with muscle contraction and relaxation.

Enjoy this recipe of bone broth and to download and print for your recipe box, click the button below! Enjoy!

Bone Broth Recipe

Ingredients:

1 package of ox tails (2-5 lbs.)

 1 tablespoon of vinegar

Chopped vegetables (carrots, onion, garlic, etc.)  (of your choice)

Salt

Directions: Place your ox tails in a slow cooker and cover them with enough water to cover the bones. Only let the water come 1 inch above the bones so the broth with be concentrated. Add your vinegar to the slow cooker and let it sit for 1 hour. After one hour turn your slow cooker on low and add the vegetables. Cook for 24 hours and then strain the contents of the broth and season with salt. Store in refrigerator or freezer and enjoy!