Category Archives: Postpartum

What Babies Need

by Angie Sonrode

Walking into any baby store or paging through oImagene of the numerous magazines aimed at parents, one is bound to find a list of “must haves” for every baby. These are usually things that are meant to help you parent your baby “best”. While no one can tell you what your individual family’s needs are, what we do know is that at its most basic, babies’ needs are quite simple. The most important things your baby needs are things you already have.

Warmth

Babies are born learning how to maintain a normal body temperature, and immediate skin-to-skin contact with mama is ideal. Studies have shown that a mother’s chest is able to lower or raise an entire degree based on her baby’s temperature needs (and on either side independently if she is mothering twins!).

Getting your baby right to your chest immediately following delivery will also help both of you connect after birth. It helps baby to regulate their breathing as they feel your chest rise and fall and you are bathed in your newborn’s intoxicating smell as you establish your bond as mother and child. This shows them where home is as they take in your mama scent.

Comfort

Your baby has spent three seasons growing in an environment where his needs were immediately met. Baby was kept at the right temperature and could hear your heartbeat and voice at all times. Keeping your baby close after birth helps to maintain and strengthen his sense of security and safety while helping you to learn his cues and respond to his needs quickly.

Wearing your baby is a wonderful way for both mom and partner to help baby recreate that environment and provide this comfort for him. It keeps baby close and secure, providing opportunities for attachment and affection at all times. Babies can sleep, eat and play all while staying connected to you, and you are able to get basic tasks accomplished without having to put them down – a win/win situation!

Food

Humans are well-designed down to the last detail. While pregnant, your breasts begin to produce colostrum which is the first food your baby will get in the few days it takes for your milk volume to increase. Colostrum is packed with energy, vitamins, and antibodies, and it lines babies’ intestines with beneficial bacteria and flora that stay with them for life. It also acts as a natural laxative, helping babies to pass their first stool, known as meconium.

Colostrum and breastmilk provide all the nutrition your baby needs – there is no need to supplement with anything else. Breastmilk is tailored to your baby’s needs at every stage of development; as baby grows and changes, so does your milk. As an added bounus, babies whose mothers eat a varied diet while nursing typically grow up to be more adventurous eaters later in life, enjoying more diverse flavors and tastes.

Parenting a newborn is all about following his cues and responding with what he needs. Your instincts as a parent are strong and if you listen to them and to your baby, you will quickly learn that what your baby needs most is you.

Angie Sonrode is a DONA-trained Doula and a Lactation Support Provider serving clients in the Twin Cities Metro area.  She  lives in Minneapolis with her supportive husband and 4 amazing kiddos. 

Editor’s Note: A version of this article originally appeared in the Winter 2011 print version of Collective Thoughts.

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Baby Blues and Postpartum Depression: Personal Stories

by Natalia Hals, CD(DONA), LCCE

It really grieves me to the core to think about the taboo around postpartum depression. Even the name weighs heavy when compared to “the baby blues”. According to the U.S. Department of Health and Human Services, depression is a common problem during and after pregnancy. Research tells us that up to 16% of women will experience postpartum depression.

But when you are battling PPD yourself, knowing that even one other mother has experienced PPD can mean the difference of acknowledging it and seeking help. I have a sneaking suspicion that the number may be larger but this is a subject that women are often ashamed of. Whether it is the fear or being seen as weak, not appreciating the gift of a new child, or fear that there may be some other mental illness that hasn’t been uncovered, it remains hidden. I can tell you from experience that things that are hidden like this seldom go away on their own.

A dear friend of mine asked me about the difference between postpartum depression and the baby blues.  In answering, I hope to remove the  unnecessary shame and loneliness that goes along with PPD. Here was my response:

I can tell you from experience. I had PPD with Riggity and Poots and the baby blues with Beaner. They are very different. I will underline the symptoms:

After I had Riggity I had to go back to work 6 weeks postpartum. I was a walking zombie and it wasn’t because of lack of sleep. Riggity was one of those rare babies that slept through the night early on. I wept on and off, I was clearly so unhappy that every one would mention it. I was not interested in any of the things I used to be, including friends. I started isolating myself  – not wanting to see anyone because it was too much work or caused anxiety. I was not my self and it wasn’t getting better as the months went on. Her father worked evenings and I would have Riggity every night after work. I was exhausted and would come home, feed her (she was bottle fed) and I would sleep on the couch until morning. She would be in a playpen next to me (even though she had her own nursery…I didn’t feel like taking her there and I wasn’t so quick to attending to her). I truly loved her and felt so blessed to have her but I was disconnected from her because of how I was feeling. Unfortunately, I didn’t know what to look for at the time and it took my mom at about 6 months postpartum to plead with me to talk with my doctor.

When I was pregnant with Poots my doctor was aware of my previous PPD and we developed a plan; to look for the signs, be accountable (she came to see me before I went home after having Poots and she sat down and talked with Hubs and I about what to look for) and also we discussed what were some options if I were to have it again; counseling, prescription medication, diet, combo of all.

When PPD appeared with Poots, hubs was the one who pointed it out to me. Sometimes when you are experiencing PPD you start to think it is normal because you are living in it everyday. I  stopped returning phone calls, declining visits and invitations (after the postpartum period). I stopped sleeping (I would stay up almost every night watching television). I was disconnected from hubs and the kids. I would be holding Poots but not engaging with her (zombie like). My oldest and hubs shared their observation with me; I always had this blank stare and they would be talking to me and I would look right through them. I would go from not eating to eating too much.  I was exhausted, completely exhausted. I had overwhelming fears and anxiety about myself, the kids, hubs.

I’d seen my doctor for my yearly check up and she asked me how it was going and I cried my eyes out. She said that my appearance looked different, my eyes were distant and I was not the same happy person I was a year previous. She’d said exactly what hubs had just told me (which led me to schedule the appointment) and I knew she was right.

I believe I waited too long to be treated. I had just lost my mother and thought I was heavily grieving and that was the reasons for my symptoms. I also thought it was something that could be reasoned and prayed away, a positive attitude and strong-will would help me overcome it. I eventually agreed to try some medication and after two weeks or more started I started to see more clearly and not walk around with my head in the cloud. I also started to see a counselor to process some things. Both helped. Again, I wish I wouldn’t have waited so long.

With Beaner, I had the baby blues. We were on alert and looking for PPD because of the hard pregnancy, traumatic labor/delivery I’d had. The baby blues felt like an emotional roller coaster that came and went around the second week. It was intense when it peaked and I had one melt down when I was feeling overwhelmed with healing, nursing, lack of sleep and my hormones had tanked but after that things settled and started to feel normal.

The difference with Beaner. I had been seeing my counselor the last few weeks of my pregnancy and started to see her once I was out and about (about 6 weeks postpartum). I discussed my disappointments and fears candidly and didn’t hold anything in. Also, with  my doctor we tested my blood levels and made sure my iron and vitamin d levels were good. I immediately started taking supplements postpartum, started lowering my expectations with what the house should look like, accepted help when offered, slept when hubs was home (that meant earlier bed times) and when my mother in-law came over. I allowed my body the time to heal without having a time-table as to when I should be doing things and I cried when I felt like crying and I talked about things that bothered me instead of holding them in. I, hubs, my doctor and my counselor (haven’t seen her since June) have all been keeping an eye out for any symptoms and so far so good. That doesn’t mean I haven’t had days when I’ve felt like I am the worse mom, or wife, or not doing everything right or woke up feeling overwhelmed with everything. The difference is that feeling comes and goes, it doesn’t linger like it did in the past.
The best way I can describe PPD is: I felt like I was on an island that was once a part of the shore. I could see myself drifting farther and farther away from the shore and no one could reach me and I couldn’t reach them.

 

Another description: I was falling deeper and deeper in a black hole. I had my arms and legs stretched out to try to keep from falling but I was still falling, some days super fast and some days I was trying to stop the falling with my finger nails, barely holding on. Either way, I felt alone even though people were around me, and scared, anxious and unhappy.

By the way, all of this was going on and I loved my kids and hubby so much I could hardly stand it. The good news, kids are sooooo forgiving and resilient. They love their mamas so much that any mistakes along the way are forgiven. In spite of my rocky start with Riggity is really unbelievable how much she loves me. Poots thinks I am a rock star. I have to lock myself in the bathroom sometimes because they all want to hang out with me (this is even after spending all day with them). I am not saying this to brag about myself because like I said, I am not perfect. I still make mistakes and lose my patience and have challenging days but kids are pretty forgiving and resilient if your heart is in the right place.

A few things:
 When you are pregnant or have just had a child you are exhausted for very normal reasons, the weepys can come from being exhausted. And you are right to feel overwhelmed. It is a lot to take on and a lot to learn. Be patient with yourself, friend. Patience with yourself as a mom and with your body. Don’t expect to know exactly what to do right away and all of the times.

Don’t feel guilty  if you find that you do have PPD. It is nothing you did wrong, nothing you can control with will power and like any other illness if there were treatments available no one would judge you for using them.

Practical notes: Have someone to take babes while you sneak a nap, take a soak, have some quiet time. It will make you a better mama if you get as much rest as you can, stay hydrated and nourished. Stay connected to your partner and be honest about how you are feeling. Even if it is continuing to communicate about how all of the changes are affecting you both, snuggling up to a comedy or doing more if you feel up to it (don’t feel bad if you don’t).

Accept help when it is available; food, cleaning, errands. Breathe and when you are feeling overwhelmed acknowledge it and stop and think what do I need to be doing right now, or today? It may be just getting back in the bed with baby and counting her little fingers, smelling her hair, listening to her breath or eating a soulful meal, taking a stroll or a nap. Pace yourself, there is no pressure. You are the perfect mom for your child(ren) even if you are dealing with PPD.

If you suspect that PPD may be creeping up see your doctor or midwife ASAP, they have a test you can take. There are many options and the sooner it is dealt with the sooner you can experience this first year in all the beauty and clarity it was meant to be experienced in. Not through a fog and a veil of tears.
Natalia Hals is a birth and postpartum doula and a childbirth educator. You can find her at A Woman’s Design

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The Unexpected and Often Unspoken Experience of Motherhood

by Ashley Ashbacher, LSW, CD(DONA)

My Experience With Postpartum Depression

My journey into motherhood was not at all what I expected. I had visions of a fluffy happy pregnancy where I was glowing and everything was exciting and wonderful. That unfortunately was not my reality. I was diagnosed with hyperemesis gravidarum (HG) which is characterized by severe and constant nausea and vomiting in pregnancy. It was a very debilitating condition and something that I was not prepared for. I ended up going on disability from my job and spent most of my days alone and in bed. The HG was isolating and completely out of my control.  Feelings of worthlessness, hopelessness, and sadness began to creep in. I felt removed from my pregnancy and cheated. When my hopes for an unmedicated vaginal birth turned into a c-section, I had a very hard time coping. I felt cheated. I felt like a failure. I felt broken. I felt totally and completely alone. I was very angry at myself. I felt that I failed to have a healthy pregnancy, I failed at having the birth I wanted, and when we switched to formula after never getting a good latch, I felt that I failed again.

I would look at my little girl that I fought so hard to carry and birth and I would know that I should have warm loving feelings for her, but I felt nothing. I didn’t know how to bond with her. When she would cry, I would cry and break down begging her to stop. I couldn’t soothe her. Sometimes I couldn’t touch her. I felt like a terrible mother. Sometimes I hated myself. I had thoughts of killing myself.

I also felt like no one understood what I was going through and worst of all no one cared. I knew something was very wrong at this point but I couldn’t bring myself to do anything about it. I could see my husband getting angry at me and that he didn’t understand what was happening to me but he never said anything. Once I tried to confide my feelings in someone I trusted and their response was that I needed to get over it. That I had a baby now and that was all that was important. It reaffirmed to me that I didn’t matter. That my pain didn’t matter. That my grief over not having the pregnancy and birth I expected, didn’t matter.

Eventually I went to see a therapist and I told her my story. I will always remember what she said to me next. She said, “What happened to you was a trauma, and it is ok that you feel this way.” She was the first person to give me permission to feel both sad and angry about my experience and to acknowledge that I mattered too. My experience mattered. My pain mattered.  This is where my healing began and with the help of my therapist, I recovered. I was able to forgive myself for what happened and develop a strong bond with my little girl.

It’s still difficult for me to discuss that time in my life but it is a story that I feel needs to be told. So often we as mothers who experience postpartum mental health concerns suffer though it in silence and we don’t talk about our experience after. I talk about my experience because I know there are other moms out there in the same place I was. Moms who are feeling lost and alone. Moms who are feeling overwhelmed by sadness and can’t seem to find their way out of that dark place. If you are feeling that way now or if you have found yourself feeling that way, you are not alone and there is help available. You have nothing to be ashamed of and you don’t have to go though it alone.

How to Determine if You or a Mother You Care About May Need Help

Sometimes we have a hard time figuring out what is often referred to as the baby blues and what is postpartum depression. Here is some information from Pregnancy and Postpartum Support Minnesota (PPSM) that can help you start to determine what you are experiencing.

The Baby Blues (experienced by around 80% of mothers)

The baby blues occurs within the first few weeks after giving birth; it is mild and short-lived. The experience includes: intermittent crying, feeling overwhelmed, irritability, frustration, anxiety, up & down moods, exhaustion, trouble falling or staying asleep. These feeling may come and go within a day and often coincides with periods of feeling just fine. Sleeping or crying usually helps lessen the negative feelings. It generally resolves within 2 weeks and treatment is not necessary but support is helpful.

Depression (experienced by 10-20% of mothers)

Depression includes symptoms that persist for at least two weeks. The experience includes feelings of being overwhelmed, sadness, irritability, guilt, lack of interest in the baby, difficulty experiencing pleasure or joy, fatigue, changes in eating and sleeping habits, trouble concentrating, thoughts of hopelessness and sometimes thoughts of harming the baby or yourself. Sometime people are depressed before they become pregnant, or develop symptoms during pregnancy. Often this experience continues after baby is born and may become more severe. A variety of treatment and support options may be helpful and necessary in order to find your way through this difficult experience.

Where to Seek Help Locally

Pregnancy and Postpartum Support Minnesota is a great resource where you can find mental health resources and providers (http://www.pregnancypostpartumsupportmn.com/). PPSM also has a helpline that you can call and get connected with another mother to provide support (612- 787-PPSM).

HCMC has recently opened the Mother-Baby Program which includes a telephone support line (612-873-HOPE), a mother-baby day hospital, and outpatient counseling (http://www.hcmc.org/birthcenter/familycenter/the-mother-baby-program/index.htm).

If you are thinking about harming yourself or your child: Call 911 or go to a hospital emergency room right away.

There is growing awareness and understanding of postpartum mental health. If you or someone you know is suffering, please reach out and know that you are not alone.

Ashley is the mother of an almost -three-year-old girl and recently welcomed a baby boy in a healing VBAC.  She has been a doula for two years. She is currently completing her master’s degree in social work and hopes to provide counseling focused on issues of motherhood and mental health. 

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A Trend not Started by a Man whose Last Name is Sears…

by Iola  Kostrzewski

If you were to run into a mom in the 1800’s she would have probably had a baby on her back. Depending on the climate, the carrier the mom would have been using may have been made out of animal fur or a beautiful piece of fabric that the mom would have woven herself; or perhaps a fellow woman in the community may have given it as a gift. The gift-giver would have known from her own experience with her own children that the new mom would need it while she gathered food, cleaned a hide or just went for a walk.

Now fast forward to the 1900’s, lets travel to Japan…There you may have seen a mom wearing both her boys in what resembles a modern day Mei Tai, happy as can be carrying on with the day’s activities. In a village in French Guiana, you will find a mom holding a child on her hip breastfeeding as she herself is trying to finish her morning meal.  Today, you may see a mom wearing her baby in an Ergo as she shops at the mall, or a baby wrapped securely in a very pretty piece of fabric at an art fair. All of these are examples of babywearing, and all proof that babywearing is not a just a trend that started by a man whose last name is Sears.

Like all of these women depicted above, babywearing has been welcomed with open arms into my own family. It has become the norm since my oldest was three months and I traded in my Baby Bjorn for a Moby that was much more comfortable. When my mom saw me for the first time sporting my son in my wrap her words were, “You will spoil him like that! Put him down!” My mother in-law didn’t understand either, with the words “spoiled” and “pampered” being thrown around during our visits.

As much as I wanted to be upset with their comments and yell as loud as possible that “only food spoils, not my baby,” how could I? I understood that they were parents during the time when “baby trainers” were at the height of their popularity. They were told to not respond to every cry, that small babies will self soothe, and no matter what you do …. DO NOT HOLD BABY! So of course their responses are normal, because it’s what they were told.

Yet for me as a mother,  babywearing is way more than part of the attachment parenting style that my husband and I seem to have adopted as parents. You see, my carriers have all come in and saved the day. I think of them as little super heroes that I like to hoard. My ring sling has saved me from losing what I have left of my sanity by corralling in my toddler on days he finds the need to “help” with every chore I am trying to complete. My soft-structured carriers have stayed with me and paced the floors late at night, as I have tried to soothe a teething baby to sleep or lift the one whose feet have given out on him after he has run and run until he could run no more. My recent run-in with wrapping has taught me that it’s a great tool for a calming a toddler tantrum and gives great support for a nursing eight month old.

The women before me were smart. They knew this secret:  a happy baby was one who was with its mother. They had figured out that since baby was most likely breastfed, baby had to be with them, not to mention the dangers of leaving an unattended baby in the middle of the wilderness! They figured it out, and to this day many of their carriers are still being used with some small modern improvements. For that I am thankful, and I am pretty sure my children are too.

Need more proof? Grab a gold dollar coin and flip it over.  Apparently Sacagawea had a great time wearing her son as she led Lewis and Clark during their exploration of the west.

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Babywearing: So Many Benefits!

Sweet sleeping baby snuggles in the Ergo.

Sweet sleeping baby snuggles in the Ergo.

by Christina Owen

It seems as though the more children I have, the more I learn. Or, the more children I have, the more I need to learn to survive. I never wore my daughter, my oldest. She was fine in the stroller and I didn’t know any better. When my middle child was born, I lived in a very urban area, where I walked and took the bus everywhere. I wore him out of survival, in my homemade stretchy wrap, at least until he was big enough to sit up in a stroller. I knew more, but I still didn’t know better. Oh how things have changed.

I then got pregnant with my third child. I knew I would be wearing him right away, all the time. Anyone who has multiple children knows that there is a direct correlation between how many children you have and how much (or little) sitting around you are able to do. Older kids like to go places and participate in activities and need their parents there. The only way to accomplish those things, and retain any semblance of sanity, is to wear your baby.

There are many benefits of babywearing. Research has shown that babies who are worn by their mother, or another caregiver, cry less and are not as “demanding” than babies who are placed in a swing or bouncy seat. After being in the womb for nine months, listening to his mother’s heartbeats, hearing her voice, and falling asleep to the swaying of her movements, a baby does not want to suddenly be away from his mother. I also found out from having a December baby in Minnesota, that if I put my baby in a wrap and then put a coat over the two of us, not only were we both plenty warm but we were also much less likely to get the odd stranger who wanted to touch the baby. That was an added perk during cold and flu season.

Another reason I found to wear my baby was that I was much more aware of his needs. If your baby is in a car seat –  or any of the other million contraptions that are available for putting babies in – you aren’t as aware of her cues. When you are wearing her, you will notice at times that she will start squirming, getting restless, and will quickly realize that she has a dirty diaper. At other times, she will start sucking on her hand or nuzzling into the breast and you will know she is getting hungry. It is so important to be aware of these cues, especially for a mom and baby just starting out their breastfeeding relationship. Having your baby close, and sensing her cues much faster, you will hopefully be able to avoid trying to latch on that frantically screaming newborn. Besides, who doesn’t want to have their baby up high and kissable all the time while your hands are completely free?

As I mentioned before, wearing my baby allowed me to attend to my other children. I never worried about being home for naptime. We were able to go to the Children’s Museum, the park, or the grocery store and I was able to have my hands available while he would sleep or look around. Wearing your baby allows you to fold laundry, do dishes or go for a walk, all while he is snuggled up to you, sleeping or even nursing. I even purchased a water wrap so that I could take him to the pool or even shower on those particularly difficult days.

I am a fan of baby wearing for all of those reasons and more. Wearing my baby has let me be with my older children while still bonding with him. It allowed me to meet my baby’s needs, and go about my day. He cried less often and that made us both happy.

Types of Carriers

There are so many types of carriers out there that it can seem overwhelming, trying to figure out what to purchase. Here is a breakdown of the most basic types of carriers.

Wraps
There are two main kinds of wraps – stretchy or woven. A stretchy wrap, like the Moby or Boba wrap is usually made of a jersey knit material. These are really great for the newborn period up to about 18 pounds. After that time, your baby will start to sag and it will become less comfortable for you to wear. In a stretchy wrap you can only safely wear your baby on your front or on your hip.

The woven wrap is usually handmade or machine woven material, either 100% cotton, a blend of cotton and linen, or a combination including hemp, bamboo, silk. The woven wrap tends to be the most versatile of the carriers, since you can use them from birth to toddlerhood and beyond. There are many different kinds of carries you can do with a woven wrap, including many newborn options.

The only drawback to wraps is that there is a little bit of a learning curve with them. It takes time and practice to learn how to wrap correctly and safely. Wrapping and tying all that fabric around you and your baby isn’t necessarily for everyone.

Soft Structured Carriers

Soft structured carriers have padded shoulders, buckles, and a waistband, so that the weight of the baby is distributed on your waist rather than on your shoulders or back. These are considered the most “daddy-friendly” of carriers because there is much less fuss than other types of carriers. Some examples of these are the Beco, Ergo, and Boba, among others. The time you can start using these ranges among brands. Some need a special insert in order for you to wear your newborn in it. For most of these, you can wear your baby until 30-35 pounds.

Asian-Style Carriers

The main kind of Asian-Style is the Mei (pronounced “may”) Tai. This is a combination between a wrap and a soft structured carrier. It has a body similar to the soft structured carrier, but also ties around you. It is simpler than a wrap and can be worn on your front, back or hip. You can use these starting from birth, but your older toddler may outgrow the body of the mei tai.

Slings

A ring sling is a one-shoulder sling that can also be worn on your front, hip, or back. The ring sling is great for nursing in and is a great “poppable” carrier, meaning that it is quick for getting baby in and out of. The only disadvantage is that is only worn on one shoulder which can be uncomfortable for some people. A pouch sling is a sized sling that should fit you from shoulder to hip. These are simple carriers and are also quick for getting your baby in and out. It is very similar to the ring sling.

There are so many reasons for wearing your baby. In the early days it is so important to have your baby close to you, for breastfeeding and for comfort. Choosing a carrier can seem overwhelming because there are so many options but you really can’t go wrong with any of them. There are a couple of places in the Twin Cities where you can try on different carriers before you buy them, such as Peapods in St. Anthony Park. All Things Diapers in Blaine also has a rental program for carriers. I have loved carrying my baby. When he is tired and fussy, I pick him up, put him in the carrier. Within minutes he is calm, and often fast asleep.

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Normal Stress or Postpartum Anxiety?

by Amy Pierce, MS, LMFT

New mothers are often overheard saying that becoming a mom was the biggest, most life-changing thing they have ever experienced. We all expect a major adjustment to have its stresses along with the joys. So, how does a mother know if the anxiety, worry, or stress she is feeling is “normal” or if it is something that she should get some support with? Here are some ways to tell the difference between postpartum anxiety and transitional stress:

Every parent has periods of feeling overwhelmed or anxious that go away with reassurance. There is uncertainty that comes with this new job, but you should feel more confident over time. It is not normal, however, to be really worried all the time. Constant thoughts like: Am I doing this right? Will the baby wake up? Is the baby eating enough? Is there something wrong with my baby that I’m missing?

It is normal to have fearful, distressing thoughts about harm coming to your baby that come and go. Really, it’s common! You should be able to keep in mind, though, that these thoughts are not realistic, and not feel distressed for long. Postpartum anxiety, however, can include disturbing thoughts that can feel scary and make you wonder whether you aren’t the person you thought you were.  These thoughts may start with the words “What if…” and do not go away even as your experience with motherhood grows. If you fear being alone with your baby or become avoidant of things in your house that could potentially cause harm, (knives, stairs, etc.), then seeking professional support is a good idea.

Obviously sleeplessness and some fatigue from nighttime parenting is on the menu! It is possible that your little one may not sleep an extended stretch for over a year. However, if you’re having trouble sleeping even when your baby is sleeping and even though you are so, so tired, this is likely a sign of more serious postpartum struggles.

Other symptoms of postpartum anxiety include racing thoughts, inability to relax, checking on things over and over, headaches, chest pain, no appetite, feeling on edge, and a fear that you have lost yourself or are going crazy. Postpartum anxiety is common – one in six postpartum women have it. It is different from postpartum depression, but they often occur together. Many women have the feelings described above every now and then, for a day or two. We all have bad days. Postpartum anxiety is not just a bad day here or there. It is feeling like this a lot of the time, for two weeks or more, and having trouble with daily functioning. Don’t worry though (pun intended), because postpartum anxiety is very treatable. A great resource in the Twin Cities is Pregnancy and Postpartum Support Minnesota, a group of mental health and other professionals that can help you make a plan to recover. Visit their website at ppsupportmn.org or call their Helpline at (612) 787-PPSM to find resources. If you wonder if you have anxiety in pregnancy or postpartum, talk to your partner, doula, or midwife/doctor and consider reaching out to a psychotherapist or other trained professional. You should not suffer alone!

Amy Pierce is a doula and Marriage and Family Therapist in St. Paul, MN. She sees clients in her offices at Psych Recovery Inc. 

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Postpartum Doula Care: What to Expect

by Kathryn Orr, CD(DONA), LCCE

Are you wondering if you need postpartum doula support? Or if you should gift it to your sister, daughter, friend? Or maybe, what the heck is a postpartum doula? People often aren’t sure where the lines are drawn between birth doula care and postpartum doula care. So here I’ll outline four overarching ways that postpartum doulas care for families during the postpartum time (right after birth until about 3 months postpartum).

Mama Care
A postpartum doula is trained to care for mamas during the postpartum time, physically and emotionally.

Those of us who are also birth doulas have detailed knowledge of the physical healing process that takes place after birth, whether vaginal or cesarean. We can answer questions, recommend natural ways to enhance healing, and provide resources. Our training also includes breastfeeding support, so we can address common concerns about breast and nipple care. We’ll also assist with making sure you have access to nutritious food, whether that means answering questions, providing recipes, grocery shopping, or preparing meals.

A postpartum doula will also care for her client emotionally. We are trained in signs and symptoms of postpartum mood and anxiety disorders, and we work hard to make sure our clients are aware of them as well. We’re always there to provide a listening ear for whatever is on your mind. Postpartum can be an intense time, and a friendly listener never hurts.

Baby Care
Postpartum doulas love babies; it’s our job, and for many of us, it’s our passion as well. We are delighted to hold your baby so you can shower, sleep, or take a walk in peace.

We can also answer questions about the maze of baby options: Which baby carrier should I choose? How does this Moby wrap work? How do I give my tiny baby a bath? How do I file her nails? Is my mother in law right when she says I’m nursing my baby too much? Etc.! Your doula should be able to present you with the whole spectrum of options so you can choose what’s right for your family.

We’re also a resource for feeding support. We can address common breastfeeding concerns, and formula feeding concerns. We’ll provide referrals to specialists if needed – we have a network of wonderful birth professionals in our community so we know who will take good care of you!

Household Management
Your postpartum doula can handle the household tasks that you would normally handle. But when you have a new baby, that’s your full-time job. It’s amazing how one tiny baby (let alone two babies!) can take up 24 hours a day with her constant needs. Your doula will help you with: meal preparation, laundry, light tidying and organizing, emptying the dishwasher, running errands, and more. That way you can rest and snuggle your baby.

Non-Judgmental Support
I think this is the most unique aspect of the postpartum doula’s role. No one else in your postpartum life supports you in this way. Your doula has a deep knowledge base about all things postpartum, but she’s not emotionally involved in your life. She won’t give you her opinions or judge the choices you make. She’ll listen to you as much as you need, and share options and resources when appropriate. For many new parents, this is a huge relief! Especially if it’s your first time, it helps so much to hear, “You’re doing just fine.”

 

Kathryn Orr is a birth and postpartum doula and a Lamaze-Certified Childbirth Educator. She is expecting her first little one this summer. Read more about Kathryn at MotherBaby Doula Services

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