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6 Things You Want to Know BEFORE Becoming a Parent

6 Things You Want to Know BEFORE Becoming a Parent

Being a new parent is the most joyful, frustrating, heart opening, messy, happy thing a person can ever experience. Yet unlike being a fireman or a doctor there is very little real guidance offered by society on what to expect, what pitfalls to avoid, etc. Usually family and friends will tell new or expecting parents some imagined to be important things to help them along their way, like what to expect during labor (as if anyone can predict that), what kind of classes might help with the birthing process (as if all birthing processes are the same), what the best deals you can find for baby food are, information about baby clothes and who the best pediatrician in your neck of the woods is.

Truth is though, that information is already all over the internet, including opinions about whether to vaccinate, when to vaccinate and of course the ultimate question of all: whether or not to circumcise if the child happens to be male. This white noise about what parents should do or not do, as well as the mass of information today’s parents are expected to know actually deflects from some very basic practical advice that can be helpful.

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Since being a new parent already leads to amnesia due to lack of sleep, and being an expecting parent holds levels of anxiety reminiscent of being in a dentist chair while getting a root canal, it’s important to keep this kind of advice simple and easy, so here are 6 things you want to know BEFORE becoming a parent:

Be prepared to get no sleep!

How long that will be depends on the kindness of that stranger who is now your baby, their emotional whims and feeding habits, none of which anyone can predict. Plan your life accordingly for the indefinite future in line with the fact that you will not be getting any sleep. And if you do get sleep, cherish it because there is no guarantee that the lovely baby who sleeps all night at 9 weeks will not become like a shark in a feeding frenzy every 90 minutes from 8pm to 7am when they are 12 weeks or older. Growth spurts, room lighting, smells, even the astrological transits of the baby’s birth chart can be studied until the end of time and still there is no formula to accurately predict when a new born will sleep or not. So, get used to being sleep deprived, or at least accept the possibility that it may happen to you.

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Get a glider chair for Mom!

Comfort for the mother is of utmost importance in the days and weeks after childbirth. A mother of a newborn child needs time for her body to recover from the rigors of giving birth, and also being sleep deprived means that it is much easier to breastfeed or bottle feed while sitting in a cozy glider chair that rocks back and forth. This small investment is worth it! If you risk not getting one be prepared for the mental anguish which will ensue, as well as the massage bills, chiropractic bills and other activities that will need to happen to offset the lack of comfort that is now part of this new mother’s world. Be kind! Make getting a glider chair a top priority, right up there with buying diapers and baby clothes.

It is natural for every adult you ever meet from the moment your child is born to want to give you advice.

That’s what adults do, we pretend to know stuff even if we don’t. In past generations it was the case that most adults had children, often many children, and so any advice given was usually from the place of real life experience. But in today’s world that is not the case, so learning how to deflect advice from those who have no idea what being a parent is like is a real and important skill.

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Also, it is often the case that these non-parents make huge assumptions based on their non-existent parenting experience and say things which can be offensive to anyone who is actually raising a newborn child. One simple technique is to ignore unrequested and potentially offensive advice entirely, which often works because you are so obviously sleep deprived people think you simply didn’t hear what they just said. Another technique is to turn the advice back on the person who asked it. If they recommend you breastfeed, or which side of the vaccine coin flip you should be on, ask them what they did when raising their own children. Oh yeah, they don’t have kids. Let the awkward silence pass as you both digest this moment similar to someone who has never driven a car trying to telling you how to drive.

Be prepared for your friendships to change!

As with any major life change, being a parent can have many unexpected results. Some people love children and others have no idea how to relate to children, especially a newborn child. You might expect a congratulations from someone who you have thought a dear friend only to rarely hear from them again once you have announced the birth of your child. The opposite is also true, someone who you knew only casually might shower you and your baby with gifts, offering to be helpful such as cooking food for you and helping you do chores that were once easy but now a challenge, such as clean your house while watching a newborn.

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The bright love that comes through with these new friendships usually outweighs that sense of hurt that happens when someone decides to no longer be your friend because you now have a child. When you do lose friends because of your baby know it is simply an initiation, a hazing from the universe for you to join this age old society of parents, and not something to take personally or go into therapy about. Embrace the new friendships, and simply let the old ones go.

Babies make people do crazy things.

You may have taken classes before the birth in Baby CPR, Breastfeeding, and watched numerous videos to help you cope with the challenges of being a parent. What to do when complete strangers ask to hold your beautiful child is the one issue no book or video ever dares to mention. As a society, we like to pretend this will never happen but it actually happens quite often. The request is rarely even verbal. The assailant simply stands in front of your newborn child, and reaches their arms out towards the child, perhaps pouting too as if regressing into their own babyhood form of consciousness. This form of non-verbal communication is almost an act of violence to some parents. What to do? Simply smile at them, hold your baby tight, and walk away.

Why is it worth it in spite of all this madness?

Don’t let this article scare you into deciding against having a baby. Having a child stare into your eyes, drool on you, and pee all over you when you try to change their diaper is an experience not to be missed. Seeing the odd behaviors, the nuances of a baby’s personality emerge, is probably the closest thing you’ll ever know to wondering what the Divine Creator must have felt when the universe was first created, a feeling kind of like Wow, I did this? Lots of problems yet somehow still perfect! The lost friends, the idiotic advice, the lack of sleep, the bills for baby’s needs and of course the glider chair, and even the weirdos who try to grope at you like linebackers in a Superbowl game where you are the quarterback and your baby is the football itself– none of this can compare to the magical sense of love that happens, as if the universe lit a match in the darkest areas of your heart and declared let there be light.

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Published on November 30, 2018

Signs of Postnatal Depression And What to Do When It Strikes

Signs of Postnatal Depression And What to Do When It Strikes

Postpartum depression (PPD) strikes about 15% of women around childbirth.[1] Moreover, this mood disorder is estimated to affect 1% to 26% of new fathers.[2] The causes of which are thought to be linked to hormonal changes, genetics, previous mental illness and the obvious change in circumstance.

The stigma of mental health – with or without support from family members and health professionals – often deters women from seeking help for their PPD. In this article, I will show you 10 ways to begin overcoming PPD.

Symptoms of Postnatal Depression

Postnatal depression is defined as depressive disorder, beginning anytime within pregnancy up to the first year of the child’s life. The symptoms of post natal depression are the same as those of depression. In order to receive a diagnosis from the doctor, 5 symptoms must be shown over a two week period. The symptoms and criteria are:

  • Feelings of sadness, emptiness, or hopelessness, nearly every day, for most of the day or the observation of a depressed mood made by others
  • Loss of interest or pleasure in activities
  • Weight loss or decreased appetite
  • Changes in sleep patterns
  • Feelings of restlessness
  • Loss of energy
  • Feelings of worthlessness or guilt
  • Loss of concentration or increased indecisiveness
  • Recurrent thoughts of death, with or without plans of suicide
  • Lack of interest or pleasure in usual activities
  • Low libido
  • Fatigue, decreased energy and motivation
  • Poor self-care
  • Social withdrawal
  • Insomnia or excessive sleep
  • Diminished ability to make decisions and think clearly
  • Lack of concentration and poor memory
  • Fear that you can not care for the baby or fear of the baby
  • Worry about harming self, baby, or partner

Should you, a friend or your partner be showing any of these signs, I recommend you to seek medical advice.

Causes of Post Natal Depression

It is worth noting here that there is a difference between what is commonly known as ‘The Baby Blues’ and post natal depression.

Postpartum blues, commonly known as “baby blues,” is a transient postpartum mood disorder characterized by milder depressive symptoms than postpartum depression. This type of depression can occur in up to 80% of all mothers following delivery. The Baby Blues should clear within 14 days, if not it is likely an indicator of something more in depth.

It is not known exactly what causes post natal depression, however there are some correlating factors. These factors have a close correlation and haven’t been shown to cause PPD:

  • Prenatal depression or anxiety
  • A personal or family history of depression
  • Moderate to severe premenstrual symptoms
  • Stressful life events experienced during pregnancy
  • Maternity blues
  • Birth-related psychological trauma
  • Birth-related physical trauma
  • Previous stillbirth or miscarriage
  • Formula-feeding rather than breast-feeding
  • Cigarette smoking
  • Low self-esteem
  • Childcare or life stress
  • Low social support
  • Poor marital relationship or single marital status
  • Low socioeconomic status
  • Infant temperament problems/colic
  • Unplanned/unwanted pregnancy
  • Elevated prolactin levels
  • Oxytocin depletion

One of the strongest predictors of paternal PPD is having a partner who has PPD, with fathers developing PPD 50% of the time when their female partner has PPD. [3]

Ways to Overcome Post Natal Depression

1. Seek Medical Help

As knowledge of PPD grows, more and more physicians are becoming aware of the indicators and risk factors. This means that health care providers are looking for signs as early as their first prenatal care visit.

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If you are at risk, letting your provider know early in your pregnancy means that you’ll be given extra support and care throughout the process. It is best to seek treatment as soon as possible.

If it’s detected late or not at all, the condition may worsen. Experts have also found that children can be affected by a parent’s untreated PPD. Such children may be more prone to sleep disturbances, impaired cognitive development, insecurity, and frequent temper tantrums.

2. Therapy

This is the first line of defence against post natal depression and will commonly be prescribed alongside medication. Around 90% of post natal depression cases in women are treated with a combination of the two treatments.

You don’t need to do anything special to prepare. Your counselor will ask questions about your life, and it’s important you answer honestly. You won’t be judged for what you tell, and whatever you talk about will be just between the two of you. Your counselor will teach you how to look at some things differently, and how to change certain habits to help yourself feel better.

Therapy is personalized for everyone, but women in counselling for postpartum depression often discuss topics including; who you’re feeling, your behaviour, your actions and your life. (If you need immediate support please call the San Diego Access and Crisis Line at (888) 724-7240. The toll-free call is available 24 hours a day, seven days a week.)

3. Medication

There have been a few studies of medications for treating PPD, however, the sample sizes were small, thus evidence is generally weak.

Some evidence suggests that mothers with PPD will respond similarly to people with major depressive disorder. There is evidence which suggests that selective serotonin reuptake inhibitors (SSRIs) are effective treatment for PPD.

However, a recent study has found that adding sertraline, an SSRI, to psychotherapy does not appear to confer any additional benefit. Therefore, it is not completely clear which antidepressants are most effective for treatment of PPD.

There are currently no antidepressants that are FDA approved for use during lactation. Most antidepressants are excreted in breast milk. However, there are limited studies showing the effects and safety of these antidepressants on breastfed babies.

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4. Communication with Partner

Don’t blame yourself, your partner, close friends or relatives. Life is tough at this time, and tiredness and irritability can lead to quarrels.

‘Having a go’ at your partner can weaken your relationship when it needs to be at its strongest. It can be a huge relief to talk to someone understanding.

By spending time with your partner doing activities that you both enjoy, like going for a walk, can really help. This change of state, from moving location, can significantly elevate mood whilst providing ‘neutral ground’ in which to open up communication.

Be honest with your partner and show ways in which they can support you best through this time, even if it’s just talking or letting you have time to go take a shower.

5. Self Care and Rest

Don’t try to be ‘superwoman’. Try to do less and make sure that you don’t get over-tired. It’s common that women are the experts at ‘being busy’ and ‘doing it all’.

Rest whilst the baby is sleeping, and really take time to prioritise yourself. Throughout life, if you’re constantly giving out energy, you will be left feeling unbalanced. It’s important to become aware of one’s energy and making sure to give yourself energy first, before giving out is imperative.

Your body has just been through the trauma of the birth, which is very stressful. It therefore needs time to recover so taking time to yourself is important. Things as simple as a cup of tea, or shower or listening to music will really help.

6. Supplementation (especially DHA)

St John’s Wort is a herbal remedy available from chemists. There is evidence that it is effective in mild to moderate depression. It seems to work in much the same way as some antidepressants, but some people find that it has fewer side-effects.

One problem is that St John’s Wort can interfere with the way other medications work. If you are taking other medication, you should discuss it with your doctor. This is very important if you are taking the oral contraceptive pill. St John’s Wort might stop your pill working. This can lead to an unplanned pregnancy.

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It is also worth noting that fish oil (containing DHA) is being shown to correlate with lower instances of PPD. DHA consumption during pregnancy — at levels that are reasonably attained from foods — has the potential to decrease symptoms of postpartum depression,” conclude study researchers led by Michelle Price Judge, PhD, RD, a faculty member at the University of Connecticut School of Nursing.

7. Movement

Before starting any exercise program, you should consult with your doctor and find a fully qualified pre and post natal specialist. That being said, there is plenty of movement that can be done prior to ‘hitting the gym’, such as walking.

Not only does being outside positively benefit you by getting some fresh air and vitamin D. The same is said for your baby, who will likely sleep better once they’ve been outside. Exercise gets your endorphins going, which helps alleviate depression symptoms, It can also get you focused on something for yourself. In an analysis of data from 1996 to 2016, researchers discovered that moms who stayed physically active after birth experienced fewer depressive symptoms.[4] In contrast, one study found women who led a more sedentary lifestyle were, in general, more likely to experience postpartum depression in the first place. [5]

The type of workout doesn’t matter much. Yoga for pregnant women, stretching, and cardio are essentially equal in terms of making you feel better.

8. Socializing and Support Groups

Do go to local groups for new mothers or postnatal support groups. Your health visitor can tell you about groups in your area. You may not feel like going to these groups if your are depressed.

See if someone can go with you. You may find the support of other new mothers helpful. You may find some women who feel the same way as you do.

9. Accept Help

Some cultures believe that the symptoms of postpartum depression or similar illnesses can be avoided through protective rituals in the period after birth. Chinese women participate in a ritual that is known as “doing the month” (confinement) in which they spend the first 30 days after giving birth resting in bed, while the mother or mother-in-law takes care of domestic duties and childcare.

Whilst this may seem extreme, it’s worth noting that being able to accept help from your friends, partner and family can be extremely beneficial.

10. Avoid Smoking, Drink and Drugs

Which may seem common sense, however you may be tempted by the short term ‘fix’.

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Don’t use alcohol or drugs. They may make you feel better for a short time, but it doesn’t last. Alcohol and drugs can make depression worse. They are also bad for your physical health.

Final Thoughts

Most women will get better without any treatment within 3 to 6 months. One in four mothers with PND are still depressed when their child is one-year-old. However, this can mean a lot of suffering.

PND can spoil the experience of new motherhood. It can strain your relationship with your baby and partner. You may not look after your baby, or yourself, as well as you would when you are well.

PND can affect your child’s development and behaviour even after the depression has ended. So the shorter it lasts, the better.

Sometimes there is an obvious reason for PND, but not always. You may feel distressed, or guilty for feeling like this, as you expected to be happy about having a baby. However, PND can happen to anyone and it is not your fault.

It’s never too late to seek help. Even if you have been depressed for a while, you can get better. The help you need depends on how severe your illness is. Mild PND can be helped by increased support from family and friends.

Featured photo credit: Derek Thomson via unsplash.com

Reference

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