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how to stop baby blues from becoming ppd  

post #1 of 19
Thread Starter 
I have a history of major depression. I've been doing really well the past few years but I expected the hormonal upheavals of pregnancy and birth would present some challenges for me. The first trimester was really rough, but after that I felt great. Now that the baby is born though, I'm miserable. She's only 9 days old, so I know it's early and it's always rough in the first days, especially with a first baby. But I'm worried that this is going to spiral out of control and I'll be miserable for months and generally be a not very fun mama.

I know what some of the exacerbating factors are. For one thing, a couple days after she was born we had to take her to the ER because the midwife detected a very marked heart murmur and she was clearly having some problems because of it. This was very scary and while she was discharged from the NICU the next afternoon, we still have to take her for followups with a cardiologist to make sure she's really OK. So I can't let down my guard about that. I am constantly obsessing about her color (turning blue in extremities was a big symptom she was having) and her breathing, even though she is just fine right now and getting better every day. I just can't relax and the more I stress the harder it is to cope, which makes me cry all the time and not really able to enjoy her sweet newborn days.

Also, I have practically no support other than my dh and my midwives. Our circle of friends here kind of fell apart about a year ago and our families are totally useless when it comes to any kind of moral or emotional support. In fact our families are stressors. DH got 5 days off to be with me and baby, so he's back at work and works odd hours. He works within walking distance of home but I feel trapped in here since I am having such a rough physical recovery too. We don't have the money to hire a postpartum doula or anything like that.

I feel like what I need is just for someone to be able to be with me for the next week or so, get me through the rest of the hard part of my physical recovery so I don't have to worry about anything but nursing baby and getting stronger. But I can't have that. And I can't stop worrying about her, I can't rest well (nightmares even when she lets me sleep) and I am crying constantly. I don't want to go down the drain into depression, I HATE that thought. I want to enjoy her sweet baby days. But I don't know what to do. I am very opposed to taking SSRIs while nursing her, and nursing her is the one thing I know for sure I can do right as her mama, so I am not giving that up.

When I am a little better I can try going to mama groups and that kind of thing but how do I keep from losing it until then???
post #2 of 19
Your situation sounds similar to mine when I had my second child.

I was falling apart even before he was born. Two weeks after the birth; I just wanted to die. I called Postpartum Support International & talked with the counselor for 2 hours. I ended going to my family practice doctor and started on Zoloft that day. For the next 2 weeks; my hubby & MIL stayed with me on alternate days.

My point? You need to get help from someone now. You can not do it alone. It is just too much with recovering from childbirth & caring for a newborn with health problems. Can you talk to your hubby & come up with an idea of how to get some help? I had to put up with my MIL, but must admit she was a help at first (sent her home when she just got annoying). Do you attend a church that may be able to offer assistance (such as housework, laundry,etc...).

My other point is that there is no shame in taking medication to help you right now. Zoloft (and other SSRI's are safe while breastfeeding). I had to take it just so I could stop constantly crying, be able to taste my food (it tasted like dirt), be able to shower, brush my teeth...
I could not function.

Do you have a doctor that you could talk to? PLease do not wait. My experience is that it only gets worse!

I will check back later. Gotta go check my spawnlings. Please let us know how you are doing.
post #3 of 19
Thread Starter 
Thanks. My issue with meds isn't shame, but that I've taken them in the past and they didn't work too well for me--and I'm even less willing to experiment with them now since I'm nursing. The SSRIs in particular just made me sick and miserable. I had some limited success with wellbutrin but I don't know how it is for breastfeeding moms. I wonder if a naturopathic doctor might have some ideas besides SSRIs, though. I might try to scrape together the cash to see the one if that's the case.
post #4 of 19
Just a FYI...

According to Dr. Thomas Hale; Wellbutrin is approved for nursing.

Have you been able to work out a plan to get some help?
post #5 of 19
I'm sorry you're having such a hard time. If I wasn't halfway across the country, I'd sure come hang out with you! I agree with trying to find a natural pick-me-up or herbal treatment first. Maybe aromatherapy and essential oils. Can you go to a local park, sit in the sun and just watch the children play while nursing your baby? Can you find a mothers group like LLL? I'm sure a LLL mom would come hang out with you and give you support.

I'm worried about you, keep us updated.
post #6 of 19
I'm so sorry to hear of the difficult time you're having.

I sure hope you can get the support you need. Are there any playgroups in your area for babies/mamas? Just going out and meeting some other moms with newbies, even once, can help you feel not-so-alone, and maybe you'll even meet someone you click with.

If you're thinking about antidepressants, there are two books I have found immensely helpful. So much so, in fact, I just added a link to the MDC thread about them in my signature. The Mood Cure
http://www.amazon.com/gp/product/014...032131?ie=UTF8
and Depression Free for Life:
http://www.amazon.com/gp/product/006...lance&n=283155

Each book has lists of specific questions for you to consider to help you figure out what sort of supplements might be helpful for you. I just had a very, very difficult winter, and then I got these books and started myself on L-tyrosine, GABA, and 5-htp, and I feel better than I ever have. And I've struggled with depression for as long as I can remember.
post #7 of 19
There's an amazing local group - Baby Blues Connection that has personal phone support as well as support groups for mamas AND partners. Here you go! PM me if you want more info.

http://www.babybluesconnection.org/

Sarah
post #8 of 19
I second the recommendation of Baby Blues -- they have volunteer support folks (not counselors, but actual mamas who have had PPD) who will definitely call you back within 24 hours, usually the same day. They also have a PPD support group that meets on Fridays on the westside (I believe you're out that way, right?). Not sure if it's every week or on every-other-week for summer but I have gone and it is so very helpful to be around other moms who are struggling.

I've also heard (from naturopaths and CNMs) that fish oil supplements (assuming you aren't vegetarian) can be very helpful as a non-pharmaceutical way to treat depression. I'm taking the capsules, but I'm also on Zoloft, so I honestly couldn't tell you which has the more effective qualities, unfortunately.

Hang in there, and please don't hesitate to PM me if you want to talk. *hugs*
post #9 of 19
I'm near Portland, too, mama and if you ever want me to come over and just hang out, sometimes just not being alone can help a lot. I'd even be willing to hold the baby while you take a shower or something. PM me if you want to take me up on it.
post #10 of 19
Thread Starter 
Well today we were able to take a walk in the neighborhood with her in her baby bjorn (she HATES her sling) and she only complained the first couple minutes I had her in it! I may be able to keep my sanity after all. I think not being able to go anywhere is a big part of what has been keeping me down. I know I'm only two weeks out, I guess I always thought of myself as such a homebody I didn't realize how much I depend on being able to just hop on the bus and go somewhere when I want to.

I'm kind of overwhelmed trying to respond to all the PMs I got, thanks everyone.
post #11 of 19
Getting out of the house always helps me, too.

My mw is also a naturopath doc and rec'd sam-e, inositol, omega-3 oils (I take borage, flax seed, and EPO) and St. John's Wort. I do feel like they've helped.
post #12 of 19
Everyday I ask myself the same question as you are asking yourself. "How do I prevent these feelings from becoming PPD?" I hope things have improved somewhat for you since your original posting. I just thought I would share my situation with you and hope you can find some more comfort in knowing that there are others who are feeling some of the same feelings as you.

In Jan '06 DH started a new job that he loves in a city 3.5 hours away from our home. This then left me to continue working 1 hour away from home and take care of my brother and sister, whom we adopted. Dh was able to come home on weekends, but that still left me to deal with everything during the week. More than anything, I wanted us to just all be together. Finally, we sold the house and found another house where he was working. As happy as I was to finally live as a family, I also was very sad to leave the job I loved and the friends and neighbors we had. There have been so many changes and I feel as though I have lost my identity. Ever since Andrew was born ten days ago I have felt even more isolated. I'm normally a very social person and it saddens me to think that there isn't anyone I can talk to up here. After Andrew was born I was able to have my sisters and MIL here for a little bit, but now they are gone and I continue to feel more and more lost. DH and I waited a long time for Andrew and I feel guilty for not being more of a mom to him. More than anything, I wish I had someone up here to talk to. I e-mailed our local LLL chapter about when meetings are being held, but aside from that I just don't have the energy to find other ways to meet someone. I used to be such a confident person and now I don't recognize myself. To top it all off the recovery of c-section is not going well and there is a possibility that my son has a hearing loss. My doctor wants to put me on meds, but I have a really hard time with that because of family history. Everyday I pray that my DH will come home and tell me we are moving back to where we used to live. I know it's not realistic, but my heart aches to feel better about life. Anyway, I just thought you should know that there is one more person who is trying to cope as well.
post #13 of 19
I had PPD with #1. So with #2 I was very prepapred. I recongnized the problems with #1 as not knowing what to do. Where to go with a newborn, who to talk to? It jist ended up being so much easier to stay inside nurse him and sleep and not deal with Real Life. Finally got to the doctor, got a prescrption. Got better, and got pregnant again when #1 was 18 months old.

I knew at that point, though my problem was obviously a psychological one, I did need outside stimulus. So I got a prt time job when he was 3 months old. I forced myself to keep doing the moms groups for my first son.

When you already have a child, I find it's easier to keep distracted. Which is what I needed to stay out of my funk. Because if I allowed the Funk in, I knew it could gradually take over. Could have that...

So find anything to keep you busy and occupied. It really does help. And fresh air, outdoors helps. So much,
post #14 of 19
Belgian: how are you doing these days? and how is your little one?

just thinking about you...



~claudia
post #15 of 19
Thread Starter 
Thanks.

I'm doing OK I guess. Treading water. I'm really overwhelmed and just trying to keep pushing through each day. It's getting easier but it's still really hard.

The baby is flourishing, I wouldn't be surprised if she's 13 or 14 lbs at her 6 week checkup this week. We also have to go see the cardiologist this week which is really freaking me out. I swear I have PTSD just the thought of that place (pill hill) makes my throat tie in a knot. Ack.
post #16 of 19
Thread Starter 
OK, today I am freaking out. I am so scared about her appointment. We have to go back to the hospital where she was admitted to see the cardiologist. I have this irrational fear that they are going to take her away. I know it's irrational but I can't talk myself down totally. I think I was more affected by this than I realized. I thought I was all better once the postpartum hormones started to settle down at about three weeks, but now I am just a complete wreck with anxiety. I just want to hide and cuddle my baby. Eek.
post #17 of 19
belgian: breathe, breathe, breathe.

how did the appointment go?

~claudia
post #18 of 19
Thread Starter 
It's tomorrow, this was just my warm up freaking out, heh.
post #19 of 19
Give yourself a break! You had a baby and are recovering yourself. Ask for help, sleep even if you have to give baby formula, and talk to someone. Mom's bond really quickly because we have all been there. It's gonna be ok. email if you ever need to talk. c
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