Postnatal management with prenatal depression - Mothering Forums

Forum Jump: 
 
Thread Tools
#1 of 6 Old 01-14-2014, 11:43 PM - Thread Starter
 
Triniity's Avatar
 
Join Date: Jul 2007
Posts: 838
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)

Hi everybody. 

 

I suffer from prenatal depression, and it was/is pretty bad, and I have to take medication for it. Yesterday I had an ultrasound at the hospital, and the obs doc said that in his experience the peds will take the baby onto icu for seven days for observation after birth. 

 

Our ped hospital is pretty quick with taking the baby to icu, and I am not sure if there really is a valid reason for this - but then - I am biased ...:)

 

I don't really want this (obviously) and am worried about the early bonding and the risk of postnatal depression. 

 

The medication I take is omipramol and clorazepat. 

 

I have an appointment with the head of the peds hospital to discuss the plan, does anybody here have any experience that she can share, or data? Thank you so much! 

 

I looked around a bit but could not find anything like a "protocol", the risk for postnatal symptoms appear to be quite small for the baby...but I might be wrong...


Trin with DH , DD(7)  and DS(5) ,  DD(2) ,
I am not regularly online at the moment due to the above ...
Triniity is online now  
#2 of 6 Old 01-16-2014, 02:06 PM
 
pokeyac's Avatar
 
Join Date: Apr 2011
Location: Bay Area, Ca
Posts: 3,520
Mentioned: 7 Post(s)
Tagged: 0 Thread(s)
Quoted: 18 Post(s)
Bumping this up for more attention as I don't have experience to share. I really hope they don't plan on keeping the baby in the NICU for that long. That sounds unnecessary and difficult and expensive.



Married to a wonderful woman since 2010. Baby boy C arrived in June 2013!

Check out our User Agreement.
pokeyac is online now  
#3 of 6 Old 01-16-2014, 02:58 PM
 
MeepyCat's Avatar
 
Join Date: Oct 2006
Location: Boston, MA
Posts: 3,768
Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 54 Post(s)
Is there a particular clinical concern that leads to the NICU time, or is it just because you're on anti-depressants?

Our NICU stay was quite long, because of prematurity, and my experience was that the NICU was a machine for causing PPD. There were good reasons for my baby to be there, but it sucks.

If the NICU admission is entirely due to your medication, it's best to strategize pretty carefully about the meeting with the pediatrician, IMO. You want this conversation to be all about the baby. Why would they need to admit the baby, and what signs of concern would they be looking for? Will the baby be able to stay with you if you're doing well? What arrangements need to be made so that you can stay with the baby as much as possible while he is in the NICU, so that you can nurse, hold the baby, and be involved in his care? Who will the baby's primary doctor be? Will your baby be assigned a primary nurse? If you have concerns about the baby's condition or care, who would you speak to? What test and treatments is your baby likely to need?

If you are asked about your own mental health, the answer is that you are taking medication under the care of a doctor (psychiatrist or OB) and that person is your preferred resource for mental health issues. You understood that this meeting was set up to discuss care for the baby. Your own care would be best discussed with your own doctor.

NICU stays are tough, but they are finite. Good NICU staff will help uou out a ton.

Also - I'm talking a big game about staying with the baby, because NICU visiting is a known struggle for a lot of families. Getting as much access as you want can be a struggle. But if your mental health would be improved by leaving the unit, it is okay. Completely. They will take good care of your babe, and be there when you get back. I will never be able state how grateful I am to the nurses who told me that it was okay for me to go take a walk when I was too jittery to sit still. DD was well looked after, and I felt so much better.
MeepyCat is online now  
#4 of 6 Old 01-16-2014, 10:45 PM - Thread Starter
 
Triniity's Avatar
 
Join Date: Jul 2007
Posts: 838
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)

Thank you for your reply. 

 

The discussion with the ped was very positive and reassuring. He told me, that there "normal" policy is, to not separate mothers from their kids with a history of prenatal or postnatal depression. He thinks that the risk that the baby shows any signs of withdrawel or side effects would be around 1%, and the clinical observation if anything accurs can and will be done while rooming in. 

 

There will be a peds doctor at the birth so that they have a good look at our son after the birth, and if there is no sign of problems he will stay with me. The postnatal ward and the ICU are literally 25 m apart, so if anything happens, they can be there quickly, and there are pediatric nurses on the postnatal ward as well. 

 

He advised me to see a psychiatrist who is very experienced in prenatal depression and the adjustment of the medication for maximal safety for the baby, and I got an appointment in just 10 days. 

 

So I am quite relieved, and hope that everything will be fine. Obviously there is no chance of an ambulatory birth or going home the next day, but I am happy with this now. 

 

Now it's in my chart that the head of pediatrics allows the baby to stay with me as long as everything is fine. That makes me really happy! 


Trin with DH , DD(7)  and DS(5) ,  DD(2) ,
I am not regularly online at the moment due to the above ...
Triniity is online now  
#5 of 6 Old 01-17-2014, 06:26 AM
 
MeepyCat's Avatar
 
Join Date: Oct 2006
Location: Boston, MA
Posts: 3,768
Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 54 Post(s)
That is the best possible news! I'm so glad. Those sound like sensible policies and good plans.
MeepyCat is online now  
#6 of 6 Old 01-29-2014, 11:17 AM - Thread Starter
 
Triniity's Avatar
 
Join Date: Jul 2007
Posts: 838
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)

I had the appointment with the psychiatrist who is kind of specialised into prenatal and postnatal depression, and he thinks he can improve the medication. He believes the benzos are not such a good idea, esp. since he thinks it's kind of unreasonable to expect me to stop them around 35 weeks. He asked me if I expect my life to be calmer than, and I just had to laugh...

 

So, we are getting there...


Trin with DH , DD(7)  and DS(5) ,  DD(2) ,
I am not regularly online at the moment due to the above ...
Triniity is online now  
Reply

Quick Reply
Message:
Drag and Drop File Upload
Drag files here to attach!
Upload Progress: 0
Options

Register Now

In order to be able to post messages on the Mothering Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
If you do not want to register, fill this field only and the name will be used as user name for your post.
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



User Tag List

Thread Tools
Show Printable Version Show Printable Version
Email this Page Email this Page


Forum Jump: 

Posting Rules  
You may post new threads
You may post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off