[Momma Aimee]

<span style="font-size:medium;"><b>I have a very important question.</b><br><br>
As a MW -- or a CNM -- would you accept a cilent who<br><br>
1) is on anti-deprssant medication -- though she planned to go off before TTC and while PG?<br><br>
2) is a risk for PPD?<br><br>
3) was hospitized 5+ years ago?<br><br>
Why or why not?<br><br>
How important -- in your opionion -- are the above items?<br><br>
Aimee</span>

 

[pamamidwife]

I have accepted clients with all of the above, aside from the hospitalization. Was the hospitalization for mental health reasons?<br><br>
Because of my own experience with chronic depression and PPD, I am very sensitive to these issues. I feel like I could possibly provide a woman with more of what she needs - self-exploration, empowerment and communication - than most hospital-based providers are able to.<br><br>
Knowing these things in advance can actually make life easier on everyone - creating a solid support system for the first postpartum weeks, as well as information on asking for what you need, herbal or homeopathic remedies for anxiety/depression, etc.<br><br>
To me, it's all about commitment to being healthy and walking with integrity. If a woman is willing to meet me halfway, I'll gladly be there for her.

 

[Momma Aimee]

the hospital was for mental health. But could have been avoided. I was many 100's of miles away from any family -- so I was hospitalized. Had my folk or sisters been there I would have have had to have been. itr was 5 years ago. My therpist now is very pleased with how I am doing -- I have been with him since 2000.<br><br>
Aimee

 

[pamamidwife]

I would also add that you don't *have* to go off your meds while TTC or pregnant. There are quite a few choices that are safe for pregnancy and nursing. Anyway, I know that ideally it would be great to not be on anything prescriptive during pregnancy, but to be gentle with yourself about possibly needing to be on them during pregnancy. Some women do so well during pregnancy - it seems that the hormones are really helpful for women with depression, while others have a more difficult time during pregnancy for the same reasons. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
I'm glad you have a great therapist. Surely he will be one of your biggest assets for this upcoming journey!

 

[lorijds]

Just wanted to reiterate what Pam said.<br><br>
We have had clients in your situation. Some have chosen to go off meds: it has to be approached individually. SOmetimes that is a good idea, sometimes it is better for the mama to stay on the meds, or change to ones that are considered safer during pregnancy and breastfeeding.<br><br>
Good luck ttc! Have fun with that! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"><br><br>
Lori