E34 Natalie: Postpartum Rage, Prenatal Anxiety and Depression, Mood Disorders

Sonia is a former educator turned health coach. She developed preeclampsia suddenly at 34 weeks pregnant with her second child. This was during covid quarantine, and she was teaching from home while caring full-time for her toddler daughter. Sonia didn't have much time or energy to care for herself.

She also didn't have many in-person visits with her OB. Most of her appointments were virtual and she was responsible for taking her own blood pressure.

During one of her virtual appointments, Sonia's OB reminded her to take a blood pressure reading. It was high, and she was advised to go to the hospital, where she was told her blood pressure was dangerously high and she would have to stay and deliver her baby.

Extremely upset by this news, Sonia worried about leaving her daughter suddenly, as she thought she had a few more weeks to spend one-on-one with her. She was also upset as this was something that came out of nowhere. She didn't have a history of high blood pressure or preeclampsia.

Sonia attributes the sudden onset of preeclampsia to her lifestyle at that time: she was mostly sedentary, teaching from home. She didn't have the time, energy, or resources to make herself a priority during covid quarantine. 

After this scare, Sonia made some big changes in her life. She currently runs her own business helping other teacher moms make themselves a priority and meet their health goals. Listen in as she describes what it was like to develop preeclampsia unexpectedly, give birth during a pandemic, and take charge of her health in a way she hadn't before.

Weight Loss for Teacher Moms Podcast

Preeclampsia Foundation
Institute for Integrative Nutrition

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Natalie is a second-time mom and co-host of The Golden Hour podcast. Last year, I spoke with Liz, the other co-host of The Golden Hour podcast, about her postpartum anxiety. In this episode, Natalie shares her battles with prenatal and postpartum mood disorders. 

After Natalie's son was born, she had postpartum anxiety. That anxiety was never fully resolved before she got pregnant with her daughter, and it carried over into her pregnancy. Natalie struggled with prenatal anxiety and depression, calling her doctor's office often, asking them to check her daughter's heartbeat. She found herself crying often and overthinking everything. For someone who is usually very optimistic, this was out of character for her. 

After her daughter was born, Natalie began to have bouts of rage. It started with her daughter waking up in the middle of the night and not going back to sleep. The struggle continued when her daughter got frequent ear infections, and couldn't tolerate breastfeeding due to a dairy allergy. Natalie would find herself yelling and punching pillows, and needing to walk away from the situation to calm down. She describes it as an "out of body" experience. 

Listen as Natalie shares about her struggles with prenatal and postpartum mood disorders, what has worked for her, and the advice she would give to anyone dealing with the same thing. 

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Allison is an intuitive medium and owner of Souls of a Feather where she offers readings online. In this episode, she shares her experience with both prenatal and postpartum mood disorders.

Allison suffered from PCOS (Polycystic Ovarian Syndrome), and tried for two years to get pregnant. She finally decided to take a break from trying to focus on her health. She asked her doctor for birth control and in the time it took to fill the prescription, she got pregnant.

Allison suffered from severe hyperemesis gravidarum which landed her in the hospital for a week. She had gestational diabetes which turned into hypoglycemia. Instead of being excited about her pregnancy, she felt anxious and paranoid.

Postpartum only seemed to be worse for Allison. After a traumatic birth, she felt anxious and couldn't sleep. She was in the hospital multiple times for severely high blood pressure, and it was brushed off as anxiety. She still couldn't sleep. She was shuffled back and forth between her OB and her primary care physician, even though she was asking for help. Allison finally ended up in the hospital and spent several weeks recovering at her mother's house, away from her baby.

Allison's story is a reminder of just how important it is to support mothers while pregnant and after giving birth. She says there aren't enough resources or education on mental health issues. How can we take care of the babies if we can't take care of the mothers?

Postpartum Support International- 1-800-944-4773

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One year ago today, Natalia's son Xavian was born. Just 12 hours later, he passed away. 

Natalia is originally from Russia, and currently lives in Brazil. She and her husband love to travel.  While in Egypt, she found out she was pregnant. They looked for a place to settle down and have their baby, and at six months pregnant decided on Brazil. She found a Russian midwife there and was excited to start a new chapter of her life in a new place. 

Natalia said she had a beautiful labor and birth at home; however, her son was not breathing when he was born. After transferring to the hospital, she and her husband learned that their son had passed. 

After a few weeks, Natalia realized that she wasn't dealing with the death of her son, and that she needed to focus on herself and her grief and healing. She decided to put herself and her comfort first, and began learning what that meant. 

In this episode, Natalia shares the story of how she began to cope with the loss of her son, what healing looks like for her, and how personal growth can come out of the  grief that we experience. 

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Maureen Farrell is a lactation counselor, doula, herbalist, and homebirth midwife practicing in rural West Virginia. She is also the co-host of the Milk Minute podcast, which provides evidence-based and entertaining breastfeeding information.

Maureen had her first child at home before she became a midwife. Preparing for her first birth, she read a lot of books and thought that she needed to be calm and relaxed during her labor. She progressed fairly quickly and then stalled.

She felt frustrated that her relaxation techniques weren't working, and eventually gave in to her intuition. Maureen used her anger to push through the final moments of her labor and deliver her baby. She learned that there is no "right way" to manage pain during labor.

Maureen struggled postpartum with breastfeeding and feeling isolated. It was nearly impossible to see a lactation consultant where she lived, and it was hard to travel to visit friends or family. She and her partner decided to wait a few years before thinking about having another baby.

Maureen started training to become a midwife, and had just opened her own practice when she unexpectedly found out that she was pregnant again! This time she was able to draw on her previous experience and let go of what she thought was the "right way" to labor.

Listen in as Maureen gives an entertaining account of her two different labors and how she uses her experience to help her birthing clients.

Check out Maureen's podcast! Milk Minute Podcast

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One of the most common things I hear when talking with women about their birth experiences is that they didn't know how to advocate for themselves going in. Whether they were overwhelmed by what they were feeling, or they were mistreated by the medical staff, they were unsure how to make themselves heard and respected. 

In this episode, 10 doulas share their best piece of advice for advocating for yourself during labor. Listen, check out their websites, and follow them on social media. You'll learn a lot!

Psalms Frye- Peace and Compassion Birth Services
Anna- Dovely Doula
Tessa Maloney- Nourished With Tess
Morgan Owens- Morgan Owens Doula
Emily Baldwin- Kindred Souls Doula
Maureen- Milk Minute Podcast
Patricia- PatriciaGrenseman
Jess- Birthing Babies and Beyond

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Stefanie lives in Scandinavia where she raises her two boys. Throughout her journey into motherhood, she experienced the benefits of a health system where midwives are the forefront of pregnancy and birth.

Stefanie's first son asphyxiated right after being born. What could have been a traumatic event for her was not, due to her strong support system. Her birth team calmly handled the situation, while keeping her informed of what was going on. She felt heard, supported, and involved in her birth.

Stefanie also experienced the benefits of living in Scandinavia during her postpartum period. She was seen and visited multiple times, cared for, and supported during her transition into motherhood.

In this episode, Stefanie shares about the importance of trusting your birth team. If there isn't a mutual trust, there is great potential for birth trauma. She also shares about the benefits of living and giving birth in Denmark, even without family or close friends.

Stefaniefernandes.com
Raw and Real with Stefanie Fernandes

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Jenna was induced with her first son at 41 weeks. She went into labor without having taken a birth class, and without doing any research because she believed that knowing too much about giving birth might hinder her ability to do it.

Her body didn't respond to the Pitocin, which was continually increased. When her provider broke her water, labor kicked in very fast. However, due to the increase of Pitocin, there was no gradual build up and she didn't have time to adjust. Jenna opted for an epidural to help relieve her pain.

The epidural left Jenna feeling out of control in her body, and she couldn't feel anything. She tore severely and a few days postpartum developed a very high fever. She had a severe UTI and kidney infection from the catheter.

Due to her first birth experience, Jenna wanted a different experience the second time around. She decided to go natural, and chose to be induced with her second just by having her waters broken. It was a much better experience and Jenna learned that she could have small doses of fentanyl to help with pain relief.

Her third birth, Jenna also chose to be induced by having her waters broken, no Pitocin. Her son was sunny-side up and she had painful back labor, but she felt in control of her situation and heard by her support team.

In this episode, Jenna shares a few things she learned from her three labors, how she learned to advocate for herself, and how she worked to have a better birth after her first experience.

PurposeIntended.com

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At 36 weeks pregnant with her first child, Kimberly was concerned that her baby wasn't moving enough. Her doctor sent her for monitoring and even though she wasn't dilated, they decided to induce her. That night, she ended up going into labor naturally on her own!

The epidural didn't work at first, but her labor progressed slowly enough that there was time to fix it. She ended up with a second degree tear and had a rough recovery combined with breastfeeding issues.

With her second baby, Kimberly walked around 4 cm dilated for weeks. She was eventually induced and had issues with the epidural again. This labor was super fast at only 2 hours long! Kimberly's doctor joked about keeping towels and scissors in the car if she and her husband decided to have a third.

With her third pregnancy, Kimberly had a lot of anxiety. She was nervous about how the labor might go and how quickly it could progress. This was also during COVID, and she was worried about hospital policies and how that might affect her birth.

After dinner on her birthday, Kimberly felt her water leaking. She was determined to hold the baby in until her birthday was over, but life had other plans. She and her husband made it to the hospital just in time for the baby to be born in the wheelchair on the way to labor and delivery!

After deciding to have a fourth, Kimberly felt she needed a little more control over the labor, and was induced again due to low movement. Once her water was broken by her doctor, her baby was once again born very quickly.

Listen in as Kimberly shares about the wild ride she and her husband had during her four labors, and things she learned along the way that helped her navigate each one.

Kimberly's website and podcast- Messywonderful.com

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Jen is very much a type A personality. She loves to plan way in advance of events taking place. Even with all of her planning, she still wasn't prepared for how her first birth went.

Her daughter was stuck and delivered by forceps. She had her clavicle broken in the process of being delivered. Jen ended up with a third degree episiotomy, and needed a lot of time to recover.

Jen spent a few extra days in the hospital because she couldn't get out of bed. She needed extra help for her baby, so that her husband could help with her. She needed two additional surgeries to repair a fistula that resulted from her episiotomy. It was a traumatic experience for both Jen and her daughter.

For Jen's second birth with her son, she opted for a scheduled c-section, and she loved it. For someone who is a type A personality, it was easier for her to plan this birth, and everything went smoothly. Her recovery was much easier compared to her vaginal birth.

In this episode, Jen shares how she gladly accepted help after her first birth, and despite how unpredictable birth is, help and support is one thing that you can plan for.

JenSalk.com

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