WELCOME
WELCOME BACK. HAVING A BABY CAN TRICKLE
TRIGGER A BUNDLE OF EMOTIONS.
SOME WOMEN DESCRIBES DEPRESSION
AS BABY BLUES. HERE TO DISCUSS
TREATMENT OPTIONS IS THE
MATERNAL FETAL MEDICINE
SPECIALIST ALONG WITH HER
PATIENT, JENNIFER.
PATIENT, JENNIFER. BABY BLUES, WE'VE HEARD OF IT
FOR YEARS BUT OFTEN TIMES IT
CAN SLIDE INTO SOMETHING
COMPLETELY DIFFERENT AND IT'S
HARD FOR WOMEN TO TALK ABOUT
BECAUSE YOU'RE THINKING, I
SHOULD BE HAPPY THAT I HAVE
THIS BUNDLE OF JOY AND MAYBE
IT'S JUST THAT I'M TIRED.
THERE'S A COMPLEX SET OF THINGS
THAT COULD BE HAPPENING.
>> BABY BLUES IS A TRANSIENT
ADJUSTMENT PERIOD.
ADJUSTMENT PERIOD. 1 TO 2 WEEKS AFTER THE BABY IS
BORN YOU ARE FEELING YOUR BEST
AND THERE'S HORMONE CHANGES BUT
IT SHOULD NOT BE PERSISTENT.
DEPRESSION IS CHANGES IN YOUR
FUNCTIONAL STATUS AND YOUR
ABILITY TO INTERACT WITH YOUR
FAMILY AND ENJOY THE THINGS YOU
NORMALLY ENJOY.
NORMALLY ENJOY. IT REQUIRES MEDICAL ATTENTION.
>> AFTER I HAD MY SON I THOUGHT
IT WAS BECAUSE I WAS TIRED AND
I WENT INTO IT DEEP DEPRESSION
ALMOST COMATOSE.
ALMOST COMATOSE. THEY FOUND OUT MY THYROID HAD
BEEN WRACKED. AND THAT WAS A
HORMONAL DEFICIENCY BUT FOR YOU
YOU HAVE GONE THROUGH FERTILITY
TREATMENTS SO THAT DOES A
NUMBER ON YOUR BODY AS WELL.
>> I WENT THROUGH FERTILITY AND
GOT PREGNANT WITH QUADRUPLETS
AND LOST THE QUADRUPLETS IN
2014 SWEAT FIRST WITH THAT
PREGNANCY I THOUGHT IT WAS JUST
DEPRESSION FROM LOSING MY KIDS
BUT THEN I REMEMBER CALLING MY
DOCTOR ONE DAY AND I WAS LIKE
MY HUSBAND IS LEAVING AND I
DON'T CARE AND SHE WAS LIKE,
YOU NEED TO COME IN NOW. AND
WITH MY SON I GOT PREGNANT
THROUGH IVF AND A BUNCH OF
HORMONES AGAIN AND THEY PUT ME
ON MEDICATION IMMEDIATELY BUT I
KEPT MYSELF FROM BEING ATTACHED
TO THE PREGNANCY THE WHOLE
TIME.
TIME.
TIME. >>
TIME. >> SOMETIMES IT CAN BE QUITE
COMPLEX BECAUSE CLEARLY
SOMETHING THAT HAPPENED LIKE
LOSING CHILDREN WILL DO A
NUMBER ON YOU EMOTIONALLY BUT
YOUR BODY WAS DOING ANOTHER
NUMBER.
NUMBER.
NUMBER. SO WHEN SOMEONE COMES IN AND
SAID SAYS THESE THINGS WITH THE
PROCESS TO TRY TO FIGURE OUT
WHERE IS THE CRUX OF THE
PROBLEM?
PROBLEM?
PROBLEM? >> WE HAVE TO LOOK AT THE WHOLE
HISTORY AND THERE ARE SO MANY
DIFFERENT FACETS THAT
CONTRIBUTE TO SOMEBODY
DEVELOPING DEPRESSON OR ANXIETY
AND WE KNOW THAT WOMEN THAT
HAVE DEPRESSION OR ANXIETY
WITHOUT BEING PREGNANT ARE AT
AN INCREASED RISK FOR DEVELOPING
POSTPARTUM DEVELOPMENT --
POSTPARTUM DEPRESSION.
POSTPARTUM DEPRESSION. IF PATIENTS SCREAM POSITIVE OR
TELL US THINGS LIKE WHAT YOU
WERE TELLING YOUR DOCTOR, WE
HAVE A GREAT SYSTEM WHERE WE
HAVE AN IN OFFICE PROGRAM WITH
A PSYCHOLOGIST IN COUNSELING
RIGHT THEN AND THERE AND GET
THE PATIENT SET UP FOR EXACTLY
WHAT NEEDS TO HAPPEN
IMMEDIATELY.
IMMEDIATELY. >> IT NEVER DAWNED ON ME THAT I
WOULD JUST SIT THERE AND
COMFORTABLE BY JUST SITTING
THERE AND STARING SO WHEN DID
IT DAWN ON YOU?
>> IT DIDN'T DAWN WITH ME ON
NOAH BUT WHEN I GOT PREGNANT
WITH CHIA I REMEMBER REACHING
úOUT TO THE DOCTOR AND WAS
OVERWHELMED.
OVERWHELMED. I'M PREGNANT AND I'M NOT HAPPY
AND I'M CRYING FOR NO REASON
AND SHE WAS LIKE, I NEED YOU TO
COME IN.
COME IN.
COME IN. >> UNLESS YOU'VE GONE THROUGH
IT YOU DON'T UNDERSTAND THAT
FEELING AND WE ALL KNOW WE PAY
MUCH MORE ATTENTION AFTER THE
WHOLE CASE WITH ANDREA YATES
AND SHE WENT INTO POSTPARTUM
PSYCHOSIS WHICH IS A LITTLE BIT
DIFFERENT SITUATION.
DIFFERENT SITUATION. >> THE THING IS THAT NO ONE
CHOOSES TO HAVE THESE FEELINGS.
THE CHANGES CAN BE AS UPSET AND
UNHAPPY AND FOR SOMEONE IT'S
PSYCHOTIC EPISODE WHERE YOU
HAVE THOUGHTS OF HURTING
YOURSELF, YOUR CHILDREN AND
FAMILY.
FAMILY.
FAMILY. PEOPLE IN OUR SOCIETY ARE
EMBARRASSED TO TALK ABOUT THE
FEELINGS.
FEELINGS.
FEELINGS. >> BUT YOUR MOTHER, I CAN TAKE
CARE OF THESE THINGS.
>> PART OF MY JOB IS WE TRY TO
ENCOURAGE PEOPLE AND REMIND
THEM THAT THIS IS NORMAL.
10 TO 15% OF POSTPARTUM WOMEN
WILL HAVE POSTPARTUM DEPRESSION
AND WE WANT TO SEE THEM AND
INTERVENE BEFORE IT GETS TO
LEVEL WHERE SOMEONE GETS HURT.
>> WHICH IS GREAT TO HAVE THAT
CONVERSATION AND SOME THINGS HE
MENTIONED TO LOOK OUT FOR,
DIFFICULTY BONDING WITH THE
BABY, SEVERE MOOD SWINGS,
INSOMNIA, ALTHOUGH INSOMNIA
THAT'S KIND OF HARD.
THERE ARE RISK FACTORS, HISTORY
OF DEPRESSION OR SOMETIMES IF
YOU'RE BIPOLAR.
YOU'RE BIPOLAR. >> POSTPARTUM TIME IS HARD FOR
EVERYBODY PEOPLE THAT DO NOT
HAVE A GOOD SUPPORT SYSTEM,
DIFFICULTY BREAST-FEEDING,
DIFFICULTY BREAST-FEEDING, DIFFICULT LIFE AND FAMILY
EVENTS AND ALL OF THESE THINGS
DEPEND ON HOW WE COPE AND
ADJUST.
ADJUST.
ADJUST. >> TREATMENT FOR POSTPARTUM CAN
BE A NUMBER OF THINGS.
STRUCK UP IF I CAN ENCOURAGE
PEOPLE THAT ARE LISTENING TO
REMEMBER ONE THING AND IT'S
REACH OUT FOR YOUR DOCTOR.
TREATMENT CAN LOOK LIKE
COUNSELING, MEDICATION IT CAN
BE REACHING OUT TO PEOPLE IN
THE COMMUNITY WITH BUILDING
YOUR OWN VILLAGE TO HELP WITH
SOME OF THE SOCIAL SUPPORT.
ALL OF THOSE THINGS ARE REALLY
IMPORTANT.
IMPORTANT. >> SELF-CARE.
>> SELF-CARE. ALL THE WAY THROUGH THE TODDLER
PHASE, MY SON WOULD NOT WANT TO
BE LEFT IN NOW ALONE. FOR YOU
THERE'S LOTS OF THINGS TO
JUGGLE, MOURNING THE LOSS OF
THE CHILDREN BUT WE ARE HAPPY
TO SAY THAT YOU HAVE CHILDREN
TODAY.
TODAY.
TODAY. AND THEY ARE WITH US THIS
MORNING.
MORNING.
MORNING. >> I HAVE TO ASK YOU YOUR
ADVICE FOR COUPLE THINGS.
WOMEN GOING THROUGH FERTILITY
TREATMENTS WHO WONDER IF THEY
WERE WILL EVER HAVE THAT CHILD
OR THOSE THAT HAVE LOST BABIES,
WHAT ARE YOUR WORDS OF WISDOM?
>> KEEP PUSHING THROUGH.
IT'S HARD.
IT'S HARD. FERTILITY IN ITSELF MAKES IT
CRAZY WITH THE HORMONE CHANGES
AND LOSING CHILDREN WAS HARD.
NOAH WAS IN IVF BABY ANGIE WAS
OUR MIRACLE.
OUR MIRACLE. >> SPONTANEOUS.
>> SPONTANEOUS. >> OFTEN TIMES THAT CAN HAPPEN.
>> JUST HOLD TIGHT TO YOUR
FAMILY, GET THE BONDER SUPPORT
AND GET IT FROM ANYWHERE.
>> IT'S IMPORTANT TO POINT THAT
OUT BECAUSE IT HITS A LOT OF
COUPLE SIDEWAYS IN THE DEAD
DOES NOT KNOW WHAT TO DO.
THERE WATCHING IT ALL BUT FEEL
HELPLESS. SO JUST KNOWING
OTHERS HELP OUT THERE YOU KNOW
WHAT TO EXPECT.
>> THANK YOU VERY MUCH.
UT PHYSICIANS PROVIDE THE
POSTPARTUM DEPRESSION GROUP AT
NO COST AND THEY MEET EVERY
LAST TUESDAY OF THE MONTH.
FOR MORE INFORMATION, CALL THIS
NUMBER