Warning!! Some graphic material ahead...
For this month, I read Down Came the Rain: My Journey Through Postpartum Depression by Brooke Shields. Yes, it is another book that the midwives have and lend out :) I had been eyeing it for a while for mainly two reasons: I find it interesting when celebrities write books, especially about real things. It' makes them seem more real themselves, I guess. And postpartum depression (PPD) interests me since I had it after Via for just a little while. It's weird.
In the book, Brooke goes through her story of trying to get pregnant, seemingly endless fertility treatments, and then her massive struggle with depression and self after her first daughter, Rowan, was born. (Love that name, btw.) She describes things only a mother who has had PPD would understand. If you haven't had it or seen it, it's hard to comprehend. Why would a mother envision her baby flying across the room and hitting a wall? Or scissors ending up in the baby?? Not that the mother thinks or even plans to do these things, and it's not even her doing them in her head... They are just flittering thoughts that enter with no warning or explanation. "What would happen if...?" Told you. Weird. Scary.
The trick to handling this depression is to know when to get help. You can get help! It's not that you're broken or a bad mother or you don't love your child. It's a chemical, hormonal imbalance that affects you in a very strange way. As many as 1 in 10 women have postpartum depression. Brooke's book is meant to educate others about the effects and getting help. She tries, and, I think, succeeds at motivating and informing women that you are not alone. You don't have to suffer alone.
At first, Brooke was very hesitant to even admit she had PPD. She thought it was only those women who actually hurt their children by drowning them or something. That's postpartum psychosis, most likely, and is different. In comparison, though, PPD is very different than the "baby blues" which usually only last a few days to two weeks and don't include thoughts of baby hurting or suicide.
Once the thoughts of jumping out the window and running away into nonexistence finally became too much, Brooke admitted she needed help. She was hesitant to start on an anti-depressant because she didn't want to become addicted, and thought it wasn't working at first, but noticed a drastic change when she decided to go off it.
I started on Wellbutrin. I had many of the same thoughts, that Brooke describes in her book, find their way into my head. What would happen if baby's head got smashed into something?? It didn't take me long to realize that this was NOT normal. It didn't mean I didn't love my baby or feel love for her, which IS a stark comparison to what Brooke was feeling. I didn't want to hurt my baby at all. I wasn't the one who would smash her with anything. But what would it be like if...? So I saw my doctor. (Yes, I do take pride in seeking help quickly.) And I started on medication. This particular one only intensified the thought of drowning in a bathtub, though. It was extremely vivid one night. I could see the water rising up and up. It surrounded me. I slowly sank down into the water and actually believed I was drowning for a few seconds. It was time to try a different medication :) I started on Pristiq, and it worked great. I find it interesting that our different bodies and personalities respond to medication differently. Brooke started on Paxil, which worked just fine, but later tried Wellbutrin which worked wonders for her. Just trial and error with most anti-depressants.
They say it takes a while before you start to notice changes with anti-depressants. Apparently it didn't take too long with me. The Wellbutrin made me even more crazy in just two days. After a few weeks on the Pristiq I had forgotten to take it one day. I was insanely stressed out and on edge. I remember yelling at Lucas like I never had before because he was getting in the way of my unpacking (we had just moved). I felt terrible and then remembered that I didn't take my pill that morning (or the night before. I don't remember.)
After getting back into our routine of school and adjusting to having two kids I was able to wean off the medication just fine after only a few months. I was missing my rhythm. I wasn't used to staying at home all day everyday with a one year old while exhausted and pregnant. My life seemed a little dull until I actually had V. Then it changed drastically! Pile on the preterm labor, another NICU stay (which I didn't think was nearly as bad as Lucas's, but apparently took it's toll), recovering from a C-section, the sleep depravation (a big one!), and the thought of starting school again full-time 6 weeks after Via was born... I was a recipe for disaster!
The sleep depravation was a huge one for me. Mostly because I thought I was doing fine. My experiences with sleep were so different between my two kids. With Lucas, it seemed like if he were to stop breathing, it would happen at night. I have a hard time waking up for anything, and sadly, he was no exception. Where was that pure, selfless love a mother feels for her child?? I don't know. I had to resort to staying up all night with him (between the fear of him not breathing and the resentment at him waking me up) and I would just sleep during the day with him. It was totally fine if he woke me during the day since I should have been up anyway. My transition into "mommy sleep" with him was definitely a psychological one.
With Via, however, it was so easy. She would barely cry and I would be awake and ready to feed her most of the time. Sometimes I was groggy, as you might imagine, but I had no resentment toward her for waking me up. I would feed her, she would spit up, we'd both get naked, and we would sleep skin to skin for a while before I put her back in her bed all bundled up. Levi got up with her once in a while, but he didn't have to for the most part. Not until I hit serious PPD, anyway. Once all of that came to light and the sleep depravation had taken it's toll, he started getting up with her for the most part so I could get back on track and recover from surgery. That was the main thing that helped me. Just sleep.
Counseling also really helps those with PPD. They say the biggest help is medication
with professional counseling. I tried one session, but once I got back into my life and routine, I really was just fine. It did help Brooke, though, as there were bigger issues than stress and routine contributing to her PPD.
She really does a great job of telling her story and educating about this disorder at the same time. I love her voice and style of writing. It was a really great read, and if you ever want an insight to what someone with PPD may be going through, it's a great resource. She explains it well. Better than I have attempted here, I'm sure. Sorry if I scared anyone. I tried my best to explain it, but as I said earlier, if you haven't experienced it, it's hard to grasp.
Just know that there is hope. There are resources. You are not broken. It will pass.