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Childbirth

Share experiences and get support around labour, birth and recovery.

Puerperal Psychosis

26 replies

tinytoessize4 · 17/04/2008 11:07

It affects one in 500 women following childbirth and Im one of them. Its a very scary long tale and Im quite nervous about telling it as I still feel embarrassed . Silly, I know but you just don't want anything to mar the birth of a new baby. Anyway (deep breath)here goes -

My DS was born ten months ago, it had flooded the area quite heavily and in the ambulance it was almost surfing to the hospital - which didn't have a very good rep (its been in the press subsequently for bad maternity services). Me and my Dh were gutted as we wanted a home birth but couldn't give an accurate hx of when the waters had broken so the midwife persuaded us to go to the hosp. I had hung on for as long as possible at home without pain relief and had managed to get to 7cm dilation. I had trained as a nurse years before so I was hoping nothing would go wrong. When we got there I was told I was to be induced at 4pm if nothing had happened. A bit more gutting to be told that! Still hadn't had any pain relief and was barely making a murmur as I was doing controlled breathing which really helped. DH was breathing with me and the midwife was refusing medication on my behalf (at that point Id gladly have had everything but hohum) At 3.58pm I had started pushing irregardless of the midwifes wishes and my son was born bang on 4pm with no tears and only one stitch. He had jaundice and was B+ so I had to stay in overnight. We didn't have long to bond before we were sent straight to the labour ward without a murmur of what was happening. I was in shock and on a natural high as well. DH left at 8pm and I was on my own. The day after DS was under a billy blanket and we still didn't know what was happening. DS was getting distressed and I had finished my natural high and was hitting a low point. I was convinced something more serious was wrong with me (I had reverted back to a perfect size 10 which I wasn't expecting as that was smaller than before DS was born)I thought that afterbirth was still inside and the shock was getting deeper. . Anyway, it culminated in me ringing DH at 2am to come and get me and yelling at the nursing staff. Who, to be honest were as dumb as you could get. I was breastfeeding but DS seemed to be fitting after each feed and no one would listen to me, coupled with this I hadn't slept in 5 days and was beginning to get delirious through lack of sleep. I just needed a nap and to get my head straight. Anyway, Darling DH arrived on his motorbike and stayed with me until DS could come home. It did involve a lot of begging with the nursing staff to let that happen. We left and I rang my mum to come and give us a hand with DS - which she gladly did. This is where I start to get confused with the whole thing. I ended up in hospital again two days later as I still thought there was afterbirth left inside. I had passed a huge clot and was shaking all over, I had begun to avoid food (which isn't like me at all) and was trying to sleep all the time and feed DS. Mum was concerned. Dh was concerned. In to hospital I went. And there was debris left in but everyone assumed I could pass it naturally. I wasn't so sure and thought I was dying. I had also begun to think that god was punishing me and dh was in league with the devil. Not natural happy birth thoughts. They sent me home with a sedative. A day later and I was outside trying to 'exorcise' Dh he had to forcibly carry me back inside and call for the gp who immediately diagnosed me as schizophrenic and sent me to a psychiatric hospital for assessment. I had begun to think I was possessed as well. While I was in I was diagnosed as having puerperal psychosis. The nursing staff were useless and after three days I wasn't seen by medical staff again until my first CPA a week later. DH and mum came everyday and tried to talk me through it. I could barely function. I was a mess. DS and I still managed to bond though as he could come to the hospital too. It was a relief not to breastfeed. I was sedated for two days in the hospital and at one point thought the radiator was giving me messages!! I was allowed home visits from the second week. In total I was in hospital for 4 weeks until my section was lifted. When I came home I was like a child, let alone looking after DS. Mum stayed and moved in for two months and I had to start to learn to function again. I was high doses of medication to keep my thoughts and sleeping in check. I had a mental health nurse come and see me every week.

Things got better though. Slowly, I became myself again. I continued my open university law degree in February - getting good marks for my assignments. My MIL came to stay in August to keep me going. Things with my DH improved as well. I no longer thought he was against me and we became closer than ever. At every CPA my medication was reduced. The psychiatrist was impressed but wary - it usually takes 2 years before you fully recover. The mental health nurse was fantastic - she had another two puerperal psychosis cases on her books which is highly unusual considering the statistics for it occurring.

This month has been the best. I have landed my dream job as area manager for a large group of care homes and my medication has finished. I truly feel myself again. I have put on four stone due to the medication but at least Im alive and eating. Ive started going to the gym to get back to being a size 12 (but not a 10). DS is happy and thriving and developing normally. Dh is relieved to have me back and functioning normally (I can clean the house again without freaking out lol). And I've begun to feel proud that I went through childbirth without any intervention.

I posted because I just wanted people to know about it. Its rarely talked about and there is still such stigma attached to mental illness. I haven't told my employers but it isn't really anything which concerns them. It is brought on by childbirth and subsequent births so we're sticking at one child to lessen the risks of re-occurrence.

I hope this helps if others reading this have been affected and reassures them that you can get back to being yourself.

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PinkTulips · 17/04/2008 11:14

god. that sounds horrendous

your dh and mom sound like absolute stars, thank god they were there to help you through it.

i'm so glad your life is back on trac now and you're enjoying your ds.

had no idea it was even as common as that tbh... thought it was one of those freakishly rare occurances

thanks for sharing your story, i hope it's helpedc you and i know it's educated me a bit

needahand · 17/04/2008 13:42

tinytoes how brave of you to talk about it. I knew about it after reading and article and I think it is a good thing to talk about it, to help make other mums aware of the issue.

horseshoe · 17/04/2008 13:47

OMG - Thanks for sharing your experience with us.

I had never heard of this before.

Do you know if there are any contributing risk factors to this condition or can it strike anyone?

castille · 17/04/2008 13:49

A childhood friend of mine had this too, it was awful for her. I'd never heard of it before then.

Your story is horrific, what a nightmare for all of you. Well done for speaking out, it's a terrible condition and not well known.

TheApprentice · 17/04/2008 13:54

Hi TinyToes. What an awful story, I'm glad you are so much better. My friend's Mum sent through this after having him nearly 40 years ago, so I have heard of this condition. She recovered well and went on to have anmother son without any problems.

She was an older mother (as am I!), and had a very succesful career as a headteacher before giving it all up to get married and have children. I believe that this condition is more prevalent in older, first-time, intelligent women who are used to baeing high achievers, though of course we must be careful not to generalise.

WEll done for gettting through this awful time.

dustyteddy · 17/04/2008 14:02

What a brave person you are. My mother had puerperal psychosis 30 odd years ago. Some of the things you describe e.g. dh = devil reminds me of how she felt. Luckily for me I have not suffered with my two dc's. She told me she wasn't allowed to bf me because of the drugs she was on, I don't know if this is true.

Scampmum · 17/04/2008 14:14

Thank you so much for posting! An amazing story, first first-hand account I have read, and am absolutely delighted you've got through it OK. Sounds like your care was far from adequate, you poor thing.

WELL DONE and all the very best to you and your family.

boobiestoosaggy · 17/04/2008 17:47

hi tiny toes what a great story of recovery !! i had bad and after dd2 7yrs ago now and i was on the brink of suicide so i sort of know where your coming from .it really was such an awful time in my life that i still feel very sad when i think of it today and i swore that i would never ever put myself or my family through that again and i kept my word for 5 years then we decided to have another baby i was concerned throughout my pregnancy and was referred to the mental health team for monitoring .
baby was born and i did develop pnd but with all the right support already in place it never got as bad as it did the first time and now we are sure that it would be in every ones best interests to say that's it we've got enough kids lets stop now

boobiestoosaggy · 17/04/2008 17:48

that was meant to say i had bad pnd sorry!

Nooneshome · 17/04/2008 18:59

Tinytoes - 10 months ago - you are doing so well. My DH experienced a brief psychotic episode just over a year ago bought about by extreme work related stress and pressure; billions of euros, all that sort of thing. He didn't sleep properly for a while then at all for about 5 days. He then flipped. Sleep deprivation and stress are extremely harmful, in your case they interacted with hormones and the experience of birth. DH was unrecognisable to me, had some hallucinations, had a devil/jesus thing going on (which apparantly is very common) and was in hospital for 5 weeks. He was on major anti psychotic medication and like you put on loads of weight. He was extremely tired for months afterwards and slept a lot. But he was off the medication within about 6 months and was completely back to normal after about 8 months. He is exactly as he was, just a lot wiser for the experience.
We tend not to talk about it with outsiders anymore as we don't think they really understand. eg our immediate family often look for signs that it could be happening again and ask me has he been alright - we've been telling them for months that all is exactly as it was. But they don't understand that one off mental health incidents can occur, even serious ones and be followed by complete recovery with no repeat occurence.
My husband doesn't really remember events from when he was really sick. It sounds like you do. I hope you found it positively therapeutic sharing your experience. Its very interesting and good to hear that you've recovered so well.
Take care

stripeybumpsmum · 17/04/2008 20:24

I had a predicted 50% chance of experiencing this with both DC - VERY fortunately was not affacted at all either time. My HV was birlliant support antenatally and postnatally.

Tiny Toes, you sound absolutely marvellous. Well done you, and thank you for sharing experience.

Brilliant.

lucyellensmum · 17/04/2008 21:29

I think this has to be the most honest and encouraging post i have read on Mnet to date - thankyou so much for sharing this with us.

I suffered from PND and im still not 100%, you are inspirational - if you can get through that..........

Thank you xx

ihateironing · 26/04/2008 22:21

hiya,

thanks for posting your message, i have wqorked along side women who have suffered perpural pychosis and have seen how destroying it can be, there isnt enough said about it and definately not enough education on the subject.

It was great that your son was in hospital with you as again there are not many specialist unit in the country

you have highlighted that you can recover from this and continue to have a suscessful career etc.

well done x x

middymee · 26/04/2008 22:29

Thats a really interesting yet horrendous story. I've only seen puerperal psychosis once and her husband had let her go to the shop in the middle of November in just her nightie and bare feet! She unfortunately didn't have the wonderfully supportive family you obviously have. Good luck!

Lisaxx

OracleInaCoracle · 26/04/2008 22:35

god, that sounds horrendous. i just want yo echo what everyone has said. you are extremely brave and an inspiration x

scottishmummy · 26/04/2008 22:37

thanks for sharing your experiences, reassuring for others who are suffering- you made it! well done on your new job

blueshoes · 26/04/2008 22:55

tinytoes, you are very brave to have come through on the other side. Thank you for sharing this.

I will sound very ignorant, but is puerperal psychosis severe PND? I know of women who have killed themselves from severe PND .

scottishmummy · 26/04/2008 22:58

Puerperal psychosis is a serious condition that affects around 1 in 500 women and starts within days or weeks of childbirth. It can develop in a few hours and can be life-threatening, so needs urgent treatment. Other people will usually notice it first. You start to say strange things and become excitable and unpredictable. You may have rapid mood swings, strange or bizarre beliefs and may hear voices. This always needs medical help and support. You may have to go into hospital, but your baby should go with you.

It is more likely to happen if you, or someone in your family has had PND, or bipolar disprder (manic depression). Let your doctor or midwife know about this so you can have treatment to reduce the risk of it happening. Although puerperal psychosis is a serious condition, full recovery is possible with the proper treatment.

blueshoes · 26/04/2008 23:18

thanks scottish.

NewID · 26/04/2008 23:31

Thank you for a brave and inspirational post, Tinytoes.

This has happened recently to someone I know well. It has been a terrible time for her, but she seems to be getting better now. She has a lot of support from her family, but I know she finds it very hard to talk about what happened to her and is worried about what people will think of her if they find out. I am trying to be reassuring and to let her know that I'm here for her if she needs anything. Not sure what else I can do. Is there anything that would have been helpful to you, Tinytoes, when you started to get better?

Thanks again for sharing. Sorry for the name-change, but there are people on here who know me in RL under my usual name, and I wouldn't want my friend to think that I was talking about her 'behind her back' as it were.

scottishmummy · 26/04/2008 23:34

she is fortunate to have friends lie you and yes stigma of meental illness is HUGE unfortunately

lackaDAISYcal · 26/04/2008 23:38

tinytoes, thank you for sharing your story with us. You are so lucky to have had the support of a wonderful DH and DM who were able to realise quickly that something was seriously wrong. You have done wonderfully well to get where you are today.

I had PND after my DS was born and it reared its head when I was pregnant with DD in the form of AND which was really quite serious; but I can only imagine what you have been through.

expatinscotland · 26/04/2008 23:43

thank you for sharing your story, tiny.

like daisy, i have had PND and AND and now on ADs for AND again.

i am glad you got the help you needed and for sharing your story and removing some of the stigma that surrounds this condition.

Alexa808 · 27/04/2008 06:21

tinytoes, what a horrible experience for you and your loved ones. So very good that you've pulled through it all and recovered well. I've never heard of PP and certainly never read a first-hand account of it. You are very brave indeed and in sharing your experiences you are helping to shine a light on this illness to make others be unafraid to seek help. Well done & congrats on the job!!

lackaDAISYcal · 28/04/2008 19:35

bump xx