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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Terrible anxiety - what should I do?

8 replies

lbmum · 13/09/2014 16:35

Hi ladies,

I hope someone can give me a bit of advice based on experience or at least sympathy! I hope I don't upset anyone with the details I will give. I need to give a bit of background first so please bear with me!

I have two children and have also suffered one second-trimester loss (last pregnancy). Both of my live births are, on paper, 'normal vaginal births' but both were very traumatic. My first was a 30 hour induced labour and right at the end after a lot of struggling my contractions stopped, my son's heartbeart dropped and his head had crowned. I was screamed at to push even though my body wasn't helping me and they literally pulled him out with their hands. He was born virtually lifeless and had a very low APGAR score but they brought him round and he is now a well 8 year old.

My second I decided to give home birth a try as it was a textbook pregnancy unlike my previous and I was very aware that the hospital situation didn't help me before. Everything went fine physically except the hospital didn't respond quickly enough and didn't see me as a priority as I was in labour. As I was approaching the end the labour ward told my DH over the phone to call an ambulance as they couldn't help me (ie. the midwife won't make it despite several panicky phone calls). Two ambulances were called but my DH ended up delivering her with the 999 call centre talking him through it, nobody else was there. This too was traumatic, especially feeling so alone and vulnerable with the first birth as it was.

I suffered PND with both of my live births and although unconfirmed with losing my son last time at 17 weeks I also suffered it then and was on medication all three times. In the last few weeks I have developed terrible anxiety, panics, sadness and what most people would see as a completely irrational fear that something will happen to the baby or me during labour and that my two children will not have a mummy anymore. I am feeling grief for my loss and fear for the forthcoming birth to the point that I am always crying if anyone asks me about it or laying awake at night doing the same.

I have good support, I have been seen by a Consultant Midwife at my hospital who has put me in touch with a counselling service. In light of my fear I have now been referred to a Consultant Midwife who reviews history and birth plans. I am also seeing a consultant this week too. My counsellor also phoned me yesterday to say that she is referring me to another type of counselling, CBT so I am worried that it looks like the depression is hitting me again and I look like I am not coping.

My question is that I am thinking of talking through the options for an elective cs for this birth due to my mental health. I feel bad for even thinking about putting myself through one but all I can see at the moment is three previous labours, all traumatic. I feel like I will be 'punished' for carrying this baby to term and not the last one, like perhaps I am only supposed to have one child. An ELCS would at least help me prepare and should deliver my baby safely, the uncertainty of the other option is just too terrifying to contemplate.

I would really appreciate it if anybody else has been in a similar situation or even if you think I may be right to discuss this. It's not that I haven't had a VB birth before, I have had 3 very different, terrifying ones and I think it is my loss that has changed everything now. I feel lost and scared at what is approaching and feel like I am preparing for another bereavement, not a happy event. I am also going to post this on the PND forum too.

OP posts:
Lozmatoz · 13/09/2014 16:52

Your question is should you discuss it? Sounds like a great idea to me. When you feel like you do, one of the best things to do to help yourself is to find someone who can you talk openly and honestly with. You're not committing to anything, just talking it through, finding out how you feel, where it comes from and how you can manage and hopefully change how you feel. I work in the CBT field and am a strong believer that it works and can help us take control of ourselves.

It sounds like you're being very sensible about this, keep doing what you're doing and keep talking. Don't feel worried/ashamed/embarrassed (whatever may be relevant to you) about what you're thinking and feeling, it's all OK and normal. Good luck. X

squizita · 13/09/2014 16:56

Yes definitely discuss it. You have taken all the sensible things into account and given your history, making it "controllable" albeit a longer physical recovery sounds perfectly sensible from a MH standpoint. I think they will be able to see that too.

Scoobsmam13 · 13/09/2014 17:37

I don't have any experience, however I can absolutely understand why you feel the way you do and the concerns you have given your experiences.

You should definitely discuss it, and IMO its a totally justified reason for an ELCS. You should not feel bad about this at all, and I really wish you the best of luck!

WhyOWhyWouldYou · 13/09/2014 18:16

I would say its definately reasonable for you to discus c-section on mh grounds. Youve had a traumatic time and if that controlled situation is what you need to feel safe, then dont hold back on asking and definately dont feel guilty.

Also dont see the counsellour refering you for CBT as a bad thing. CBT is really good for helping you take control when those spiraling feelings of anxiety kick in. It really helped me - pregnancy hormones send my anxiety through the roof, and i spent ds's pregnancy and my second pregnancy (a loss) and a few months after each suffering panic attacks over irrational things and feeling really anxious all the time. I had counselling and CBT after my loss and this time i feel so much calmer and more relaxed, when the anxiety comes i can stop it and rationalise it, in a way i never thought possible. Ive had no paic attacks this time either. So best of luck with that and really dont worry about it.

WhyOWhyWouldYou · 13/09/2014 18:18

*panic

lbmum · 14/09/2014 21:33

Thank you ladies for your supportive words. It is encouraging to hear about successful CBT as I really haven't a clue what to expect. Feels like life is getting on top of me now and out of my control. I need to be open with the consultant on Tuesday and hope he gives me the time I need. Thank you for taking the time to reply to me. xx

OP posts:
squizita · 14/09/2014 22:05

CBT is really good in my experience. Similar to WhyOWhyWouldYou it helped me a lot to avoid intrusive thoughts and obsessing (I had recurrent miscarriage and generally anxiety before that). I also used hypnotherapy and Yoga.

Managed to get thus far (40+ weeks) without a meltdown, and even now I seem to be awaiting the big day remarkably calmly, surprised myself.

Chloris33 · 15/09/2014 14:37

lbmum I admire and am moved by your insight and honesty. I'm sorry for your past loss. Don't feel bad, it's been a traumatic history, and it's important to find the best way of feeling safe. Great to make use of counselling & CBT. I work in counselling and both these modalities can be really helpful. The referral is not a sign of losing it, but something that can be empowering, and CBT can be a good way to get initial anxiety levels down which can then make a bit more space for counselling and/or decision making.. Sounds a good idea to discuss ELCS.

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