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Pregnancy

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

Ummm...but I'm OK...

29 replies

purplebiro · 09/02/2015 23:05

I went for an antenatal this afternoon - an appointment that neither me or my midwife knew what it was for - I got there and was ushered in to see the consultant who told me that the protocols around mental health had now been changed and that because I am on antidepressants (a very low dosage of antidepressants specifically chosen because hey are considered extremely low risk for pregnancy) and despite the fact that he had previously and quite happily discharged me from mental health team care and the fact that I am in fact incredibly happy and stable and have been throughout this entire pregnancy (I'm 24 weeks) I am now classed as extremely high risk for PND and will need to stay in hospital for four days after birth.

This is now written in big bold letters over the front of my notes and I was told that even if I told them I was feeling fine and my practising counselling psychotherapist mother with a specialism in parenting and attachment issues (the irony, lol, etc) backed me up no one would be willing to take on the liability for discharging me.

So that's it - I think it's probably healthiest all round that I just accept it's going to be this way and embrace the idea of having four days bedrest to recover from the birth and learn the basics (this is my first baby) with midwives and nurses on hand to help and I do realise that those protocols will help women who are much less stable and supported than me and that's very important but WOW it's pretty terrifying how easy it is to get put in that category and how hard it would be to get out.

No question, just needed to have a mini rant!

OP posts:
Are your children’s vaccines up to date?
BigCatFace · 09/02/2015 23:15

Have bipolar disorder, been stable (few normal wobbles aside, that any FTM gets) and same here. Hopefully it'll help but I'm pretty pissed about it as I have no choice.

AnythingNotEverything · 09/02/2015 23:17

I think you did incredibly well not to completely flip out at the consultant.

I'd be having a good chat with you community midwife to check they didn't get your name mixed up with someone else.

That said, you've a reasonable chance of a private room so might actually be one of the few who gets some rest in hospital.

(Are you on the June antenatal threads? We're a nice chatty bunch - come join in if you fancy)

SoonToBeSix · 09/02/2015 23:18

Nobody can keep you or your baby in hospital if your baby is medically well.

WilsonWilsonWoman · 09/02/2015 23:21

I wonder if it's anything to do with that horrifically tragic mum who left the hospital with her baby a few months ago and then the worst happened? There must be a lot of pressure from all agencies for that not to happen again. Sorry to hear you are both going through this. Sad

FishWithABicycle · 09/02/2015 23:30

The stupid thing is that hospital is the worst place to be if you don't need active medical treatment and have support at home. After 5 nights in hospital with no sleep and no backup I was hallucinating with tiredness and quite possibly losing my mind altogether. Once I was at home and DH was able to give me a few hours respite each night I was much better.

Postnatal depression doesn't always emerge in the first 4 days anyway. I hope you'll be fine but you could spend the first week on a high and crash on day 7. This policy sounds like an ill-thought-through box-ticking exercise where they are just wanting to be seen to be taking action and enforcing an inappropriate one-size-fits-all solution because that's easier than actually thinking.

jmojo · 10/02/2015 00:20

You would hope some common sense could be employed instead of blindly and rigidly sticking to guidelines. If you have support ant home and your mum has all that experience then you would think that they could review you post delivery and send you home if all well! Nuts!!

sofatastic · 10/02/2015 00:49

Do you live in Bristol maybe?

Swanny84 · 10/02/2015 02:14

Awwww how awful, Im sorry I'm no help with depression side of things but I second what previous poster put about hospital being awful. The nurses/midwives were "too busy" to offer any support when I had my eldest. I got told upteem times to go back to my room and I was "a paranoid, 1st time mum" when I was worried over my daughters breathing (she had operation at 6 weeks for floppy Larynx so I wasn't that paranoid). I couldn't wait to get home and had more support off family and partner.
I really hope you have a better experience than I did. Your first hours are so precious, I hope you get a private room with lots of support. Good luck xx

sleepybee · 10/02/2015 04:09

I don't get this at all you could be fine for those 4 days then get home & crumble after 14 days Confused

WorryWurta · 10/02/2015 06:47

Whaaaaa? I have been told I'm high risk for PND because I have had MH problems in pregnancy but nobody mentioned this. Thank you for posting I will ask the midwife about it. It doesn't make any sense, as everyone says PND can take weeks. It's a knee jerk reaction to that poor lady who died. They cannot legally keep you in hospital unless they detain you under a section of the mental health act, or you lack the ability to make your own decisions generally. If you're happy to stay then enjoy the rest but if not then you certainly don't have to and I would be challenging this very strongly. Well done on overcoming your mental health problems and congratulations on your pregnancy!

BillStickersIsInnocent · 10/02/2015 07:12

I've been on anti- depressants for both pregnancies and stayed 2 nights after both births, for assessment and monitoring of DC potential withdrawal. I had really great care from midwives, specialist MH midwife, consultant psych etc throughout my pregnancies and after the birth - they treated me like an adult thankfully. I have good insight into my illness and they seemed to respect that - it sounds like you do too and their reaction is a bit ott.

Sorry to hear things are being decided without your input - can you ask to see the consultant again with your mum? Cross for you that your midwife didn't know what the appt was about, that's not good at all.

flanjabelle · 10/02/2015 07:27

I had dd at the end of 2013 and there was none of this! I was high risk, but just got put under the pnd team just in case. Btw despite them all thinking I would get it I didn't, I bonded well with dd and have loved motherhood. They get it wrong sometimes. Good luck with your baby!

msrisotto · 10/02/2015 07:44

Um, unless they're planning on sectioning you under the mental health act, they can't keep you anywhere.

BigCatFace · 10/02/2015 08:49

Yes they can. Believe me, you don't get to refuse without the threat of social services. I'm in the same position as OP and asked my midwife if I really had a choice. She said I could say no. I said if I did, did she think theyd call SS and she said yes. I've been fine, no concerns at all, I'm just at risk of PND. They have immense power over you that nobody who hasn't been in the mental health system understands.

Whatabout · 10/02/2015 10:03

Is this a national policy? I will be under mental health midwifes this time and this is making me panic. I don't advertise my PND and had no plans of mentioning it to anyone but people are going to ask a lot of questions if I am in for days afterwards.

monkeyfacegrace · 10/02/2015 10:07

Eh? I'm consultant led for MH and a gazillion other issues and this has never ever been mentioned to me!

I'm on for a 6 hour discharge. Maybe it's a postcode lottery?

squizita · 10/02/2015 10:55

I was told to get out of a "medical environment" ASAP after birth as it would help my anxiety not to be at hospital.
How would that work with new protocols?

I've also been told it's home birth for me next time. They best not ban that!! Angry

I'm sure I'm not the only one that hospital makes worse mh wise!

squizita · 10/02/2015 11:00

...oh they weren't lax either. Checked I had a safe supporting home and dh and mum knew signs of severe anxiety and what to do.
A mw visited me daily for a week or 2.

purplebiro · 10/02/2015 11:36

Thanks for all the support, peeps. It's a very odd setup - I'm in a local fb group for mums/mums to be with quite a few members and no one else seems to be having the same experience. My guess is the best bet is to keep questioning it with anyone who might have any authority and then resign myself to it if it doesn't look like it's going to be easy to change. It is odd though - for one thing, I can't imagine they have enough beds to keep in every woman who delivers with even a whiff of possible PND?!

OP posts:
coastergirl · 10/02/2015 12:34

Do you mind me asking roughly what area you're in?

This has really worried me. I'm 34+3 and have a severe anxiety disorder, which has been terrible during pregnancy and deteriorated into depression. I'm finally feeling better, but having to stay in hospital for four days after birth (which I'm already worried about anyway) would be the worst possible thing for my mental health. I've got a consultant appointment tomorrow and my one-to-one midwife is coming with me, so I can ask about it then. But the thought that I have the choice between an extended hospital stay or having social services on my case...that's really scary!

dooberrywhatsit · 10/02/2015 15:21

HAven't read other replies, but I had bad PND with first (some years ago and different area) - been on low dose ADs for years. When found out pg phoned doc who just said oh yes you can come off, just phone in if you not feeling okay. Midwife did referal to perinatal mental health but they immediately discharged me - I find this a bit worrying.

So from one extreme to the other!

I have good and bad days and thought about phoning into mental health team but scared of raising a red flag to them :(

QueenAngst · 10/02/2015 15:51

This seems extreme. OP I hope you are able to avoid the hospital stay.

I bought up my anxiety and (mild) depression at my first midwife appointment. I'll decide if I want a referral to the MH team at my 16 week appointment. If that means a mandatory 5 day stay in hospital following the birth, I will really think twice before I ask for the refferal - or bring up MH issues with the midwife.

purplebiro · 10/02/2015 16:32

I'm in Manchester - check with your midwife - I know a few people near me who are in various stages of pregnancy and they've not been told what I have so you may be fine.

OP posts:
VivaLeBeaver · 10/02/2015 16:36

It's very easy to change......you tell them you're not staying. 4 days on a pn ward would tip most people into pn depression!

Are you sure it's not for monitoring baby for withdrawal? Your community midwife should be quite capable of keeping an eye on you for pn depression.

It's bollocks anyway because day3-4 it's usual for baby blues to kick in. So keeping you for four days seems a bit pointless. It's after the baby blues should have cleared (48 hours from onset) that if you're still feeling down it could be pn depression.

VivaLeBeaver · 10/02/2015 16:38

Ask them what the evidence is for their new policy? I'd love to know.

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