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

Is there anything you can do to to try to reduce your risk of PND?

36 replies

Chequers · 13/06/2008 11:37

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Are your children’s vaccines up to date?
motherinferior · 13/06/2008 12:48

It probably helps to (a) eat properly - vg idea to have food already cooked and frozen (b) try and get some exercise once you're up to it (c) accept your own limitations.

And ignore anyone who appears to be Breezing Through. They are almost certainly NOT Breezing Through. Do not compare yourself to them. Even if they are back in their jeans four days after giving birth, like a particularly depressing dame in my own antenatal group.

cariboo · 13/06/2008 12:51

Agree! NO-ONE breezes through!

PembsLass · 13/06/2008 13:56

I heard that magnesium supplements can help

Holly29 · 13/06/2008 15:08

Chequers,

My Mum drives me totally insane and yet I don't think I could have gotten through the first few weeks without her. By all means while your DP is home then she does not need to be there, but consider having her when he goes back. Help is SO important, if only to ensure that someone makes your dinner/lets you have a shower/a sleep every now and then.

Chequers · 13/06/2008 15:10

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BellaBear · 13/06/2008 15:21

I have PND, no history of depression beforehand and I had a fantastic birth (4 hours, water birth, g&a). However, through chats with my GP (and others), I discovered that some 'markers' for PND corresponded closely with my own experience:

  • a m/c prior to the pregnancy
  • subsequent stress during pregnancy (worried about another m/c)
  • being a general overachiever in life so far (not being satisfied unless best possible eg exam results, all things that are under my control) - a baby is so not possible to control in this way
  • being (and I apologise for this if anyone disagrees, but it was what my GP said to me) educated, clever and a career type person suddenly being landed with a baby (despite the pg leading up to it, the reality creates a massive shirt, however much you anticipate it)

there are also some things that I think contributed:

  • an early baby (three weeks had just started mat leave) meant I wasn't as prepared for the change in my life, I hadn't quite got to the point where I thought is was all going to happen and I was looking forward to a week or so off work!
  • a very difficult baby (reflux and latch issues)

-a very quick early labour meant one minute I was on mat leave planning a pedicure the next (it felt like) I was home with a little baby.

I don't think there is much you can do about any of these except be aware that it can happen and have good support structures around you. And a really nice GP helps, who says flattering things about you! but seriously, persuades you that it is real and taking ADs can be good.

hanaflower · 13/06/2008 15:50

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Pinchypants · 13/06/2008 15:55

Hiya Chequers. I think you're being very sensible being aware of this before baba arrives. I had PND and it didn't really hit in (or wasn't diagnosed) until DD was six months old. I'm expecting my second in August and have given a lot of thought to what I can do to make sure it doesn't happen again, or if it does, to recognise it and get help a LOT earlier. Here are my thoughts - some duplication of what the other lovely ladies have said, but for what it's worth:

*See loads of the NCT mums and babies - as others have said, you don't need to be best mates, you do need to see other people with babies exactly the same age once a week or so for a coffee to share the ups and downs and reassure yourself you're doing OK and the baby's behaviour is normal.
*Start a journal to record your birth story and get stuff off your chest.
*Don't try and be supermummy. It's much less loopy-making if you aim for being a 'good enough' mother: you just need to make sure baby is safe, warm, dry, fed, and loved.
*Be honest with other mums about the tough times, don't pretent 'everything's fine' if you find that it isn't.
*Feel free to use books by 'experts' but make sure you are applying a filter of what works for you and your family and they don't make you feel under any more pressure. Watch out for finding yourself saying 'should' to yourself a lot. Don't beat yourself up about things.
*Get loads of fresh air, eat well, take a good quality all-round supplement - look after yourself.
*Be honest with the health visitor about how you are feeling - if you're not coping, or feel down, or anxious, be honest and ask for their help. There is loads of support out there if you are brave enough to ask for it.
*If you are returning to work, put lots of thought into how you can best manage this so you are happy with your childcare choices and can actually function at work without being overwhelmed by guilt or unhappiness.
*Give yourself at least 12 weeks after the birth to feel anything close to 'normal' again.
*Talk to your DP before you have the baby about all this stuff so you know you have his support if things go a little bit pear-shaped. Make sure you have adult couple time together
*If you suspect you are not reacting/feeling right, talk to your health visitor/GP immediately. Don't expect PND to just take the form of being classically depressed, either - being extremely anxious or angry or obsessive also comes under this banner.
*Ask your health visitor for a blank copy of the Edinburgh Post-Natal Depression scale questionnaire, which she will do with you at home anyway in the first couple of weeks. That way you can just check in with yourself every few weeks to see how you are.
*Try and keep your sense of humour!
*Know that every stage of babyhood feels like a million years while you are in it, and gone in a flash in retrospect. As is said on these boards so frequently by mums of DCs of all ages, 'This too shall pass'.

I'm sure you'll be fine. If you're not, we are all here.

Good luck with the birth, and enjoy being a mummy!

BellaBear · 13/06/2008 17:32

*shift not shirt, honestly, my typing. Thanks hanaflower

Chequers · 14/06/2008 11:33

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warthog · 14/06/2008 22:30

i had pnd for a year after dd but i kept telling myself that as everyone else was coping just fine, i should just buck up and get on with it. now i wish i'd sought help much sooner. this time around i'll be much quicker to ask for help.

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