Many women have a history of depression or
anxiety, women with a predisposition may have a higher chance of having postpartum
depression or anxiety as a new mother. Over 80% of new mothers do not tell
their healthcare provider they have postpartum depression PPD signs or post
partum anxiety PPA. Many women feel shamed or they are weak if they have signs
of PPD/PPA. Living up to societal expectation is hard on new mothers who
question and stress over every single decision.
29.1% of women have a major depressive
episode in the first year of the baby’s life.
That is almost a third of new mothers! Which means you
know a new mother who may be suffering in silence.
We are
not designed to mother alone, we need a village to raise a child.
Mothers that may have a birth that is less
than ideal or planned will have increased stress and question the internal
‘should’. Questions mothers often beat themselves up for are possibly; ‘I should
have gotten a doula’, ‘I should have done more research’, ‘I should have
avoided a c-section’, ‘I should have asked for help’, ‘I should have done more’-
you see the terrible cycle of ‘should’.
Most women in our society lack a social
circle, which is causing PPD/PPA to be on the rise and overall in our society
anxiety/depression is increasing exponentially. We expect new mothers to give
birth easily, nurse and breast feed without struggle, loose the baby weight,
take care of the baby, keep a clean home, make all foods from scratch, do
laundry, return to regular daily activities and in some cases return to work
within the first 8 weeks!
These societal expectations are ridiculous
and internal and external expectations cause mothers to feel they are not
adequate.
Things that can increase the chances of
PPD/PPA are:
·
Food allergies, intolerances-dairy,
gluten, eggs
·
Leaky gut
·
Environmental factors
·
Inflammation from food/diet sources
such as sugar, dairy, processed foods
·
Poor microbiome – gut flora which
links back to the leaky gut!
·
Lack of social supports- close
family and extended family living close or not helping or supporting the new
mother
·
Thyroid or Adrenal issues-
autoimmune, increased or decreased levels
·
Lack of sunlight- this happens
more in Alberta from September to April
·
Lack of community
·
Lack of time in nature
·
Low iron levels
·
Lack of regular sleep patterns
Many new mothers have a gap in care after
birth, typically healthcare providers see mother for 6 weeks post partum then
release them from care.
Most women with PPD/PPA go undiagnosed and some
may seek help at 6 months postpartum or more.
The providers most likely to see mothers in
the 6 week to 6 months + period will often be the providers giving the baby
pediatric care. It is up to the provider to check in with new mothers and to
watch her closely in the baby visits asking questions and checking in with her
and family members on how she is feeling and looking for signs of PPD/PPA.
One
sign can be a decrease in milk supply of struggling with milk supply, this can
be linked to abnormal thyroid levels, some sources state up to 60% of thyroid
issues are missed prenatally.
In my practice I have seen many new mothers
struggling and not knowing what to do, where to get help and having the
feelings of being ‘crazy’ as society tells them that ‘its just baby blues’ ‘it
will pass’ ‘all new mothers feel this way’.
Many
mothers do not know how to reach out, what they need or want.
New mothers need to ask for help but do
not know how!
What you can do is help her write a list of
chores, food allergies, preferences, grocery lists, or whatever help the mother
may need or want after the baby comes. This should continue for 3 months post
partum, not just in the first 2 weeks. If there are multiple children this is
needed MUCH more. Women need more help with the 2,3,4th etc children
– do not think ‘she knows what she’s doing she has had a baby before’.
Doing a phone food ‘train’ is a wonderful
way to help new mothers. Check out www.mealtrain.com
for a great way to set up meals for the family. Try to
If you are to do this you MUST have clear
rules such as:
·
No visiting or staying for a
‘quick visit’
·
No expecting the new mom to
‘entertain’
·
You can only stay for mom to
shower and bathe then you must leave
·
You must do one chore on the
prewritten chore list
·
Leave the food at the door,
ring the bell and leave
Supplements and treatments to take during
pregnancy to help reduce the chances of PPD/PPA
·
Methylfolate 800 mcg per
·
Prenatal vitamin
·
B12 1200mcg per day
·
Essential fatty acids -EFA
·
Vitamin D3 2000 IU per day –
must take with a fat to absorb
·
Good quality protein in the
diet
·
Good fats in the diet such as
avocado or coconut oil
·
Prenatal Yoga
·
Probiotics
·
Exercise
·
Ginger and turmeric- Golden
milk is great
Things to do postpartum to treat and
prevent PPA and PPD
·
Prenatal vitamins- continue to
take them after baby arrives
·
Use a lightbox for 20-30
minutes in the morning
·
Yoga-postnatal or Mom and Baby
yoga classes
·
Elimination of inflammatory
foods from the diet
·
Increased good quality protein
·
Look at the thyroid hormones
and ask for blood work
·
B Complex
·
Vitamin D3 2000 IU perday
·
Magnesium
·
Iron if your bloodwork is low
·
Placenta encapsulation- this
will help with low iron
·
B12
·
Omega 3 EFA
·
Methylfolate 800 mcg /day
·
SAM- E – 400 mg per day or if
needed 800 mg /day *do not take if diagnosed with Bipolar or post partum
psychosis*
·
Probiotics with Lactobacillus
and Bifidus
·
Exercise
·
Restorative yoga
·
Sleep when baby sleeps – sleep
banking!!
·
St Johns Wort
·
Lavender extracts
·
Motherwort – this herb is
called Heart of a Lion and supports the female hormones
·
Rhodiola is an adaptogen herb
which helps with lack of sleep and concentration *do not use if diagnosed
with bipolar depression*
·
Siberian ginseng ½ teaspoon –
helps to increase breast milk production
·
Macca root
·
Organ meats
·
Lysine
·
Warming spices such as Ginger
and Tumeric again the Golden milk is fantastic!
For more information check our website www.family1stchiro.ca, facebook, blogs, Instagram and Twitter or call our
clinic at 403-347-3261 for Dr. Joelle Johnson to assist you or to book an
appointment.Family First Chiropractic and Wellness, 142 Erickson Drive, Red
Deer, T4R2C3.