Confessions of a Prenatal Class Graduate

I confess: Looking back, I think the prenatal class we took was pretty dumb.

It was one night a week for four weeks (or was it six?) and aside from completely freaking me out about having a c-section (which I ended up having, so I suppose I’m glad I knew ahead of time they strap your arms down) I’m not sure it was very useful.

Practice baby

Image courtesy sweetpeascloth.com

One activity involved planning what we would do in a day with a newborn. The idea was to help parents-to-be understand how much work it is to have a newborn and how hard it is to get anything else done. The class was split – moms on one side, dads/partners on the other. It became a bit of a joke – how often do you have to feed them? How much sleep is reasonable to expect? How many beers can I drink between diaper changes? But of course none of us knew what was reasonable or what to expect. You can’t know until you’re doing it. So overall, not helpful.

Another exercise involved how partners can support moms in late pregnancy and labour. Are some of these things designed to make pregnant women seem totally hormonally messed up? One of the questions was: “What do you do if mom decides she needs to totally overhaul the baby’s room a week before her due date?” Because, you know, you’ve done all that painting and decorating and setting up furniture so it would be insane to change it all because her pregnant self doesn’t like it.

Related aside: Of course my husband, champion that he is, responded, “Say yes,” to this question. I, on the other hand, was much more rational, and wrote, “Look at the room and your options”. And then about, oh, two weeks before Connor was born, I had a total panic that the room wasn’t good enough and bought a bunch of decals that went with his bedding. I thought my artistic husband would freak out – “decals?!” – but he totally went for it and we put them up. Crisis averted.

In any case, thinking about this exercise now it occurs to me that, while I’m sure it’s helpful to understand how you can support your partner while she’s in labour, the prenatal class didn’t focus nearly enough on the actual reality of what happens next.

Looking at our responses to the labour support questions, I think a lot of the strategies involved could actually be applied to supporting a new mom right after birth, and it might have been helpful to mention that.

It doesn’t really matter what the actual questions were (translation: I can’t remember), but here’s what we answered (my answers / Rich’s answers):

  • sit down & have a drink / distract her
  • watch a movie or TV / run a bath and light candles
  • look at the room and the options / say “yes”
  • sit down / remind her of what she’s learned
  • call midwife or go for a walk / go for a walk
  • encourage & give positive feedback / give her a back or foot rub
  • encourage her, give a back rub / say “yes”
  • encourage her, hold her hand / encourage her
  • distract her / practice breathing
  • get her to sit down and breathe / get her to sit down

Don’t you think these apply to all the totally overwhelming and hard joyful things that happen after you bring your baby home? And coming from the point of view of someone who dealt with PPD, I know I would have been a lot better off if I’d done more of these things.

Do you think it’s too late to ask for a back rub?

Yesterday Seems Far Away

I don’t even know what to write today. Yesterday started with sunshine, productivity and some quiet while C spent the day with my parents. I posted about hope. And instead I got smacked down.

The appointment with the psychiatrist was a really awful, no good, totally sucky appointment. I came very close to walking out after about 4 minutes. We started off wrong and it got worse from there.

When someone asks how I’m doing, I don’t know what to say. You’d think it would be easier with someone who is supposed to be a professional and who is supposed to be listening and helping me get better.

She managed to make me feel worse.

Maybe I should have led with something more blunt. Like, “The last six weeks have been the worst of the past three years.” But instead I waffled. So she started asking psychiatrist questions.

Are you suicidal?

No.

Apparently that means I’m doing better.

Are you taking your medication?

Sigh. YES.

How’s your mood?

When? Right now? Yesterday? A week ago? I don’t know how to answer this question. I’ve gone from feeling like a relatively normal person normal for someone who tends to be emotional, anyway – to feeling every emotion you can name in the past six weeks.

How am I?

Overwhelmed.

Stuck.

Tired. Physically and emotionally and… I’m just tired.

I’m having anxiety attacks like I’ve never had before, and I don’t know how to fix it. Ativan does squat. It always happens when I’m at home alone and all I can do is phone my friend and say, “Help me.”

All I want is for someone, something, to help me. I feel like I should get that tattooed on my face. HELP ME.

Are you taking the clonazepam? she asks.

And then criticizes me for how I’m taking it. As if taking the 3rd dose two hours earlier is going to make the dinner hour easier to cope with.

Take it two hours earlier, she says, and then if you need another dose around 8:00 you have my permission to do that.

Your permission? Wow. Thanks SO much. That’s probably going to do the trick. Except, oh wait, by 8:00 my son is in bed and I’m usually okay. But still, thanks.

How about the trazodone?

I’m not taking it anymore.

She scribbles notes.

It was making it impossible for me to function, I explain. And then I fell down the stairs and that was that.

When were you taking it? That late sometimes? Well no wonder you fell down the stairs.

I had taken it early the time I fell down the stairs, I explain. And that fall was over 12 hours later.

She appears to not hear this. It doesn’t fit with her assessment of how this should work.

It’s the antidepressants I’m really concerned with, I say. I don’t think this is working.

Stay the course, she says.

My husband interjects. This is the worst I’ve seen her, he explains. She had one good day but the rest have been really hard. He tells her some of the stuff I’ve said to him. The stuff I can’t say out loud without crying.

It sounds like you’re doing better, she says. One good day is great, but you probably exhausted yourself doing too much.

I didn’t, I say.

No, the day after, I mean. It was probably too much and you tired yourself out the day after.

No (as I try to remain calm). That day felt normal – really, truly normal. The way I’m used to feeling. The next day was fine. It make me feel like I could actually see my way down this path.

But that tends to happen, she insists. You feel good one day and you do too much and then you tire yourself out.

She’s not listening.

She’s getting defensive and if she is at all adept at reading body language she’ll know I am NOT IMPRESSED.

Do you want me to refer you to the mood disorders clinic?Road Closed

What does that even mean? And why? Because you’re sick of me? Because you think whatever problem I have doesn’t fit within your “specialization?”

Fine, I say. At this point it seems like my only option.

And since it seems like a lot of your problem stems from your son’s behaviour, you should get him assessed. If he has a short attention span, maybe that can be addressed.

Sure. Fine.

Do you feel like you want to run away?

Yep. Sometimes. Sometimes all the time.

Don’t run away. If you feel like you want to run away you can go to the Jubilee hospital.

What? That makes no sense to me. If I’m suicidal, the hospital makes sense. But if I show up and say hi, I want to run away from my family, what are they going to say? I’ll tell you what they’re going to say: Honey, almost every mother wants to run away at some point. Coming here to our hospital environment that smells like old people and serves really bad food – where, with your luck, you won’t even get a bed by a window – isn’t going to help that.

But what do I know? My title is not “psychiatrist.”

She summarizes: So, stay the course. Stay on 200 of Zoloft. Take your Clonazepam at 4 pm, not 6. Get exercise every day. But not boot camp! If you can do boot camp you can be at work.

This woman clearly doesn’t know anything about me. And I’ll bet you 10 bucks she’s never done a boot camp class in her life.

She continues: I’ll refer you to the mood disorders clinic. And you’ll talk to your GP about getting a referral for Connor.

This is our cue to leave. “Thanks,” we say. “Take care,” she responds. “Come back in two weeks.”

These sound like the most ridiculous suggestions anyone has ever uttered.

We’re not available in two weeks, so we book for next week even though I don’t want to go back.

We walk out the door. My husband takes my hand.

“Are you okay?” he asks.

No. I’m not okay. It’s as though this whole visit was meant to prove that there are more layers to rock bottom than I’d have thought possible.

And then we go home and over the course of a bad-toddler evening things get worse.

I’m sick of this. I want to write about something else. I’m ready for my story to be different.

——

I’m not this pathetic all the time, honest. I just need to get this out. As I started to draft this I got an email from my littlest sister that was beautiful and helpful and contained one more reference to the ongoing theme of change that seems to keep popping up. I’m going to get dressed and get past this and write a post about it that will hopefully demonstrate that I’m wise and in control and I know that this is all leading to something meaningful. Because it is, and while I don’t know exactly how to get there I know I will.

 

Rock Bottom is a Pile of Crap

Who came up with the concept of “rock bottom” anyway? And why does everyone want to suggest that someone might be there and that this is a good thing because there’s only one way to go. As in UP.

Up? Really?

Wanting to down a bottle of sedatives, something serious and quite out of character – regardless of whether you expect it will kill you or just knock you out for a while – would seem like rock bottom, no?

No. Apparently that’s not rock bottom.

Then you start to think that you really can’t do this – that as much as you love your child and would choose to stay married to your husband, you can’t do this. Can’t be here. Can’t be a mom and it really was a mistake.

That seemed like rock bottom, but the rocks were loose and they slipped again.

When someone offers to take your son so you can both have a break, you’d think that would be a good thing, right? The break is good, up until the hour or so before he’s due to come home, anyway. Then the major anxiety attack hits and those rocks at the bottom feel a little bigger, a little closer.

I’m off work, and need to be. Work isn’t the problem, and yet when I drove past my office the other night after everyone would have gone home, I had a major panic attack. Explain that, please.

Maybe rock bottom is being off work, which I need to be, but feeling like I can’t be at home either. Maybe it’s feeling like I don’t know who I am and don’t know where I’m supposed to be and seeing no clear path toward the answer for either.

I’ve collected rocks all my life – it’s a genetic thing – but right now what I’ve got is a pile of crap. I sincerely hope the current state of things is rock bottom, because I’m a little sick of bouncing.

This rant was brought to you by an over-active toddler and a state of limbo, the suspected cause of which is medication that’s not doing its job. Back to regularly-scheduled (slightly less buzz-killing) posting tomorrow.

 

Some Kind of Psycho

One morning in November 2009 I stepped out of the shower, flipped my hair over to wrap a towel around my head and felt a little tweak in my back. By the end of the day I could barely walk.

I did a number of things to try to sort it out:

  • I saw my RMT for a massage, which made my back spasm so much I had to get my husband to help me back into the house.
  • I saw a chiropractor for the first time and in addition to an adjustment she gave me pills that contained some weird ingredient that I think was pig pancreas. They did precisely squat for the pain. So much for the pig.
  • I went to a walk-in clinic and asked for pain killers so I could at least try to cope. I got them and a muscle relaxant, both of which also did precisely squat.

By the end of the day I was desperate, so we went to the ER. We had to wait for four hours to see a doctor, and I honestly thought I was going to die. That’s the most pain I’ve ever been in, c-section included. I finally saw a doctor who gave me super-ER-strength pain meds, which helped enough that I was able to move without crying.

Eventually my back was all right…until June 2010.

I had three weeks’ vacation and we were driving to my sister’s wedding before road tripping for a bit. About 23 minutes into the 12-hour drive I had to ask my husband to pull over so I could stand up for a bit. The super-ER- strength medication, which I had so wisely packed, wasn’t helping. A double dose of Tylenol and Advil did though and I crashed and slept for most of the drive.

Then about two months ago the tweak came back, and I finally noticed the pattern.

November 2009 was the worst-of-the-worst of my postpartum depression before I started to get help. It was an awful time for me, and I almost lost my family over it.

June 2010 was another low period and when I left on vacation I actually thought I might not be back at work after that three weeks.

Two months ago, major PPD panic was starting to set in and when I felt that familiar tweak in my back, I decided that something that was coming back at awfully coincidental times related to my mental health wasn’t going to get through this time so I told it to bugger off. It did, but not for long.

Now I’m at the point in my PPD battle where I’m off work to finally deal with it, and the back pain has returned. It’s just bad enough that it’s hard to bend over. Spitting out toothpaste is a challenge. My usual methods of exercise are not really an option so I’m compromising but feeling the lack of happy endorphins. When Connor asks me to pick him up I can do it by squatting way down and using only my legs and arms, but I wonder if that might be the final straw that breaks the mama’s back.

Now I’m seeing a different (better) chiropractor and trying to both physically and mentally let it go, back pain is really not what I need right now. Especially because, by my math, the timing is totally not a coincidence.

A + B + C + D = psychosomatic back pain. If only Freud weren’t dead.

*Disclaimer for Kim: In linking up with you on this, I’m in no way suggesting that my back issues are as bad as yours or that yours aren’t “real”. You deserve better support for a legitimate injury. I just wanted to rant 😉

Preschool Postcard

[With thanks to Jill from Hagler Happenings for the opportunity to rant through her Postcards from the Effinghamptons blog hop.]

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