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Postpartum Depression Survey

Kristi Marshall is a Doctoral candidate at Trevecca Nazarene University in Nashville, TN, who is studying postpartum depression in new mothers. She is currently seeking 18-40 year old women who are within 1 year of giving birth to participate in a survey about postpartum depression, attachment style and mother-daughter relationships. You do not need to be diagnosed with postpartum depression in order to participate in the survey. Kristi hopes this research will contribute to the understanding and treatment of postpartum mood disorders.

I took the survey myself and it really only takes 10 minutes.  And you have a chance to win a Target gift card (excellent!) just for taking the survey.

If you have any questions before participating, please contact Kristi at kmarshallcounseling(@)gmail(dot)com.

https://www.surveymonkey.com/s.aspx?sm=Wmth99YRC75Nvpi0P5VBbA_3d_3d

 

Facebook is really quite something isn’t it?  It can put you in touch with anyone and everyone you have ever met–for better and for worse!  You can reconnect with long-lost friends–awesome!  That ex-boyfriend you would rather avoid can “friend” you–not so awesome…

Recently through the magic of Facebook, I discovered that at least 3 other women with whom I had graduated from high school also had premature babies.  It is so weird to think that while we were going to football games, cramming for the SATs and applying for college, years later we would be again united–but by something that surely never crossed our minds all of those years ago.

Their stories are all very different and they have graciously decided to share them here with the hope of educating other families about how a premature birth can change your life.

First up is Theresa’s story.  Her words, her photos–her story.

Aaron holding his dad's hand.

I have absolutely no problem with admitting that for most of my life I have been an overachieving perfectionist who likes to be in control.  I actually considered that to be a positive thing; I was never satisfied with less than an “A” in school, I never applied to a school and received a rejection letter, and I never went on an interview that didn’t end with a job offer.  I took pride in knowing that it didn’t matter what the challenge was – I would face it head-on, I would give it everything I had, and I would not quit until it was done…and most importantly, done right.

It is with this spirit that I began the journey of motherhood.  My husband and I had been married for a few years.  We both loved children and wanted several.  We were both educated.  We had excellent health insurance, and stable jobs.  We had a plan for buying our own home in the very near future.  We had done everything “the right way”, and we were ready to welcome a child into our family, and to provide him with a wonderful home, a magical childhood, and every opportunity possible.

I quickly became well versed on all things baby and mother related.  I read all of the books outlining what to expect, gave up caffeine and alcohol, began taking vitamins, and when we finally saw a positive pregnancy test, I was at the doctor’s office the very next day and never missed a prenatal appointment.  We found out early that I was expecting twins, and were over the moon.  I was warned to expect them about three weeks early, which was normal for a twin pregnancy, and left every appointment with a clean bill of health and the assurance that everything was happening according to plan, and oh, what plans I had!  Aside from the constant researching and reading anything I could find on pregnancy and the birthing process, I had signed up for childbirth classes, I was making great progress on the nursery, and I daydreamed about the moment the doctor handed me those two little angels so much that it felt like one of those dreams that was so vivid you had to wake up a little before you realized that it had all been a figment of your imagination.

This idealized fantasy of mine was shattered in my twenty fourth week when I just felt “weird” while cooking dinner.  It didn’t take long to realize that the weird feeling was actually a contraction.  My husband rushed me to the hospital where they confirmed that I was in labor and began pumping me full of medication to stop the contractions and steroids to help the babies’ lungs mature faster if labor could not be stopped.  This was the first time I felt as though something was very wrong.  I had been so careful about everything that went into my body from the very beginning, and now doctors are giving me drugs?  Eventually the contractions stopped, I was sent home on bed rest, and was readmitted several days later when my water broke.  This time, however, there were no drugs and there was no estimated date of discharge.  I was going to be there until my boys were born, whether that was in a few hours, a few days, or a few months on my actual due date.

Looking back now, I see how ridiculous it is, but I was so very angry that I was hospitalized.  I had things to do, damn it!  I had to finish the babies’ room.  I had to pre-cook and freeze meals so my husband and I would have nutritious homemade dinners ready to go on busy nights.  I had to go shopping for the outfits they would wear home.  I had to pack the “It’s time!” suitcase that every expectant mom puts together and sets by the doorway…just waiting for the big moment.  With all of the daydreaming I had done over the last few weeks, I never once imagined a scenario where I was in the hospital.  As corny as it sounds, I wanted that last moment with my husband just before dashing to the car where we would say, “Just think…we leave here as Joe and Theresa, and come back as Mom and Dad.”

Sadly, I did not have to wait long in that hospital bed.  Two days after being admitted indefinitely, I went into labor.  My precious babies had only been growing for twenty -seven weeks and two days.  This time they could not stop it, since my water had broken, and this is when the fear really set in.  I was not ready for this.  One of my boys was in a breech presentation, and that combined with the fact that I was carrying twins who would be born early made my doctor decide that a c-section was the way to go.  I was quite happy with that arrangement and was comforted to know that I would not feel the pain of labor.  I begged the doctor for my epidural only to hear that there wasn’t enough time for one, and I started to panic.  Ninety minutes after the first contraction began, Aaron Thomas entered the world weighing two pounds and two ounces.  I tried to sit up to see him, and only caught the briefest glimpse of his leg.  I felt an overwhelming sadness when I realized that the still-attached umbilical cord was thicker in diameter than my child’s leg.  After Aaron was whisked off to the neonatal intensive care unit (NICU), his still unborn brother’s heartbeat slowed, and it was decided that I had to have a c-section immediately.  Fuzzily sedated, I remember very little about the moment Michael Roy arrived weighing two pounds, eight ounces except that he immediately cried the kitten like sound premature infants make, and I thought it was the most beautiful sound in the world.

Patient-controlled morphine, other painkillers, and the significant blood loss and physical trauma I had undergone make a lot of those first few days very difficult to remember clearly, but I do know that during those days, and in the coming months, every daydream and preconceived notion I had about motherhood were completely useless.  None of the books I read had discussed a situation like this.  I did not know anyone else who had given birth prematurely, and had no one to act as a mentor.  This is where the first cracks in my confidence and in my belief that I could handle anything appeared.  Every day, women have perfectly normal, healthy babies.  Healthy babies were born to women who did not plan for them or want them.  They were born to teenage moms who did not get prenatal care.  It seemed that healthy babies were just the obvious, and only result of pregnancy.  So, why couldn’t I get it right?  I agonized over whether I did something wrong, whether I should have left my job sooner, whether I did not get enough sleep, or any of the million other factors I began turning over in my mind.  I even wondered if it was possible that I did not want or love them enough to carry them to term.  The doctors I saw could not give me the answers I so desperately needed.  They all told me that there are many cases, mine being one of them, where there is no obvious reason why the mother went into pre-term labor, and their only suggestion was to think long and hard about it before deciding to have another child.  Based on what they did know, I only had a twenty-five percent chance of ever carrying a child to term.

It was suddenly clear to me that all of my reading, researching, and planning were useless.  I began a steep, emotionally wrenching learning curve and struggled to accept the situation at hand as my new “normal”.   Every day I was in the NICU, I learned more and more about the fragility of human existence, and that all of those healthy babies I thought just entered the world easily and with no complications were actually breathtaking examples of natural perfection; with all of the possible genetic combinations and mutations out there, how can it be that the vast majority of infants enter the world with no health or development issues?  My new “normal” encouraged me to really examine the many blessings in my life, to cherish the little, seemingly unimportant moments, and to come to understand that as hard as I may try, things happen and there is absolutely nothing I can do to control it.  I do, however, have control over how I react, how I cope with stress, and how fulfilling my life can be despite the obstacles I was facing.

These were not lessons I learned easily though – it was not as if I had a sudden moment of enlightenment and then everything fell into place.  My self-confidence, my positive outlook on life, and my belief in my ability to be a good mother were severely tested during our three month stay in the NICU, and many times more after we took our boys home.  I put unrealistic pressure on myself to be the “perfect” wife and mom, believing that by doing this I could make everything work out all right, when in reality I was the only one who thought that I needed to seek any sort of redemption for the premature birth of our boys and the lifelong effects they would suffer from complications that occurred in the NICU. For a very long time I kept my feelings about all that had happened to myself, and pretended everything was just fine.  No one can keep up that charade for long though, and when I did finally reach out for help, I had to accept that this was not an admission of defeat, or a sign of weakness.  It was, in reality, the very best way I could take care of my family and myself.  And as I began to admit that I was not perfect, but was giving motherhood my very best effort, I started to see that this was the only thing I could realistically expect from myself.  And as my boys grew and progressed beyond the original, grim prognoses we were given, my confidence in myself and in my ability to be a great mother also grew.  In many ways I feel like the three of us grew together, and more often than not I learned far more from my boys than I ever could impart to them.  As a former educator, I am quite proud to say that my boys are some of the very best teachers I have ever met!

So now, six years after the birth of our boys, my life is dramatically different than what I had planned it to be so long ago.  By now, I expected to either have, or to be pregnant with, our fourth and final child.  Instead, I am the mother of Aaron, who is physically here with our family, and Michael who became my special angel about a year and a half ago.  After suffering complications in the NICU, both of my boys endured brain injuries that resulted in cerebral palsy.  Aaron is fortunate to be otherwise healthy, but Michael was much more medically fragile and though he was an amazing little warrior, it eventually became more than his body could tolerate.  I find great comfort in knowing that no matter what happens after we die, he is no longer struggling, and is peacefully at rest.  There were many times after losing him that I didn’t think I could keep going without him; the pain of losing a child is unlike anything I have ever experienced.  But Aaron keeps me grounded, and reminds me in his own little ways every day that he needs me, and that despite the heartache and disappointment, there are still so many beautiful, breathtaking moments all around us, showing us that we are all part of some greater plan and although it may not always be clear how or why, we are somehow exactly what and where we are supposed to be.  The life I lead is nothing I would have planned for, but I am grateful every day to have it, and am thankful in so many ways that there was a greater plan for me.  And while I am still often an overachieving perfectionist, I have learned to accept that I cannot control everything that happens in my life…and I know that if I did have complete control, I would have missed out on two of my life’s greatest blessings.”

Theresa with Aaron and Michael on their first day of preschool

Michael, upside down--one of his favorite things!

Thank you, Theresa, for sharing your story and photos here.  Together we can help educate everyone about premature births.

A friend that I use to work with at Yale posted a link to this on Facebook.  I think he and his wife know this family.

You see, baby Evy has a rare type of brain cancer and she will be undergoing 6 weeks of treatment in the Boston area.  Her family needs a place to stay while Evy under goes treatment.  Do you think you or anyone you may know in the Boston area could help?  There are more details at this blog link:

http://evybeatscancer.blogspot.com/2009/11/two-ways-you-may-be-able-to-help.html

Sidenote: Evy and her twin sister Stella were born prematurely.  Remember it is Prematurity Awareness Month!

On April 13, 2009 I started having contractions.  At 34 weeks and 6 days, I just had my 35 week appointment at my OB’s office that morning.  At the appointment I was feeling fine and was told that I was 70% effaced and 1cm dilated.  I was surprised, but my doctor reassured me that most babies of first time moms are born right around their due date.

I started having contractions that evening while my husband and I were touring the Labor and Delivery unit of our local hospital with our childbirth class.   I spoke with my instructor at the end of class and she sent me to Triage (literally down the hall.)

Under the direction of the OB on call, the nurses tried to stop my labor because my baby still had another 5 weeks of gestation to go.   I was given a shot.  That didn’t work.  I was then given an IV which slowed the contractions.  I was sent home completely drugged up still having contractions.

I was back at the hospital by 10am Tuesday morning.  The nurses and doctors agreed to let the baby come if he/she wanted.  They weren’t going to force, but they decided they were going to try and stop the labor either.

Just after midnight on Wednesday, April 15 I was holding my baby boy.

I never thought I would have a preterm baby.  Even though Porter was “late preterm” he was still premature nonetheless.  Was I worried that I was in labor that early?  A little.  But I knew he was coming early for a reason–even if I was not clear on what that reason was.

Yes, Porter had problems with jaundice and problems eating during those first few weeks, but other than that he was fine.

He was lucky.

*We* were lucky.

There are many, many families who aren’t so lucky.

In the next few weeks  as we close out Prematurity Awareness Month, I am going to share with you the stories of some friends of mine whose lives were also changed by babies born too soon.  Each of their stories is different and frankly not all of them are “sunshine and lollipops” (as Theresa put it), but they have graciously agreed to share their stories here to help educate people about premature births.  Stay tuned!

Hope you are wearing your purple for preemies today and remember that you can also donate to Porter’s page at the March of Dimes here.

 

Fight for Preemies

Tuesday, November 17 is Prematurity Awareness Day.  Please wear purple to show your support for babies born too soon and their families who are coping with all of the challenges that come with an early birth.

You can donate to the March of Dimes at Porter’s band page here: http://tinyurl.com/ya2ts8u

Through the wonders of Facebook, I have recently reconnected with some friends from high school who have also had premature babies.  I will be sharing their stories with you before the month is through.

Thank you for all the support!

Happy 7 months, Porter!

 

photo (2)

7 months

As you can see, Porter is really celebrating today!

He is actually laying on the back side of a quilt made by our friend Alison, who gave birth to twin girls in June.  How she found time to make us a quilt, I’ll never know.  It is gorgeous!  Thanks, Alison!

 

In July, high winds here in Tallahassee damaged the roof of our local Toys R Us.  Instead of just repairing the roof, the store went through a major overhaul becoming a Toys R Us/Babies R Us.

I was beside myself with joy when I discovered this.  I have been waiting anxiously for months for this store to reopen.  (Of course, if this store would have opened last year at this time that would have been good–so we wouldn’t have had to drive 2 hours to get to a Babies R Us…in Alabama. )

I heard that the store was open on Tuesday night and I was there in its parking lot by Wednesday morning.  Luckily, I actually got to take Veteran’s Day off this year so I decided to spend my day shopping while Aaron was at work and Porter was at daycare.

I was so excited!  It felt a little like Christmas!  Finally, there is one store I can go to for 90% of my baby accessory needs.  For most of this year, Aaron and I had to go between Wal-Mart, Target, craigslist and baby consignment shops to find what we needed.  Just knowing that I can indeed by a breathable bumper AND new 9 month sized pajamas in one store just saves us the hassle of driving all over town.

I wandered up and down the aisles acquainting myself with the layout of the store, looking at every little thing just in case I needed something I didn’t know I needed.  I went in looking for a few things in particular: breathable crib bumper, sleep sack, socks, pants, long-sleeved shirts.

Then I saw it.

The baby clothes section.

“50% off all Thanksgiving layettes” the sign said.  Well, it is P’s first Thanksgiving, shouldn’t he have something cute for the occasion? Yes.  Yes he should.

Then I look over to the next rack–full of Christmas pajamas and outfits!  Cute red and white striped pajamas with matching stocking cap?  Yes, please!  How adorable is that?!

Everywhere I turned there was something completely, irresistibly adorable for Porter.  Hoodies, shirts, shoes, sweaters, sleepers.  It was overwhelming.  I kept putting clothes in the cart only to have to stop and reassess what Porter really *needed.*  Did he *need* the hi-top red Chuck Taylor all stars?  No, I guess not.  But I really wanted him to have them!  I put them back.

Then I wandered through the baby girl section.

I swear I felt my uterus ache.

Believe me, I love my son more than life itself–but for a second I wanted to have a little girl THAT INSTANT.  Like magic–instant baby girl.  Man, little girls’ clothes are CUTE.  Suddenly, I found my self going through all the girls’ clothes.  I was practically tearing up while holding a tiny pair of light violet velvet shoes.  I couldn’t stop myself from picking up frilly dresses and cute cardigan sweaters.

What is wrong with me?!

Then came a point when I knew I had to get a hold of myself, decide what I actually *needed* to buy and make my way to the register.  I had a coupon and bought things on sale, but still managed to spend WAY too much money.

Babies R Us, I think this is the beginning of a beautiful, expensive friendship.

Sunday brings the seventh month

It is hard to believe that Porter will be seven months old on Sunday!  He is getting so big!  I feel like in this last month alone he has grown so much–not just in size, but in development as well.

What Porter is wearing:

- Size 3 Pampers

- He is still fitting in some 6 month old sized things, but mostly 6-9 or just plain ol’ 9 month old sized stuff fits him best.  (I have started buying 12 month old sizes just so he can wear a few things longer.  It is so hard to buy things you know they’ll outgrow in a month or so.)

- He still isn’t wearing shoes!  It is fairly warm here so I think he is good with just socks.  I bought he first pair of shoes months ago, and I am still waiting for them to fit him (they are size 6-9 months so hopefully they will fit any day now!)

What Porter is doing:

- Porter is rolling all over the place these days!  It is amazing–we put him in his crib at night in one place and in the morning he is in a completely different position.

- His motor skills are getting really good and he is getting stronger.  Yesterday while he was on the changing tray portion of his pack n play, he actually pulled the part of the mobile that holds the characters OFF the mobile arm.

- He is *this* close to sitting unassisted.  He does pretty well for a while but then will just sort of lean or fall over.

- He isn’t taking as many naps during the day.  He is still a cat napper (only taking two or three 15-30 minute naps a day) but will skip some occasionally.  Sometimes this means that sometimes he actually sleeps in or falls right to sleep at night.  Both are good things, but having him cranky during the day–not good.

- Porter is increasingly vocal.  He loves laughing and talking, squealing and babbling.  Tonight he was all about the “da da da da da da da da da da da da.”

- He is sleeping at night in a sleep sack.

What Porter likes:

- For months and months, Porter has liked when we gently yet quickly pull a blanket across his body–from head to toe.  If he is cranky, this instantly makes him forget about being in a bad mood.  He gets sooo excited in the moment just before the blanket gently falls on his face–he wiggles around and laughs and laughs!

- He also now really loves playing Peek-a-boo.  I swear I said “peek-a-boo” 500 times on Sunday.

- He likes grabbing our faces and kissing us on the cheek.  Hugs are happening too!

- He likes going outside.  Sometimes we carry him around the yard or out with us to check the mailbox.  He also just likes looking out the front window.

- A week or two ago we bought Porter some rubber duckies for the bath tub (one regular sized one and two tiny ones.)  He loves them and tries to eat them!  And he talks one with him as we take him out of the tub each night.  He has really grown to love bath time.

- Porter has two monkey stuffed animals that he plays with.  One has a rattle in it (from my parents) and the other is a good ol’ sock monkey that he thinks is hilarious–especially when we hold it up above him as he is laying on his quilt.

- Porter still really likes his Exersaucer (we call it The Tank.)  It was really $50 well spent.  God love that consignment sale!

What Porter is eating:

-Rice cereal, oatmeal, bananas, carrots, pears, peaches, applesauce, sweet potatoes, peas, green beans, beef.  He really likes the fruits and sweet potatoes.  We have tired turkey and chicken, but we need to mix it into a vegetable in order to get him to eat it.  I think he finds the texture weird.  Of course, formula is still in the mix too.

What Porter is growing:

- I think the bottom two teeth are completely in, but he still has four on top that are growing in.  It is so funny to see his gummy smile turning into a mouthful of teeth seemingly all at once!

Generally, Porter is really fun and happy these days and we are really looking forward to the holidays!


 

 

My friend Cheryl is an optometrist and the mother of triplets (!!!) who were born prematurely.   She is also raising awareness this month about the Fight For Preemies through the March of Dimes.  She recently posted this article on her blog about premature babies and the risk of retinopathy.

November is Prematurity Awareness Month.  You can help premature babies and their families cope with the challenges of being born too soon by donating to the March of Dimes.  Thank you!

I read the following message as my friend Karen’s Facebook status this morning and I quickly copied and pasted it as my own:

Diana Harrison Biorkman has a 5-yr old son in his last stages of a 2.5 yr battle w/ Neuroblastoma cancer. They are celebrating Christmas next weekend (November 7-8) and Noah ♥ Christmas cards. It would be a great thing to send a card from somewhere new for him. Please send To : Noah Biorkman, 1141 Fountain View Circle, South Lyon MI 48178. Thanks! PLEASE REPOST!

I am going to send a card to little Noah.  Please spread the word and help make Noah’s Christmas the best ever!

UPDATE 11/5/09: I put our card to Noah in the mail this morning :)


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