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POSTPARTUM PTSD

3/28/2014

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       A woman spends nine months, or longer, preparing for the birth of her child. She reads the books, takes the classes, has a birth plan, and possibly a midwife, doula, or birthing coach, she’s made decisions on whether or not to have an epidural, who will be at the birth, circumcision or no circumcision?

     Birth trauma is not a widely acknowledged form of Post-Traumatic Stress or Postpartum Mood Disorders, although research states that 1% - 6% of women will experience it with their child’s birth.


    Dr. Edna B. Foa, director of the Center for the Treatment and Study of Anxiety at the University of Pennsylvania, says, “Part of what distinguishes traumatic events from ordinary ones is that they have no template. If you don’t have a template for interpreting information, then it takes a lot more cognitive effort for your brain to assign a meaning to it.”

   Post-traumatic stress symptoms can develop when the traumatic event is linked to an earlier memory, often of vulnerability and powerlessness. My clients have used the words “violated” and “bullied” when describing their birth experience. Forced to accept unwanted medical treatment or procedures performed in an insensitive manner can also create trauma. . Unexpected circumstances during delivery, either with the mother or the baby, can cause the mother to experience a threat to her and the baby’s life.

  PTSD symptoms are generally grouped into three categories: re-experiencing, avoidance, and increased arousal. Here are some symptoms to look out for:



  • Flashbacks, nightmares, re-experiencing the event (birth).

  • Avoidance of anything that reminds the mother of the experience including thoughts, people, and places.

  • Increased arousal (problems sleeping, irritability, anger, easily startled).

  • Anxiety and panic attacks.

  • Feeling detached, numb, and a lack of interest.

          Women often don’t seek help because they compare themselves to others who had serious medical conditions or long-term health issues. They think (and may be told) that the baby is healthy and they are fine. Intellectually, they know this to be true, so their feelings are buried. But, PTSD has a way of showing up when you least expect it. If it’s been awhile since the birth the connection may not be so obvious. A healthy recovery from Postpartum PTSD is possible through awareness, acknowledgement and treatment.

 

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