Thursday, April 26, 2012

Coping - Pregnancy and Post Partum

If your pregnant your preparing for 2 emergencies - delivary and a disaster. Each by themselves is a very stressful life altering event. Having them back to back could be overwhelming. Pregnancy and Post-pardum will put you at greater risk for severe trauma due to hormone issues, and the fact that you have a little person completely dependent upon you for survival. Since your risk is higher you and your spouse need to be extra vigilant in a disaster in how you cope with the disaster and how you take care of yourself.

There are ways to prepare yourself pyschologically to handle both with less stress and greater confidence. If this is your first pregnancy take infant parenting classes or read a few books, and seek a mentor. Having a baby is a daunting task for any first time parent lacking confidence in caring for a new born, which will only be magnified in a disaster. Prepare now for the changes that are to come to your lifestyle and duties. Offer to watch someone else's baby for a day, or help them so you can learn and get a feel for the schedule and demands. I doubt your offer will be refused.

Pregnant women will have an increased risk of depression. It is even more important for you to take care of yourself. Exercise, eating healthy, and rest are even more important. Be sure to have a support network close by, as post partum is a difficult time in and of itself. These normal symptoms will most likely be commanded by the trauma of the disaster. Familiarize yourself with normal postpartum symptoms – both emotional and physical. It is of greater importance to talk about how your feeling before and after the baby is born. Find out if there is a family history of post-partum depression, as that will put you at greater risk. Post-partum depression can happen anytime withing the first year, sometimes two. If there is a disaster within that time, your risk will increase.

Symptoms
       A sense of disappointment in the birth or yourself
       A sense of disappointment in the baby
       A feeling of anticlimax
       A feeling of unimportance
       Frustration with lack of control
       Overwhelmed and overworked
       Exhaustion
       Feelings of inadequacy
       Doubt ability to nurture your child (especially with breastfeeding difficulties)
       Mourning old self
       Self-esteem and self-image issues
       Anxiety and panic attacks
       Relationship adjustments
 
What to do
       Drop the guilt, you’re doing fine there are no experts
       SLEEP
       Accept help and ask for it
       Use feeding times as rest times
       Eat heathly - avoid sugar, caffeine
       Cry as much as you like - but if you can't stop getting some help
       Laugh as much as possible (although it may hurt the first few weeks)
       Relaxation techniques
       Do something for yourself - anything by yourself
       Do something as a couple - dating is very important
       Take care of yourself (hygiene and beauty)
       Get out of the house if possible (fresh air, sunshine, and vit D)
       Have a mentor mother or find other new moms
       Exercise - with doctor approval first
       Communicate - talk with friends and family, don't keep it in thinking you'll be judged on how your feeling. You be surprised by how many have felt the same way.
       Talk to your doctor/midwife
       Don’t be afraid to get help if needed                             
       Do what you can to help in relief efforts but be careful in what you do. Try focusing on giving comfort and emotional support to others rather than the usual clean up and heavy lifting

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