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prenatal depression

depression, Guest Posts, Pregnancy

Not Waving, But Drowning: Pregnancy & Depression

February 25, 2016
depression

By Anonymous

As I idly looked at the prescription bottle of sertraline, I realized that one of the light blue warning boxes on the label read: Third trimester use can cause health problems. Discuss with your doctor or pharmacist. My third trimester started yesterday.

Since adolescence, depression has been a presence in my life. When I say depression, I’m talking about the kind that is clinically significant enough to warrant a low dose of antidepressants, but never interfered with my life to ruin a job or school. When I am overwhelmed with responsibilities or work, I take on more. And fulfill all of my obligations. Well, I might add. But when I got the news about my fertility last January, I went off my antidepressant, thinking I would get my body as “healthy” as possible for conception.

I made the decision to become a single mother by choice after getting the news that my ovarian reserve was very, very low. This pregnancy was planned meticulously. I had always wanted to be a mother, fiercely and desperately.

Things went well, until I started progesterone for the second half of my cycle every month for a luteal phase defect. The progesterone caused dark moods, irritability, and depression. Then Clomid gave me mood swings. When I got pregnant, I had to take an even higher dose of progesterone, twice a day, for the first 13 weeks, in order to improve my chances of keeping the pregnancy. That, along with the stress of not knowing how my family would respond, caused me agonizing, crippling anxiety and depression. Constant nausea and bone-crushing fatigue beginning at 6 weeks only added to my depression.

Arriving at my 20 week ultrasound and OB appointment by myself, the tech exclaimed, “All alone?” I said yes, and climbed up on the table. I was more interested in the actual fetal anatomy than any cute pictures – which, to be honest, I didn’t fawn over, nor did I think were cute. In the waiting room, another patient was there, along with her husband, her parents, his parents, and various brothers and sisters, poring over their ultrasound pictures. My pictures were folded up in my bag, and all I wanted to do was go home and sleep.

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Binders, Guest Posts, Pregnancy

A Bend in the Light

June 18, 2015
Book Girl Power: You Are Enough now! Space is limited. Sep 19 Princeton! Sep 20th NYC. The book is also forthcoming from Jen Pastiloff.

Book Girl Power: You Are Enough now! Space is limited. Sep 19 Princeton! Sep 20th NYC. The book is also forthcoming from Jen Pastiloff.

 

By Aileen Weintraub

It was the morning of my son’s eighth birthday and I was having trouble getting out of bed. In three hours, fifteen family members, including grandparents, cousins, aunts and uncles, would descend upon my house to celebrate. I pulled the cream colored sheets up to my chin and then tucked the thin tattered quilt firmly around my shoulders to make sure I was wrapped tight. It was a habit I had retained from five months of pregnancy-related bed rest leading up to the birth of my son. The last eight years seemed to have flown by, but when I think about those five months, it still feels like a life sentence. I ignored the familiar pang in my chest that accompanied the memory. Even now, so many years later, I still struggle with remnants.

I had made a promise to myself all those years ago: if this baby survived, no matter what, I would will myself out of bed every morning to care for him. By now I knew that I could face the day, as long as I eased into it. I ticked off a list of to do items for the party: prepare crudités, defrost burgers, clean bathrooms. I gave myself two more minutes under covers, watching the shadows dance on the wall, another habit I had picked up from what I came to refer to as bed rest purgatory. Maybe it was the way the light hit the wall this morning or the fact that we had come so far, but something inside me triggered details I had tried unsuccessfully to cast aside.

It was right around my twenty-ninth day of bed rest, at which point I had become an expert on two fronts: light patterns on varying surfaces and the direction in which dust swirls before it settles. That particular afternoon was a hot June day, and I lay in bed watching the sun streaming through the window making rainbow prisms on the wooden floor. The pressure in my lower belly was unbearable and I raised my hips up onto a yoga block in a poor attempt at relief. Even now, thinking back, I can almost feel the summer’s breath caress the curve of my neck as it passed between the crinkled white curtains. What made this day different than the previous ones is that by then, all the hoopla of bed rest had died down. The phone had ceased ringing, there were no packages in the mail, and I was undeniably alone. The hustle of setting up my space and receiving visitors had held the sadness at bay for the first few weeks. But then, the house fell silent as all the well meaning people went back to their workaday lives. I was unsettled because the very next day would mark the one month anniversary of the emergency sonogram that showed I had three monster fibroids invading my uterus.

Fibroids are bulbous growths that form on the uterine wall. One of them was pressing up against my cervix causing early effacement. Most of the time they are relatively harmless, unless of course they are trying to escape. There was a battle inside my belly, and I was told in no uncertain terms that the fibroids would likely win. The doctor, whom I now only remember as a bleached blond with Louboutin heels and bright red lipstick told me with her head still between my legs that I’d be lucky if my baby made it to twenty-four weeks. I had been eighteen weeks along at the time. Go to bed. Don’t get up. Wait. That was the only treatment she offered. And there I was on that twenty-ninth day, just skimming the surface of the first full month.

The initial shock and fear eventually simmered, leaving in its wake a hollow shell of guilt. In the space of the silent afternoon, just around the time when the light pattern darkened on my bedroom wall, I began to obsess. I worried what people thought of me and I judged myself against other pregnant women. No matter what anyone else had to say, at the time, there was only one way for me to see this. I had failed at the very essence of womanhood. I was an incubator, a stationary vessel in the truest sense.

My mother, in her well meaning way, told me to keep busy, and, to get my mind off my situation, she would send care packages. But once the mail had already arrived, or the UPS driver hadn’t shown up on his morning run, I had nothing left to look forward to for the rest of the day. The afternoons were ruthless.

I had dubbed the hours between 1:00 and 3:00 ‘the endless’ hours. Not a single car on the road drove by, television became a wasteland of soap operas and reruns, and this is when the sadness hit the hardest. I struggled to distinguish the physical pain of the fibroids pressing up against my cervix from the emotional pain that dug a deep pit in my middle. I could drown during those hours, turn deep inside, and never come up for air if I allowed myself to slip. By 3:00, I could muster energy enough to reach over and click on the television remote to watch talk show hosts crack jokes that left me cold.

Each day after that twenty-ninth one I continued to observe the slow and relentless disintegration of my body as if it were detached from me entirely. At every turn, something new failed me: first my uterus, then my cervix, my blood sugar, my joints, the list goes on, and soon I had a small army of vitamins, pills, needles, and medications. For the first time I could sympathize with elderly people who lived inside flesh and bones that just could not keep time with their soaring spirit. I realized what it meant to be in pain every single moment of the day and how it could change your entire personality. I imagined each little joint, artery, and nerve ending, blessing them and saying silent prayers that nothing else would fail and that this baby would thrive. Even now to this day I say a prayer, thankful for my life right down to my smallest blood vessel.

It took a while to realize, but sometimes there is simply no pill or procedure, or anything else. Sometimes it’s just you and whatever or whomever you believe in trying to figure out how to get through the next moment. Unlike other people suffering from depression, by the very nature of this beast, I could not change my environment. I could not “take my mind off things” even if I wanted to. It was a test not only of emotional and physical endurance but of mental acuity. It would have been so easy to follow the darkness in its entirety, to go deeper.

My husband was dutiful, making me a cooler packed with food in the mornings and leaving it bedside, calling once a day, and even stopping by with the occasional chocolate ice cream shake or other goody. But he had just bought a lawn and power equipment dealership that, it turns out, we had no idea how to run. As a matter of fact, we closed on the business the very day I was sentenced to purgatory. How’s that for tear your hair out stress? He tried to hold it all together, juggling a sick wife who cried all day and a fledging business. Mostly he came home and vomited from stress.

In the evenings, once he had shoveled a handful of cashews or almonds into his mouth, probably his only dinner, he would make his way into the bedroom and stand over the bed, his tall, slim figure casting a looming shadow. One night he asked me how I was holding up. I didn’t know how to answer so instead we made small talk. Our marriage was fresh and new, and we were not well equipped to deal with the impending tragedy of a child lost. But then again, who is? That night he watched me with love in his eyes, but tempered by a look of pity and concern. That was when I knew he felt as hopeless as I did. From then on, I began to sleep away the days, but even that was not without hesitation because my dreams were riddled with nightmares.

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