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I had to accept that my stay in hospital was not a punishment for my failings but a chance to learn to be mother.
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For
me, the magic of motherhood didn't come the first time I held my baby or in
those first few weeks when life as I knew it disappeared and my new life in my
old body started.
The magic came from the hard work in
the ensuing months, or even years, as I moulded myself, sometimes against my
will, into the mother my child needed me to be. And it came once the grieving
for my old life, a life of agency and freedom, finally ended.
For
those of us who have postnatal depression, the ramifications of motherhood are
far greater and take longer to recover from, adjust to and finally embrace.
"My
inner voice told me every minute of every hour that I was incapable of keeping
this baby I had so longed for alive.
After
reaching crisis point, I was diagnosed with severe postnatal depression when my
son Ned was 3.5 months old. I couldn't stop throwing up, my body wasn't
producing milk, my hair was falling out in handfuls, I never slept and I found
it difficult to leave the house.
I
was terrified to be alone with my baby. My inner voice told me every minute of
every hour that I was incapable of keeping this baby I had so longed for alive.
Ashamedly, I asked my sister to adopt Ned. Not because I didn't love him, but
because I loved him so much I thought this was the only option to keep him
alive.
I
was lucky that my paediatrician -- having watched me cope with Ned in special
care and with being discharged without my baby -- fast tracked me into a sleep
school at a private hospital. I was also lucky that we could afford the $5000
it cost for my three-week stay once I was admitted as a mental health patient
to the mother and baby unit.
Although
the staff were professional and kind, it was a frightening experience and I was
ashamed to be there. I kept thinking: "Things like this don't happen to
people like me." By "like me" I meant highly capable,
professional, and privileged, with none of the disadvantage others endure. The
hospital was a long way from home and no one regularly visited except my husband,
who must have felt equal measures of shame and hopelessness that his wife
wasn't able to cope.
My
mother also visited. My mother drove 2.5 hours to visit the morning after I had
been medicated for the first time. As anyone with a mental illness will attest
to, finding the right medication is trial and error. Unfortunately, my first
experience was horrific.
That
first tablet brought on such anxiety that I lay paralysed in my bed convinced I
was going to die. My heart felt like it was coming through my chest, I could
see the call button but my hand wouldn't move and when the night shift midwife
shone her torch through my door every two hours for the routine check, my mouth
wouldn't let the scream out.
"
Recovery wasn't easy or linear but I found things that helped.
The
next day, the day my mother visited, when the midwives came to wake me I had
wet and soiled the bed and was catatonic. I drifted in and out of awareness
wanting to call out for Ned but knowing I could barely lift my head. I remember
the midwives laying my baby against my body to try and bring me back. The
midwives cared for Ned for two days while the drug ebbed out of my system.
But
with time, care and a determination to recover, things got better. I had to
accept that my stay in hospital was not a punishment for my failings but a
chance to learn to be mother.
I
was brave enough to try another medication. It was a newer drug, not yet
available on the Pharmaceutical Benefits Scheme, and because it sedated you to
sleep, tricky to use with a newborn. Thankfully it worked, and quickly. Within
days, the rawness, depression and paranoia began to go and within two weeks, I
was ready to go home. To re-enter my life.
Recovery
wasn't easy or linear but I found things that helped. Certainly the medication.
Over the weeks it re-balanced my brain, and I became more rational and could
feel the little but momentous rays of joy that only a newborn -- your newborn
-- can bring.
I
accepted that I couldn't breastfeed. Having had a breast reduction in my early
twenties, I felt tremendous guilt that my vanity meant my milk ducts didn't
work. Ned responded to the bottle and I accepted that 'baby knows best' and
that he would decide how much milk he needed.
I
went back to mothers' group and instead of explaining my absence with stories
of a glamorous overseas holiday, I was honest. And the response from these
women I barely knew was overwhelming and comforting. They didn't judge -- in
fact, they sympathised and told me of their own struggles adjusting.
I
started mums and bubs yoga. The end-of-practice ritual gave thanks for the gift
of motherhood. I would bend my head down with thanks and each week a well of
emotion was released from deep within me. It was as if, in that old church,
surrounded by new mothers and babies, the depression was being purged from me
-- one class at a time.
My
mother stayed for a month before I got strong enough to be weaned off her
presence. When Ned slept, I would lay in my bed, unable to sleep but listening
to her push the iron back and forth. Counting the strokes comforted and stilled
my mind. To be dependent on your 68-year-old mother to care for you and feed
your baby at night was a necessary but bruising experience.
It
also helped to read that postnatal depression can be episodic and that recovery
is achievable. In the mother and baby unit, six of the eight rooms were
occupied by women on their third or fourth visit. This nearly made me give up.
It was evidence that recovery was impossible. Seeing my horror, an elderly midwife
whispered in my ear that it was possible and that she already knew she would
never see me again. I chose to believe her.
"It
helped to read that postnatal depression can be episodic and that recovery is
achievable.
When
Ned was 11 months old, I came back to work. Although it was hard to leave Ned
when I felt postnatal depression had robbed me of time with him, it helped me
regain a sense of identity outside of being a mother. I was lucky to have a
boss (a man, may I note) who supported flexible working arrangements. To get
by, I slept on the toilet in 20-minute intervals throughout the day until Ned
slept through the night at 15 months.
After
16 months, with my psychiatrist's help, I weaned myself off my medication. It
wasn't because I had let go of the old Jane and that medication and time had
made a new one. It was because I had grown a new skin, the tough-yet-soft skin
of a mother.
Although
postnatal depression is behind me, I work hard to keep it away. On my first
visit to my psychologist she told me to fight with everything I had to not to
let postnatal depression define me as a mother. And it hasn't.
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