Tag: postpartum depression

Research Study on Mindfulness for Postnatal Depression

The incidence of postpartum depression in Iran is reported to be in the range 30-40 percent of women giving birth to a child.  One suggested factor is the early age that Iranian girls become married and have children – understandably, placing them in a position where they are both physically and mentally under-prepared for the exhausting physical and emotional demands of birthing and for the care of their new-born babies.

Four researchers, motivated by these alarming statistics, established a research project with first-time mothers in Iran to explore the effectiveness of mindfulness in reducing the incidence of postpartum depression.  The researchers – Hajieh Sheydaei, Azizreza Ghasemzadeh, Amir Lashkari and Parvaneh Ghorbani Kajani – published their results in an article titled, The effectiveness of mindfulness training on reducing the symptoms of postpartum depression.

Their research established that “mindfulness training was effective in reducing postpartum depression symptoms in new mothers”.  The researchers describe some of the symptoms of postnatal depression as:

…increase in appetite and overweightness. Irritability, aggressive behavior, panic attacks, seclusion, and uncontrolled crying … Maternity blues are the most outstanding symptom of postpartum depression which is considered the direct result of mothers’ anger and irritation.

The research group of new mothers who undertook the mindfulness training were exposed to a course involving 8 sessions and based on Mindfulness Based Cognitive Therapy (MBCT) – which entails combining mindfulness practices with cognitive therapy.  They were exposed to a range of mindfulness practices such as mindful eating, mindful breathing, sitting and walking meditations.  Some of the exercises were designed to challenge their negative thinking and emotions and to develop strategies to cope with the challenges of motherhood, while caring for themselves.

The MBCT approach helped the participating mothers to grow in self-awareness.  They were also able to enhance their self-management skills through an increased ability to identify the links between their thoughts and mood disorders and to develop new ways to deal with them (rather than the former strategies such as isolation, aggression and irritability).

As new mothers grow in mindfulness through meditative practices and exercises based on cognitive therapy, they can develop a different level of emotional intelligence which will equip them to deal with the challenges of motherhood and reduce symptoms of postnatal depression.

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Image source: courtesy of Mysticsartdesign on Pixabay

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

 

 

Mindfulness for Childbirth

In the previous post, I discussed mindfulness for postpartum depression and shared the story of Kristi Pahr and a range of relevant mindfulness resources.  In this post, I want to focus on the research that has been conducted on the use of mindfulness in preparation for childbirth.

Research in the area of mindfulness for mothers suggests that developing mindfulness during pregnancy can assist the mother not only during the perinatal period but also during the birth of a child and the postnatal period.  The benefits of mindfulness practice before birth can flow over to the postnatal period and help to prevent or alleviate the effects of postnatal depression.

Research on Mindfulness for Childbirth

Both pregnancy and childbirth challenge the resilience of a mother and the postnatal period brings its own stressors with the need to care for a newborn baby.   Mindfulness, in concert with social support, can help to ward off postnatal depression and assist in keeping both mother and baby healthy and happy.

Fear associated with expecting the worst in labour and the graphic sharing, both orally and in writing, of difficulties experienced by other mothers, compounds the natural anxiety of expectant mothers.  This, in turn, can make labour more difficult and prolonged and lead to other undesirable outcomes such as increased need for pain relief or other medical intervention and increased possibility that the mother will experience postnatal depression.

The Guardian in June 2017 carried a report of research conducted by Dr. Larissa Duncan and her colleagues based on the 2.5 days, weekend workshop, Mind in Labor (MIL) – developed and conducted by experienced midwife Nancy Bardacke, author of Mindful Birthing: Training the Mind, Body, and Heart for Childbirth and Beyond.

The focus of the Guardian article was on the question, Can mindfulness reduce the fear of labour and postpartum depression?  The reported research involved a randomised group (with some participants randomly assigned to complete the mindfulness course, while others [the control group] did not undertake the mindfulness training).  The research group covered 30 expectant, first-time mothers in their 3rd trimester of pregnancy.

Participants in the mindfulness training were given specific coping skills for birthing including learning to reframe the experience of pain, learning how to decouple pain sensations from negative thoughts and emotions, and developing personalised strategies with their partners to cope with the birthing process and beyond.  They were also exposed experientially to a range of mindfulness practices such as mindful walking, mindful breathing, body scan, sitting meditation, mindful eating and coping with pain through experiencing pain mindfully (holding ice blocks in their hands).

The conclusions reported in the research project by Dr. Duncan and her colleagues were stated as follows:

This study suggests mindfulness training carefully tailored to address fear and pain of childbirth may lead to important maternal mental health benefits, including improvements in childbirth-related appraisals and the prevention of postpartum depression symptoms. There is also some indication that MIL participants may use mindfulness coping in lieu of systemic opioid pain medication. 

Translated this means that the mindfulness training participants had increased belief in their capacity to handle the pain of birthing (self-efficacy), better ability to manage the pain through mindfulness techniques, greater body awareness, more positive perception of their experience of childbirth and less symptoms of postnatal depression.

As expectant mothers grow in mindfulness through tailored mindfulness training and practice, they are better able to manage the pain associated with childbirth and at the same time are less likely to suffer postnatal depression.

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Image source: courtesy of 3907349 on Pixabay

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

Mindfulness and Postpartum Depression

Kristi Pahr, freelance writer and mother, discussed how mindfulness helped her to deal with postpartum depression (PPD).  One of her problems, experienced by many mothers, was that she did not recognise her systems as PPD but put them down to hormonal change.  Unfortunately, PPD can get a hold of you very quickly and its effects can lead to a rapid deterioration in your mental health, your relationships and overall life.

Typically, the father is unaware of the nature, cause and devastating effects of postpartum depression and can further aggravate the condition through their seeming insensitivity, lack of concern or lack of physical/emotional support.  The mother may also feel unable to communicate the intensity of their feelings or their deteriorating health, and may be reluctant to communicate their real condition for fear of being seen as incompetent.  The symptoms of postpartum depression can be many and varied and this fact serves to compound the confusion on both sides, for mother  and father.

Kristi’s Story: How Mindfulness Helped My Postpartum Depression

Factors that contributed to Kristi’s postpartum depression were a loss of the first child during pregnancy, traumatic birth of the second, exhaustion, physical isolation and loneliness.  Feelings of inadequacy with a newborn baby often overwhelm even the most competent women and Kristi found that her sense of “not coping” led to “hyper-vigilance” – a constant scanning to check that everything is okay with the baby, heightened sensitivity to stimuli (e.g. a baby’s cry), and increased emotional arousal.

Hyper-vigilance can intensify feelings of inadequacy and anxiety and create a downward spiral in terms of mental health and well-being – the exhausted mother cannot sleep and recuperate which, in turn, negatively impacts her physical health and depletes her energy and capacity to cope with the stresses of daily life with a new baby.  It is a common experience that when you are tired, even the smallest problem or issue appears insurmountable.

What Kristi found is that mindfulness helped her to get in touch with her feelings, stand back from them, identify her triggers, defuse her negative thoughts and develop ways to manage her emotional response.  It also enabled her to identify the severity of her condition and to seek professional help so that she was able to increase her arsenal of strategies and tactics to manage her condition.

One of these strategies Kristi employed was practising awareness by writing a journal at the end of each day and addressing these insightful questions:

  • What feels really good right now?
  • What doesn’t feel so good right now?
  • What made me feel balanced today?
  • What am I grateful for?

Resources: Mindfulness for Postpartum Depression

Research into mindfulness for postpartum depression suggests that mindful practice should begin in pregnancy.  Here is a selection of resources for developing mindfulness for pregnancy, childbirth and postpartum depression:

1. Shamsah Amerise, MD, Obstetrician and Gynaecologist, when writing for Headspace.com offers 10 Tips for a Mindful Birth.

2. Katherine Stone, award-winning blogger, provides resources for people experiencing postpartum depression on her  blog:  www.postpartumprogress.com

Her resources include the following the article:  Why Mindfulness Should Matter to Moms

3. Edith Geddes, MD and Medical Director of the University of North Carolina Women’s Mood Disorder Clinic, passionately advocates for screening for, and treating, perinatal mood disorders, especially in rural areas.  Being a former professional musician, she offers a mindfulness technique for composing a moment:

Composing a Moment: Mindfulness Techniques in Postpartum Mood Disorders

4. Mind the Bump App – developed jointly by beyondblue and Smiling Mind – is designed to reduce stress during pregnancy and reduce the risk of developing postpartum depression:

Mind the Bump App Improves Wellbeing During and After Pregnancy

5. Andy  Puddicombe – The Headspace Guide to a Mindful Pregnancy.

As you grow in mindfulness during pregnancy and the postnatal period, you will be better able to handle the stresses of pregnancy and reduce the possibility and/or impact of postpartum depression.

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Image source: courtesy of marmaladelane on Pixabay

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.