One of the things that concerns women when having a c-section is the topic of postpartum depression. Postpartum depression is often triggered by hormones and women recovering from a c-section will often experience higher post-partum hormone levels than those who deliver vaginally, but why?
During a normal vaginal birth there is a bit more effort involved on the mother's behalf than with a C-section. Through the pushing and breathing come lots of hormones that bombard your body in order to make your delivery possible; all of the actions that take place during birth are made possible by your hormones.
In the case of a C-Section, these hormones continue to flow but are often not used because of the relaxed state of your delivery. After birth the brain will once again become bombarded with elevated levels of hormones, most significantly Oxytocin which helps with the release of the placenta and after-birth, initiate lactation and start the bonding process between mother and baby as well as helping the mother to 'forget' the painful process she has just gone through as the bodies way of insuring that the female will once again desire procreation.
During the c-section procedure an epidural or spinal tap has a tendency to cease the flow of these imperative hormones, synthetic Oxytocin will be prescribed in your IV but many women experience elevated levels of post-partum hormones causing depression because of the later natural release of the hormone build-up in the body. It's important to note that synthetic Oxytocin is meant to help aid in the natural birth progression but not necessarily to help the female adjust after-birth.
So what can you do? Other than the often repeated answer, "Ask your doctor", there are other options for ways to help ease the stress of elevated post-partum hormone levels.
1. Nipple stimulation. Often used as a way to elevated Oxytocin levels to induce labor, can also help with a similar release post-partum.
After birth a nurse specializing in helping the new mother breast feed will come to help you as well, this is an important step in the after-birth period, do not turn away the help from this nurse especially if you just had a c-section. His or her aid will also help to stimulate the nipples allowing for a necessary release of hormones triggering lactation but also with creating a bond between you and your new baby.
This release is also helpful in easing some of the post-partum depression that seems to be increased in cesarean deliveries.
2. Scheduling your cesarean at no earlier than 39 weeks is preferred. Many doctors don't want women to go into labor pre-surgery if she has had a c-section previously because of possibility of tearing along the already existing scar tissues, but if this is your first c-section and your doctor does not express concerns, going in for your surgery as close to your expected delivery date is important; not only for you but also for your baby. The physical act of going into labor promotes the excretion of important hormones which will aid in your post-partum recovery.
3. Make sure that you keep active and monitor your hormone levels post delivery. Medical studies and statistics have indicated that cases of post-partum depression are higher among women who have a c-section than with a vaginal birth so keeping active is a good way to keep from developing depression. Some post-partum sadness is normal but full on depression is not and often requires medical attention.
If you are concerned about avoiding postpartum depression after having a c-section, look into what other mothers have done to counteract this very serious risk. You are not alone! Around 10-15% of women experience some sort of postpartum blues, ask around, search the forums and present all your questions to your doctor. If you already have issues with depression or mood-disorders take a pre-emptive strike and make an appointment with a psychologist or therapist before you deliver.
No comments:
Post a Comment