Know Science No Stigma: Antidepressants During Pregnancy and Risk of Autism

Coming out of a blogging break to step onto my soapbox for one of my favorite reasons….to point out inaccurate information being published, in this case by JAMA Pediatrics in its report titled “Antidepressant Use During Pregnancy and the Risk of Autism Spectrum Disorder in Children.”  Now, mind you, JAMA is a publication on which pediatricians from all over the world depend for the latest research.

Over the past few days, several responses were published, including ones from Postpartum Support International (PSI), Slate, and Huffington Post.

The sub-title or header to the PSI article says “Less Fear, More Science.”  That’s what EVERYONE needs to focus more on.  It’s one of my main mantras.  In fact, one of my most popular Pinterest pins (pinned 183 times as of today) says KNOW SCIENCE. NO STIGMA.  Four words with significant meaning.  It’s posted on the Brain & Behaviour Research Foundation website.

JAMA needs to acknowledge this and pull the study, and if they can’t pull it, then they need to read the response from PSI, discuss it with other subject matter experts and decide how to handle it properly so the pediatricians all over the world can know the truth.  So that pediatricians don’t feed the flames of ignorance and fear among the public unnecessarily!

Free Copies of “Baby Basics: Your Month by Month Guide to a Healthy Pregnancy”

Psssst…OFFERING FOR FREE!  Note: This offer is for folks living in the continental U.S. only.  As of 10/12/15, they are still available!

I have 2 copies of “Baby Basics: Your Month by Month Guide to a Healthy Pregnancy”…this book is available for $8 via the What to Expect Foundation and $13 via the march of Dimes and $5 or so via Amazon.  These copies are unused, so are as good as new.

Baby Basics

I am offering for just the cost of shipping (approximately $4). Please leave me a comment below and I will email you for your address to ship a copy (or both copies) to you.

This would make a fabulous gift for someone you care about that is expecting a baby.  The earlier on the expectant mom gets a copy of this book, the better prepared she will be in terms of what to expect during pregnancy and what to prepare for when baby arrives.  The info in it is VERY helpful/important that I wish I had received when I was pregnant back in 2004.  For more details on what the book provides, please click here.

No One Wants to Hear Bragging About Losing Baby Weight Right Away

I just got back from a lovely dinner with the family in which we all enjoyed eating what we wanted to eat.  We ate to our heart’s content.  And then I went online and one of the first things I saw on Yahoo was this headline “Brandon Marshall –My Wife Just Had Twins….And She’s Already Pre-Baby Weight!”  Looks like in this case, it’s not the mom bragging.  It’s the husband.  “My beautiful wife is not from this planet,” Marshall says … “6 weeks post baby (×2) and she’s already at her pre baby (×2) weight.”  What are you seeking from the public by saying this, Mr. Marshall?  You wanna trophy or attention?  Well, if you want a trophy and attention, then help your team win the Super Bowl.

My reaction to this bragging and self-serving article about Mr. Marshall’s wife?


Woop-dee-doo and la-dee-da

This article annoyed the heck out of me.  Motivated me to write this blog post.  Something similar motivated me three years ago to write about the Media’s Over-Emphasis on Celebrity Post-Baby Bods After Childbirth.  It didn’t annoy me because I have been struggling with body issues.  I did not struggle with self esteem issues or unhappiness with my body/weight after I had my daughter 10 years ago.  I had a traumatic childbirth experience, followed by postpartum depression that descended on me quickly and mercilessly.  I experienced sudden and uncontrollable weight loss.  I couldn’t eat and I couldn’t sleep.  I was afraid I was suffering from an illness I would never recover from.  But that article and articles like Mr. Marshall’s annoyed me because they are a disservice to new mothers, in general.  .

Mr. Marshall, if a woman who’s just had a baby and has bounced right back to the condition she first started before she even got pregnant, she’s either a celebrity or some other rich person who can afford a personal trainer to get you there and quickly. Like your wife.

The average mother takes quite a while to return to their pre-baby weight, and it takes a lot of effort too.  So, stop bragging about how it was no big deal for your wife.  The reality is (which is a different reality–or shall I say, and quite a propos too– planet than the one you and other celebrities/sports figures seem to find yourselves in), there are many mothers just trying to get by each day of their few weeks as new mothers, trying to adjust to parenthood for the first time, not having enough help and definitely not enough sleep, and about 15-20% succumbing to PPD.  The last thing new mothers should be worried about–certainly not in the FIRST SIX WEEKS (click here for what the first six weeks means when it comes to a real mother’s experience and how CRITICAL they are to her wellbeing) is returning to their pre-pregnancy weight and figure.  Celebrities need to get a grip and realize things do not revolve around them, even though they think that’s the case.  Everyone does NOT lead lives of the rich and famous.  Everyone does NOT have the ability to hire people for various types of help at the snap of a finger.

Who needs headlines jumping out bragging about a woman returning to her pre-pregnancy weight and body in only 6 weeks when most new mothers are out there struggling to learn how to breastfeed, diaper and care for their babies with insufficient support and guidance?  About 80% find themselves struggling with hormonal and emotional swings that come with the baby blues that in up to 20% of all new mothers morphs into PPD.  Most new moms are out there struggling to get enough hours of sleep each day so their sleep deprivation and anxieties of first-time motherhood don’t spiral into a postpartum mood disorder, like postpartum anxiety.  Many new moms are concerned about having to find dependable help to watch their baby so they can go back to work in 6-12 weeks’ time to help the family make ends meet.   Six to twelve weeks is hardly enough time for a new mom’s body to heal from childbirth and they are expected to leave their babies in the care of others to return to work, hitting the ground running, as if they’d never given birth in the first place.  How nice that men never have to go through this (and this is another point people need desperately to look more closely at….paid parental leave).

At the end of the day, no one wants to hear bragging about losing baby weight right away, m’kay.

Lovely Book Review Over at Resplendent by Design

A friend of a friend, Bobbi Parish, therapist and author of the blog Resplendent by Design and book “Create Your Own Sacred Text” has written a very lovely book review of my book “One Mom’s Journey to Motherhood.”  Thank you, from the bottom of my heart, Bobbi, for taking the time out of your very busy schedule to read my book and write a book review.

One of the many rewards for writing my book–aside from the personal satisfaction of seeing the fruit of your six years of labor result an attractive book with content that can help make a positive difference for others–is making new connections, especially ones who would go out of their way to spread the word about a fellow mom’s book intended to help other moms.  Another reward is knowing that you are contributing in some small measure toward reaching mothers and their families with information that can help empower them to recognize when they are suffering from a perinatal mood disorder, where to go for help, what the treatment options are….not to mention, realize that what they are going through is experienced by more women than they will ever know, they have no need to feel guilty, and they will be well again with the right help.

The best part of Bobbi’s review is the fact that she is recommending my book for patients of obstetricians, midwives and doulas:

In my opinion, this is a book that should be on every Obstetrician, Midwife and Doula’s shelf and in their waiting room. It should also be on a list of resources about Postpartum Disorders handed out to every pregnant woman by their health care professional. It will absolutely help women battle this insidious mental health disorder and thereby enable them to have a healthier, happier postpartum period with the full capacity to care for and bond with their newborn.

Please go over to her blog and read the rest of her book review.

If you are an obstetrician, midwife or doula, please consider following Bobbi’s recommendation of 1) keeping a copy of my book in your waiting room and 2) including my book on a list of resources which I hope you already have (and if not, please consider putting one together now) about perinatal mood disorders handed out to your pregnant patients.

If you have stumbled across my blog and want to read more about my motherhood journey and what I learned from it, please consider buying a copy.  My book is available at Amazon via Kindle and both paperback and hard cover format.

If you know a mom who has found herself as blindsided and scared as I found myself when I was hit hard by postpartum depression, please consider buying her, or recommending she buy, a copy of my book.

Thank you, from the bottom of my heart.

The Every Mother, Every Time White House Petition: What It Means

Okay, today was a reaaaaaally rough day at work.  I got home around 8:15 pm.  Missed a woman’s club meeting I was planning to attend.  Was able to see my daughter for a little over an hour before having to put her to bed.  I’ve had 5 hours of sleep for the past few nights straight.

But…. I am making this post a priority.

My last blog post was written and published 2 days after Ebony Wilkerson drove her minivan into the ocean at Daytona Beach, but I have since updated it with new information relating to the White House petition, Every Mother, Every Time that was subsequently created.  There are now nearly 1500 signatures to the petition, and we need 100,000 to mandate a national conversation about perinatal mood disorders (PMDs) and how we can help prevent mothers like Ebony, Miriam Carey, and Cynthia Wachtenheim–these are just some of the tragedies that took place here in this country in the past few months (the list goes on)–from having to fall through the cracks.  With an occurrence of PMDs of approximately 1 out of 7 new mothers, people like the amazing Dr. Walker Karraa are tired of the status quo of being reactive.  It’s time to be PROACTIVE!

Dr. Karraa had a Q&A interview with Every Mother Counts, founded in 2010 by none other than Christy Turlington.  Click here for the Q&A.    Dr. Karraa also guest posted today over at about the petition.  Click here to read it.  Please take a few minutes to read both pieces so you can learn what the petition is hoping to accomplish and why.  Don’t let any preconceived notions or fears that you may have keep you from opening your eyes and making a judgment for yourself.

You’re probably wondering why you haven’t heard about this petition via more media outlets, organizations, blogs, and other social media.  I can’t say that I understand why.  Perhaps they feel that 100,000 is unattainable and therefore not worth the effort?  Or this is a conflict of interest of some sort (not sure how that could possibly be the case because this is about advocating for increased public awareness and resources to treat and support new mothers suffering from PMDs)?  Or for some of the other reasons mentioned in the two Walker Karraa pieces.

Whatever the case may be, I want to just say that, if there is an opportunity for a conversation to be brought to the forefront so that more OB/GYNs–those who have dedicated themselves to women’s reproductive health–take responsibility to screen (i.e., ask a couple simple questions, know how to recognize and properly diagnose a PMD, know how to provide their patients options, refer patients to mental health practitioners if necessary), I am going to drop what I’m doing and help pass the word on.

I’m asking that you do too.

Sign this Petition! Don’t Let Any More Mothers Fall Through the Cracks Any More


By now, you’ve probably already heard about the woman who drove her minivan into the ocean at Daytona Beach, Florida.  Her three children–ages 3, 9 and 10–were in the minivan.  And the woman was pregnant with her fourth child.   When I first started reading the article, I was bracing myself to read about the tragic loss of four lives–actually, five lives if you count the unborn child–but thankfully, they did not perish in the ocean.  From the little I could gather from the article, it seemed that the woman was suffering from psychosis, which is how bipolar disorder can manifest in a pregnant or postpartum woman.  The 911 recording of her sister indicated that she was “talking about Jesus and that there’s demons in my house and that I’m trying to control her…..She’s, like, having psychosis or something.”

My friends and I cringed as soon as we heard about this story, just like we cringe when there is ANY news of mothers who attempt to kill their baby/children and themselves.  We cringe because we know that the general population–the majority of people out there who are ignorant about postpartum mood disorders–seem ever so swift to condemn the mother’s actions.

I am sick and tired of the stigma.  Sick and tired of the ignorance about maternal mental health. Sick and tired of women being failed by their doctors and by a medical system laden with holes that let all too many mothers fall through the cracks.

Are you sick and tired too?  Well, join me now in signing a petition to implement universal mental health screening for every pregnant and postpartum woman.  Let’s put an end to the stigma and ignorance, and get mothers the treatment they need before a perinatal mood disorder (PND)–a mood disorder during/after pregnancy which can affect up to 1 out of 7 new mothers–leads to tragic circumstances!

I have participated in/encountered several meaningful discussions on Facebook about screening over the past week.  I know from the past 5 years of blogging and advocacy that, for every bunch of PMD survivors and advocates that voice their support for the implementation of universal mental health screening of pregnant and postpartum mothers, there is at least one individual voicing concern, and even opposing  it.  Why would anyone be opposed to the simple asking of a set of standardized questions to try to see if a mom might be experiencing symptoms of a PND, you ask?  Well, these individuals are concerned that legislating such a screening would cause an already over-medicated society to fall deeper into the arms of Big Pharma and doctors even more reason to simply dole out medication prescriptions.  These individuals fear that, in addition to  inadequate experience with PNDs and an inadequate referral system to therapists who do have experience treating PNDs–both of which are entirely valid points, unfortunately–one too many moms will simply be prescribed medications (and sometimes the wrong ones, to boot) when what many moms do need is therapy as well.  To make it more complicated, many moms will fear taking medications for fear of passing the medications on to their babies through their breast milk.

Whether we get the 100,000 signatures or not, the very least that we hope would come of this petition is to raise greater public awareness of PNDs and reduce stigma. If we were to reach 100,000 signatures, then there would have to be a federal law to INVESTIGATE the subject.  If universal screening were to come about, it would be offered to all mothers, but mothers can opt out.  There would NOT be a mandatory prescription doled out if a mother tested positive.  The desperately sought outcome of the petition would, first and foremost be, EDUCATION of doctors to screen in a non-intrusive fashion, take thyroid levels into consideration, how to provide compassionate and nonjudgmental care, etc., as well as EDUCATION of mothers about PMDs and treatment options available if she were to experience a PND.  It would be up to the mother how/if she would seek treatment.

Did you know that screening is routinely offered by many OB/GYNs already?   I have not heard any negative experiences when it comes to screening that is offered to mothers today.  A big Thank You to Karen Kleiman, MSW, LCSW, founder of The Postpartum Stress Center and author of numerous books on perinatal mood disorders for giving me permission to use this image, which I saw pop up on my Facebook feed a few days ago.


I would like to quote fellow Mama’s Comfort Camp member, Anna Tarkov (thank you, Anna, for letting me quote you!), in response to another member’s comments about preferring a cultural overhaul comprised of a national campaign to educate and support for new mothers over the implementation of universal screening…which don’t get me wrong, I absolutely agree with as well (we need all three: SCREENING, PUBLIC AWARENESS/EDUCATION, AND SUPPORT):

We can and should push the culture change [campaign to educate and support but with no screening] that needs to happen, but I just don’t know if it’s enough…..I share your concern for medication as a sole solution, but I feel we already have this situation with our medical system. Many conditions don’t require medication and could be treated in another way. Each patient is responsible for making up their own mind and each clinician should present all the options. I thought carefully about whether I should take medication as part of my treatment and I think I made the right call for myself. If someone else chooses another path, that is fine, but if even one life of a mother or child or innocent bystander can be saved if we were to have effective screening during pregnancy and after, I would consider that a victory…….My hope would be that with better screening, clinicians can also be required to provide a lot more beyond a diagnosis. I am cautious about any new proposed policy and often what we end up with is far from perfect. But my feeling is that doing nothing isn’t an option and any step in the right direction is a good idea.

You summed it up so nicely, Anna!

Oh, and do read and encourage others you know to read the facts, and nothing but the facts about bipolar disorder during pregnancy and postpartum.  Here is just one of many places you can read up on it.

Please, please, please…..sign the petition and SHARE WIDELY.  Let’s get as many signatures as possible!  Tweet about it.  Blog about it.  Share about it on Facebook.  Let’s be the change that we so desperately need for our mothers!  Let’s make sure that no more mothers fall through the cracks.  Thank you!

Attention New Jerseyans: Let’s Get Gov Christie to Pass S2995

This will probably be my shortest post, ever, because if you click here, you will get all the information you need to know what the S2995 pregnancy accommodation rights bill is about, why it’s important for pregnant moms and their families.

PLEASE call Gov Chris Christie’s office 609-292-6000 between now and 1/14 to ask that he pass S2995.  And share this information with others in New Jersey.  Your voice CAN help make a difference.  If you sit back– thinking that you can’t make a difference, so why bother, and everyone has that attitude–how can there be any progress?

I saw the below image on my Facebook feed this morning.  It totally represents the way I think and why I blog (and for that matter, why I wrote my book)!  So……PLEASE CALL AND SHARE!  Thank you!