Depressed or Just Pregnant?

I just wrote a paper called 'Drinking the Pregnancy Lemonade: Medical and Societal Denial of Prenatal Depression'. Part of the paper discussed the challenges of diagnosing depression in pregnant women, because of the overlap of symptoms. I thought you might find this interesting.



DSM-IV TR: Major Depressive Disorder vs. 

What to Expect When You're Expecting



Criteria: dysphoria and anhedonia...


Normal mood swings of depression can take your emotions places they've never gone before, both to exhilarating highs and depressive lows... Pregnancy can be a time of high anxiety... a certain amount of worry is normal, and probably unavoidable. (p.165)


..and four of the following every day for at least two weeks, combined with distress/impairment in functioning: Significant weight or appetite change,


From the fourth month on, start watching your weight
to make sure it begins to move upward at the appropriate rate...
(p. 181) 


Insomnia or hypersomnia,


Sleep problems are common in pregnancy, and...
may be good preparation for the sleepless nights that lie ahead once your baby arrives... (p. 204)


Psychomotor retardation or agitation,


15 percent or so of pregnant women...experience restless leg syndrome... (p. 289)


Fatigue or loss of energy,


Physical or mental fatigue can... exacerbate the symptoms of morning sickness
(conversely, severe morning sickness can increase fatigue). (p. 131)


Feelings of guilt or worthlessness,


Dreams of... being unprepared for the baby when he or she arrives can reveal the common fear that you're not up to being a mother... Dreaming about becoming unattractive or repulsive to your spouse...expresses the common fear that pregnancy will...
make you unappealing to your partner. (p. 292)


Reduced ability to think or concentrate,


Like numerous other symptoms, forgetfulness is caused by the hormonal changes of pregnancy. Sleep deprivation can also play a role (the less you sleep, the less you remember)... (p. 215)


Recurrent thoughts of death or suicide.


Topping the list of most common concerns, understandably, is a fear of miscarriage.
Fortunately, most expectant worriers end up worrying unnecessarily. (p. 140)



Sampling and the Sensory-Rich Anal Canal, or 'On (not) Pooping in the Bath'

My sister sent me this video yesterday.




And I thought, how à propos. First, because she used to poop in our bath when we were little. And second, because just that day I had jumped out of the bath in a fit of terror, holding Sweet Baby James at arms' length and saying (ever-so-sweetly, I'm sure), "Do you need to go pooping? Would you like the potty?"

You see, in our family we do a modified sort of elimination communication (yes, I said 'in our family'. Everyone in our family communicates about elimination, it happens as soon as you get married). I was supposed to write about EC a year ago when we were doing it with SBJ and it was really working, but by the time I got around to it, he had stopped. He started crawling and exploring the world and suddenly, no matter how many funny song-and-dance routines I did, sitting on the toilet just wasn't entertaining anymore.

But he hasn't pooped in the bath since he was three months old and we bathe together every day. I don't know why I was scared. I guess it was the toots I heard/felt. They seemed serious. But no poop was forthcoming. False alarm, Maman!

But I started thinking, how do we know when it's just going to be a toot, not a poop?

For answers to questions like these, I turn to Ingrid Bauer. I have a huge mama-crush on Ingrid. She lives on Salt Spring Island (I used to live there!) and she speaks French (I used to speak French!), she coaches parents (I'm judgmental!) and she must be the most amazing mother. I read her book, Natural Infant Hygiene when I took it out of the library and then I decided had to have it.

   

Only problem is, it's out of print and second-hand copies are going for over $200. 
Whaaaat? At least it's available on Kindle for $11. Anyway.


Here's what she says:

"Like urination, defecation involves a series of events that include muscles under both voluntary and involuntary control. As food is digested and leaves the stomach, it moves through first the small and then the large intestine. The descending colon of the large intestine empties into the sigmoid colon and then into the rectum. As the rectum fills, stretch receptors (similar to those in the bladder) produce signals that lead to an awareness of the urge to defecate. The distension of the rectum initiates the rectoanal inhibitory response. An involuntary reflex relaxes the internal anal sphincter, while the external sphincter contracts.
This process allows for the sampling reflex in the sensory-rich anal canal. Sampling, which occurs throughout the day, helps the individual determine whether the rectal contents are gas, diarrhea, or normal stool." (pp.100-101)

First of all, I would like to thank Ms. Bauer for the opportunity to use the words "sensory-rich anal canal" in a mama blog post. I don't think that would have been possible without her.

On another blog, maybe.

And second, I had totally forgotten the sigmoid colon exists! I love that little guy! In case any of this confuses (confeces?) you, here's a diagram. This is one medical image about which I'm happy there's little context included.


Image brought to you by Sitting Toilets: The Secret Very Few Know Today


So there you have it, folks. Sensors in the anal canal let you know how much it's stretching to hold in that poop. And if they're telling you it's not stretching very much, then you know it's just gas.

Aren't you glad you asked?

Mona Lisa Smile, Signs that Your Child May Have Bell's Palsy

Intuition is defined as: the power or faculty of attaining to direct knowledge or cognition without evident rational thought and inference. It also goes by many different descriptions, including, inkling, hunch, "a feeling," or that little voice in your head that alerts you to something.

Whatever name you choose to call it, we have it for a reason.

Motherhood bestows you with many things. Some good, some not so glamourous, some you wish you could take back (lack of sleep, the decrease in your grey matter). Perhaps the most handy thing that we receive as mothers is Momtuition.

Momtuition is that special power that brings with it eyes in the back of your head, and the ability to know that your child is up to something. It also alerts you when something is not right. Even when you are not entirely sure, always listen to your momtuition. I say this because mine is quite possibly responsible for saving further nerve damage to J's cranial nerve.

Let me back up a bit.

Yesterday morning I left to run some errands and work on some school related things. When I saw J in the morning, things appeared normal. Nothing out of the ordinary. When I returned late in the day, I noticed while speaking with her that something was slightly peculiar about the left side of her face. It was ever so slight, but that little voice kept nagging at me. So I questioned her. "Does your face feel okay?" "How are you feeling today?" "Is anything bothering you?" She assured me everything was fine aside from a bump on her tongue, which we thought might just be an swollen taste bud.

An hour passed by and J came to help me with dinner. She started talking about how she thought the bump on her tongue was causing her not to be able to taste her food properly. As she was talking I noticed her eye and half of her mouth as she spoke was disproportionate to the other side of her face. Something was not right. I could feel it. I couldn't put my finger on what it was though, and in order not to create panicdemic as a result of my own fear, I opted to stand calmly and let her continue speaking while trying not to lose my shit. Then she smiled, and there it was. My feeling had been confirmed. Her eye and face were drooping on one side entirely, the other half of her face- paralyzed.

Some people don't believe in fate. I do. I am a firm believer that every person we come into contact throughout the course of our lives is there for a particular reason. Whether it be to learn a lesson, to offer us lifelong companionship, or just impart a piece of knowledge that will become indispensable at a later time. A piece of knowledge that might not be clear at that instant, but will reveal itself eventually.

I was fortunate to have met a very wise, very kind woman who came in the form of a prenatal yoga instructor. A woman who also happens to have a severe and resistant form of Bell's Palsy. A woman who, had I not met and learned her story, I may not have recognized the same symptoms in my daughter the moment she smiled. For this I feel fortunate. Some people are not so lucky. As such, I would like to pay it forward and relay what I know and have learned of Bell's Palsy for those who may be faced with a similar situation.

See, the thing about Bell's Palsy is - its a weird and baffling disease that a lot of people are unaware of. It can strike at any time, though generally happens overnight, and if undetected or left for too long untreated, can turn severe and irreversible. It presents the same facial paralysis and drooping of the face that is indicative of strokes, but is not a stroke. It is caused by inflammation or damage to the facial nerve also referred to as cranial nerve 7. The real kicker is, this disease most commonly affects adults starting around age 50. Extremely rarely do cases appear in children under the age of fifteen- J is twelve....

It is also referred to as "Mona Lisa Syndrome," as its thought by some in the medical community that her enigmatic smile is in fact a result of Bell's Palsy.


(Mona Lisa)


Other famous people have had Bell's Palsy and recovered fully, including:


George Clooney (in high school)




Perhaps the most famous case for Canadians, is former Prime Minister Jean Chrétien




Even James Bond has been touched by the disease. And today appears neither shaken nor stirred by it...


Pierce Brosnan (In his dressing room before an appearance on the "Tonight Show")


The most immediate and noticeable symptoms include:

  • Loss of taste,
  • Irritated eyes
  • Inability to properly close eye
  • Drooping eye or corner of mouth (or both)
  • Inability to smile properly on both sides of the mouth
  • Inability to raise eyebrow on paralyzed side,
  • Distorted features (usually more present on one side of the face)

The good news is, that if caught early enough and treated immediately, there is a very good prognosis. Most people fully regain facial function.

After 7 and a half hours at the Children's Hospital it was indeed confirmed, this is what J has. She has begun her round of medication and the doctors are confident the treatment will result in a positive recovery in a few weeks to a couple months. She remains in good spirits. She is not in pain and in the meantime, has gained a new appreciation for staring contests - using her open, non-blinking eye to her advantage and dominating the playing field.....