Post-Partum Depression

Giving a baby after giving birth is not the end of the story for many birth mothers. To be fair, there are a lot of links about adoptive mothers suffering post-adoption depression. Mostly due to unrealistic expectations about getting what they wanted. Some become depressed because adopting didn’t fix their underlying issues. Few think about the birth mother after she gives up her baby. Post adoption depression is the depression that a woman feels when her child is adopted away from her.

The reported rate of clinical postpartum depression (PPD) among new mothers is between 10-20%. In many cases of postpartum depression occurs within four to six weeks after birth because of the extreme hormonal changes; however, symptoms can appear up to 18 months after birth. Many birth mothers believe that they can’t experience postpartum depression after adoption. However, postpartum depression after adoption is as common.

I found content at this website – LINK>Texas Adoption Center – helpful for discussing the issue. There is much more there than I have time to cover in this blog today.

What are the signs that you are experiencing post-partum depression after giving up your baby ? Postpartum depression is defined as an episode of major depression associated with childbirth. Almost 600,000 women are diagnosed with postpartum each year and many cases of PPD go undiagnosed and untreated.

The symptoms of regular and delayed PPD are the same. However, the symptoms of postpartum depression and the “baby blues” are different. The “baby blues” refers to the feelings of sadness, worry, fatigue, and self-doubt that nearly 80% of birthmothers feel after delivery. This typically only lasts for a few days or weeks and resolves on its own.

In postpartum depression, estrogen and progesterone levels decrease significantly after delivery. As you work to balance the physical and emotional demands of giving birth and placing your baby for adoption, these changes can affect the chemistry of your brain. Physical exhaustion, sleep deprivation, self-esteem issues, and the emotions of making the best decision for you and your baby play a significant role in developing delayed PPD. Postpartum depression after adoption is similar to other episodes of depression that can occur during life. While the “baby blues” typically go away within 10-14 days, PPD is characterized by a daily loss of interest and joy in life that lasts.

The most common signs include:

Loss of interest in activities you used to enjoy
Weight gain or loss that isn’t associated with your diet
Changes in your appetite
Unexplained crying or constant crying
Fatigue
Loss of energy
Feelings of guilt, worthlessness, or hopelessness
Changes in your sleep patterns
Suicidal thoughts or attempts

In addition to talking to a doctor or therapist (postpartum depression is a medical condition), you can be kind to yourself. Focus on your health and well-being. Don’t isolate yourself and be patient as you process such a major event in your lifetime.

Painful Reminder

From my all things adoption group today – I was SA in March which resulted in the baby that I am currently pregnant with. I have had a really hard time deciding what I should do as I already have a 4 year old and I’m scared that the emotions that I’m feeling could negatively effect how I raise this child. Some days I feel like I’m the best thing for her because we have bonded these last 28 weeks. But what if I can’t get past the trauma that I endured when I finally take her home? Would it be best for me to give her to a family that I hope would love her in all the ways that I wish I could? Or will I see her face and decide that she is mine regardless of how she came to be? I’m so scared at this point because I’ve seen a lot of adoptees say that they resent their NM for abandoning them and I don’t want this baby to feel like I don’t love her because even if she isn’t here yet, I definitely do! I just don’t know if the trauma will surpass my love and I don’t know what I should do… I’m posting this because I want the raw and blunt opinions of y’all. I want to know if you think that I’d cause more trauma keeping her or giving her up? As a mom already, I can’t imagine life without my 4 year old but I made those choices for her existence, whereas I feel I didn’t get any choices when it comes to this baby.

As I was looking for an image, I came across this piece in Salon. LINK>I got pregnant from rape by Renee Devesty from 2012 (so not in response to all the crazy stuff related to abortion being forced on women by extremist Republicans today). Actually, I remember the crazy ideas of Todd Akin back when.

Back to some of the thoughts in my group (adoptee voices are privileged). One adoptee said bluntly – “no one will love her like you. No one. Get into therapy now and start preparing to bring her home.” Another said – “If you love her already, that’s a very good sign. Letting someone else raise her is gambling with her life. I’ve always known I’m adopted, and the Complex PTSD didn’t show itself until I was 51. It’s been four years of hell. I’d rather not exist than be adopted.” That last sentiment I see frequently, including “I would rather have been aborted.”

A survivor notes – I worried much the same, that I’d struggle because they remind me of him. But they are and have been from day one, their own people. Even the traits that are recognizable as their other genetic half, are endearing in them. Your new baby didn’t have any more choice at their conception than you did, you are in this together. You already feel bonded, which is a huge sign that you can work through whatever trauma baby may bring. It may not be easy, some days may truly suck, but I think that is a part of parenthood even if the baby was planned to their first breath. I’m pretty sure giving up baby would be more traumatic to you than keeping baby, and it would be unquestionably traumatic to baby to be separated from you.

Empathy from this adoptee – “That something so beautiful can come from something dark & hurtful is amazing. Of course you can & do Love Her! She is a part of you right now. You are her home and her safe place. Please choose her, choose love, let her help you heal from your trauma. Don’t inflict the trauma of adoption on her. You both deserve each other & your other child deserves their sister too.”

Schizophrenic Identity

Lately, I’ve been reading a book with the title Healing the Split by John Nelson MD. The subtitle is “Integrating Spirit Into Our Understanding of the Mentally Ill”. It is a topic of interest to me. I’ve not read very far into the book and it is a lot of pages but it seems worth the time. I give it approx an hour a day but am taking notes, so I don’t go very far but do have lots of time to digest the content.

This caused me to think about how it might apply to adoptees. It cannot be anything but a bit odd to know you were born to someone else – not the parents who are raising you. And that you had a different name at birth but the people who are raising you changed your name. You have no knowledge of genetic relatives, no natural mirror of your self that most people have their whole lives and no family medical history of any quantity or quality to convey to your doctor.

It is known that adoptees in general suffer more mental health effects than the general population and given what I just outlined above, it can come as no surprise that an adoptee might. While genetics always contributes some vulnerabilities in any person, adoptees have slightly more mental health problems – such as depressive symptoms, bipolar disorder, higher neuroticism and loneliness. Researchers into the impacts have found a slightly elevated genetic risk of depression, schizophrenia and neuroticism among adoptees. Personally, I believe this could be the result of conflicted feelings in the gestating mother. Not that I am a scientist or expert in this field.

The adoption of children may be a fundamental method of building families for some couples. However, adoptees often face subsequent adaptive challenges associated with family stress at the time of birth and during the adoption process. How could it be otherwise ? The main factor in these effects is both environmental and genetic.

It is known that psychiatric disorders, which includes depression, anxiety and schizophrenia are, to varying degrees, inheritable. The good news is that adoptees in a study reported being happy and satisfied with their lives. When compared to the general population, the study participants were more likely to be male, to smoke, have less education, attain a lower income, and to experience more stressful life events.

Research found that genetic risk and adoption are both predictors of psychiatric problems. So, importantly both adoption and genetic risk contribute only a small amount to the individual differences in mental health. It does not surprise me that there are many factors that contribute to the development of mental health problems in any individual. It is also not surprising then that adopted children may face both special environmental and genetic risks which lead to adjustment problems and potentially mental illness.

A Question of Ethics

A question arises among adoptees about the morality of putting a price on their lives. It is a fair question. Is it right to pay tens of thousands of dollars to buy a child ? The going price is often in the $30,000-$40,000 price range.

One adoptive parent answered that question rather honestly – “We were so clouded by desire that we really didn’t think about the cost.”

What would you think, if you knew, that an agency had tiered pricing on the babies they are selling ? White$$$, whomever $$, Black$. Is value related to the ethnicity of a person ?

An adoptive parent in an honest evaluation of how they are feeling might say, “The moment we drove away from the hospital it felt like we stole him. It was such a conflicting feeling.” Some won’t even give it a moment’s pause.

What would you think if you knew the legal system was being gamed ? “Our lawyer was a whole other bag of nuts as she moved our court date around because the judge that was assigned to our case hates adoption.” I wonder why ? Could it be that judge knows something about the realities ?

A very honest adoptive parent might admit to an adoptee that – “Yes we bought a kid, yes at the time we thought we were doing the right thing ‘if we didn’t take him…’ yes, I wish it was different for him that he wasn’t a secret. But I love him. I am totally geeked when he discovers something new. I make little videos and pictures to send to the one app that I know the natural mother checks, so she can see her son. I hope that she comes and builds a relationship with this amazing human. I also daily feel conflicted with the whole process. I caught myself in the market one day when asked if he was adopted – I replied ‘oh no we bought him.’ I struggle with not wanting him to feel like he was a purchase. Do you ever feel like you were not bought ?”

Money will always be a complicating factor. It is often said of corrupt practices “follow the money.” That makes sense. Who is gaining wealth at the expense of whom ? Just one of the reasons that the whole system of adoption is being looked at deeply and reforms to that practice are being discussed.