Preventing Post Partum
Psychosis
Post Partum Psychosis
 What is it?
Who gets it?
Why does it happen?
 Cultural?
 What happened to ‘lying-in’?
 Cases
He...
HEATHER BRUCE
Mum - times when a woman can
‘recharge’
(Dr John Shen)
 Menarche (puberty)
 Sexual initiation (he said marriage)
 Pregn...
Baby - crucial influences
6Heather Bruce WFAS 2014 Preventing Post Partum Psychosis
PPP - Likely to experience
 Hallucinations and/or
Delusions
 Illogical or irrational thoughts
 Heightened or reduced mo...
TCM could perhaps say
 DAMP/PHLEGM/HEAT/COLD
 Hallucinations and/or delusions
 Illogical or irrational thoughts
 Heigh...
Who gets it?
 Usually within a month of birthing
 May take up to 3 months to appear
 Swedish study 2008. During the fir...
PPP - TCM
 Find it difficult to sleep (not getting
more than just 2hrs of sleep each
night (PTSD??)
 Entertain thoughts ...
Why worry?
MUM
 Her own safety, plus she may kill
her baby
 How does she enjoy being a
mum? Is this what she was so
keen...
13
Medical ‘Prophylaxis’
Totally ignores the role of nutrition, or of understanding causative factors.
(Especially not that t...
Return experiences
Recurrence rates of puerperal psychotic episodes (over an average of 9
years - not one year as many stu...
Ina May:Spiritual Midwifery
The Farm - 1% or less post partum depression – in Brisbane this is running at 25%
 Compare wi...
Perhaps
ponder
What are we doing to mums &
babies?
Mammalian birthing
 When baby & mum ready (be
like a ‘Jersey cow’)
 Set for maximum ...
Causation
Birth injury &/or pre existing nutritional burden of life
(Plus PTSD)
 We are mammals – and need to birth prima...
Red tent
 ‘Back in the day’ women were tribal, and supported each
other – lived communally, and at the very least had the...
Heather Bruce WFAS 2014 Preventing Post Partum Psychosis
22
Stories: what we call ‘normal’
 My maternal grandmother was a home birth.
 (2 months early, chucked under the bed to die...
Maternal distress
 My own mother – PTSD and future madness
 Why?
Not given baby till she decided (3 days later) that I w...
Personal experience
 In hindsight, I can see that she was magnesium, zinc and B deficient at least.
 Child of the depres...
Out of hospital too soon
 My mother - 2 weeks in the maternity ‘home’ – this was for normal first birth,
no injuries – si...
May be
 Modern disturbed birth consequence. (Dr Sarah Buckley)
 (The Farm and their stats) – who does not get this??
 N...
Medically . . .
Common Postnatal Psychosis Treatment
 I remind you .. .
 Treating postpartum psychosis is commonly done ...
29
Clinic – 35 years ago
(May as well be in the past .
 Dry phlegm and Blood deficient crack in tongue
 (Underlying heat an...
Cases - 1
Normal pre pregnancy and during pregnancy care –
 I was away for birth (continuity of care model broken)
 She ...
2 - Patient said . .
 Went to visit a friend post baby - and she in front of her
had an ‘absence’ of 20 minutes - when sh...
3 - Triplet mother
 All 5 lb at term – born 4lb 6 ish at 35 weeks.
 Breastfed – and at 6 weeks when husband returned to
...
4 – past trauma revisited
 3 family members killed by brother 6 years before - so first grandchild- no
family.
 Stirred ...
5 - Too close together/too
much to do
 Prior children 14 months, 6, 9
 Was not eating well/looking after herself as she ...
6 - Modern ‘best’ birthing
 At hospital – continual offering of epidural (‘before it is too late’) even though
she was wo...
37
Magic oral helpers
 Fat, minerals, chicken soup & herbs
 Vit B complex a little often
 Magnesium (no Calcium) esp topic...
Baby will thank you
39
FIND OUT MORE
 www.sharpen-up-your-results.com - recent conference
presentations and loads on cupping navel esp in pregna...
Preventing Post Partum Psychosis
Preventing Post Partum Psychosis
Preventing Post Partum Psychosis
of 40

Preventing Post Partum Psychosis

Presentation to WFAS 2014 Houston TX
Published on: Mar 4, 2016
Published in: Healthcare      
Source: www.slideshare.net


Transcripts - Preventing Post Partum Psychosis

  • 1. Preventing Post Partum Psychosis
  • 2. Post Partum Psychosis  What is it? Who gets it? Why does it happen?  Cultural?  What happened to ‘lying-in’?  Cases Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 2
  • 3. HEATHER BRUCE
  • 4. Mum - times when a woman can ‘recharge’ (Dr John Shen)  Menarche (puberty)  Sexual initiation (he said marriage)  Pregnancy  Menopause At each time, the hormones (Ki and Jing) are altering. At each time, apparently what happens in a woman’s life has a pivotal effect on the rest of her life. 5Heather Bruce WFAS 2014 Preventing Post Partum Psychosis
  • 5. Baby - crucial influences 6Heather Bruce WFAS 2014 Preventing Post Partum Psychosis
  • 6. PPP - Likely to experience  Hallucinations and/or Delusions  Illogical or irrational thoughts  Heightened or reduced motor activity  Sleep disturbances such as insomnia  Changes in appetite  Extreme feelings of anxiety and agitation  Periods of delirium or mania  Rapidly fluctuating mood swings that may range from deep depression to  Euphoria  Obsessive thoughts of the baby (a type of OCD)  Thoughts of harming oneself or baby THIS IS NOT baby blues/ post natal depression Onset generally occurs within the first three weeks after birth, but may begin as late as three months after the delivery. Apparently 1- 2 per 1,000 8
  • 7. TCM could perhaps say  DAMP/PHLEGM/HEAT/COLD  Hallucinations and/or delusions  Illogical or irrational thoughts  Heightened or reduced motor activity  Changes in appetite  Periods of delirium or mania  Rapidly fluctuating mood swings that may range from deep depression to  Euphoria/Obsessive thoughts of the baby (a type of OCD)  Thoughts of harming oneself or baby  DEFICIENT BLOOD  Extreme feelings of anxiety and agitation  Sleep disturbances such as insomnia THIS IS NOT baby blues/ post natal depression Onset generally occurs within the first three weeks after birth, but may begin as late as three months after the delivery. Apparently 1 - 2 per 1,000 affected WHAT ABOUT lying in????/home help/mother’s support?? 9
  • 8. Who gets it?  Usually within a month of birthing  May take up to 3 months to appear  Swedish study 2008. During the first 90 days post- partum, 892 women (1.2 per 1,000 births) were recorded as having been hospitalised due to psychoses.  As expected, incidence rates for psychosis peaked in the first month after birth (285 of the 892 hospitalisations were in the first seven days, and 523 were in the first 14 days). Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 10
  • 9. PPP - TCM  Find it difficult to sleep (not getting more than just 2hrs of sleep each night (PTSD??)  Entertain thoughts about hurting yourself or committing suicide  Having thoughts about hurting or killing your baby or any other child or adult  Having thoughts that your child is pure evil or that your child is deliberately trying to cause you harm  Could be Shen disturbance – esp. Blood deficiency, but also maybe from phlegm misting heart  Shen shock/split . .  (unless this is appropriate – post birth – not so)  Same  Same Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 11
  • 10. Why worry? MUM  Her own safety, plus she may kill her baby  How does she enjoy being a mum? Is this what she was so keen to experience?  She is stuck, and can’t escape. Also can’t expect help.  More likely to kill herself (check local statistics for maternal death post baby)  Qld (5million) 19 women suicided in last 2 years in first year post birth BABY  Breastfeeding vital for life  Needs to be socialised, not just fed and watered  ANY disruption to this will have permanent effects on baby’s future  Baby is totally dependent upon mum for all life especially as a newborn, regardless of whether she is breastfeeding or not.  See ‘The Silent Face’ experiment Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 12
  • 11. 13
  • 12. Medical ‘Prophylaxis’ Totally ignores the role of nutrition, or of understanding causative factors. (Especially not that this may be a totally appropriate response to trauma)  Although lithium is an effective prophylactic medication in bipolar disorder for many patients, it must be taken regularly, has a narrow therapeutic window, several undesirable adverse effects and is teratogenic to the foetus.  Other agents used in prophylaxis – such as sodium valproate or carbamazepine – have similar properties. Decisions regarding prophylaxis of bipolar disorder in women of childbearing age require very careful weighing up of risks and benefits, need to be based on robust evidence, and should be made jointly with the patient.  Many just get sterilised as the return to this is too horrifying.  Who is working with why did it happen? Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 14
  • 13. Return experiences Recurrence rates of puerperal psychotic episodes (over an average of 9 years - not one year as many studies)  Fifty-four participants had a subsequent delivery, of whom 31 (57%; 95% CI 44–69) experienced another episode of puerperal psychosis, and an additional 5 (9%; 95% CI 4–20) experienced an episode of mania, depression or psychosis during pregnancy or within 6 months (but not 6 weeks) of delivery.  Using contingency table analysis, neither family history nor personal history of psychiatric illness was a significant predictor of puerperal recurrence in this sample. Of the 39 women for whom the index episode of puerperal psychosis was their first episode, 22 (56%) experienced a further episode following their subsequent delivery, compared with 8 of 15 women (53%) who had experienced other episodes of illness prior to the initial puerperal psychosis (χ2=0.04, d.f.=1, P=0.84). Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 15
  • 14. Ina May:Spiritual Midwifery The Farm - 1% or less post partum depression – in Brisbane this is running at 25%  Compare with ‘normal’ - 19 women killed themselves within the first year of new motherhood in Queensland (pop 5 million) in last 2 years. (Probably does not include one car accidents).  “Society's 25%portrayal of motherhood does not recognize such feelings. Women find it especially disturbing and isolating if they find they get angry with their baby for crying, "ordering them around," or refusing the breast, but these feelings are much more common than most realize.  ‘Women need permission to talk about sadness, anger and shattered expectations. They also need frequent breaks from the feeling of a 24-hour-per-day responsibility for the new baby. ‘The woman with baby-blues is at risk for full-blown PPD if her needs are not recognized and met. Unfortunately, the tendency in our society is to medicate women rather than provide social support. Nowadays, postpartum doulas (professional caregivers to new mothers) are available for hire in some areas and may be the factor which prevents the development of full- blown depression or even psychosis”. Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 16
  • 15. Perhaps ponder
  • 16. What are we doing to mums & babies? Mammalian birthing  When baby & mum ready (be like a ‘Jersey cow’)  Set for maximum biological survival  Hormones and listening to Nature dictate al that can survive do – for rest of the line’s history – not just this dyad.  Empowering for life Modern medicalised  According to external (fear based) schedule.  retail opportunities now  Natural is seen as too dangerous, no trust in birth process, woman knowing what to do.  Disempowering for life  Disconnected/broken Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 19
  • 17. Causation Birth injury &/or pre existing nutritional burden of life (Plus PTSD)  We are mammals – and need to birth primally  Hormones of ecstatic birthing (Dr Sarah Buckley)  Women need to be present totally, as does baby - otherwise she/they will KNOW that she/they are not bonded. SMELL  Also pre existing –  Pyroluria  Gut dysbiosis Lack of support (& lying in) Will all boil over into ‘Stuck Liver Qi’ and ‘Fire Rising’ along with ‘Phlegm’ & ‘Deficient Blood’ Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 20
  • 18. Red tent  ‘Back in the day’ women were tribal, and supported each other – lived communally, and at the very least had their own mothers living with them when babies started happening.  Were birthed in the company of mothers who knew what it felt like to be mothers and birthing (midwives)  Sisters, cousins and aunties.  All knew what it took to raise a baby (a village)  Not living in a box (house), looking boxes (TV, screens), pretending all perfect (FB etc) – as perfect is tribal, not segregated in their own personal prisons. Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 21
  • 19. Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 22
  • 20. Stories: what we call ‘normal’  My maternal grandmother was a home birth.  (2 months early, chucked under the bed to die as she would die anyway – in the depths of a snow storm) First of 7 children, so great grand ma retrieved, resuscitated and reared tiny soul.  She (my own mother) was a home birth, last of 4  I (first of 3) was a hospital birth  As were all my four children  Ask of your own family birthing practices/after effects Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 23
  • 21. Maternal distress  My own mother – PTSD and future madness  Why? Not given baby till she decided (3 days later) that I was dead and they were just not telling her.  Lifetime of disconnected bonding including she tried to kill me, and told me all my childhood that she wished that she had.  This was not repeated in her normal birthing and mothering of the next 2 sisters.  This does not engender easy lives for all affected.  ??Why are we breaking mothers and their bonding? Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 24
  • 22. Personal experience  In hindsight, I can see that she was magnesium, zinc and B deficient at least.  Child of the depression, from vey poor parents she was not made well – and was always in a state of malnutrition, loving sweets – and giving them out as treats as they were when she was little.  In later years her ill health was not seen as being thyroid deficiency (iodine would have helped - as would have all minerals).  Thus ‘diagnosed’ and treated with polymyalgia rheumatica – never given what would have fixed this – magnesium, zinc, B complex and iodine) and was hospitalised for ‘madness’ (paranoid schizophrenia) and highly medicated throughout for all her nutritional woes.  (Alopecia at 45 and extreme rosecea all later years plus insomnia and depression/madness). This is a common woman’s story.  Me? Became a healer as did not want my children to be as we were.  (Also a common woman’s story) Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 25
  • 23. Out of hospital too soon  My mother - 2 weeks in the maternity ‘home’ – this was for normal first birth, no injuries – similar to the UK norm for the time )1955  1977– discharged myself at 7 days as I was not being fed well enough to recover (stitches back to anus as they had forceps and slit to extract)  1984 – out on Day 5  1986 – same  1994 - C section discharged self on Day 4 as not feeding me well enough for recovery.  2014 - Brisbane – a few hours, and ‘home’ you go.  Post birth care – hopefully there is some ad mum does not become super hero, as it ends in tears eventually. Where is the village? Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 26
  • 24. May be  Modern disturbed birth consequence. (Dr Sarah Buckley)  (The Farm and their stats) – who does not get this??  Natural reaction to outrageous loss of control – modern birthing ‘best practice’ allowing all non natural catastrophes to happen (and then she is ‘saved’ with the use of . . )  Regardless of her best efforts pre birth – in all aspects of preparation.  (Out of her hands .. ‘control freaks’)  To be so – Stuck Liver Qi/Blood deficient type - who may have an underlying rape/shock that is percolating – and is part of her survival process – now active. Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 27
  • 25. Medically . . . Common Postnatal Psychosis Treatment  I remind you .. .  Treating postpartum psychosis is commonly done using the following treatment options:  - Separation of mother and child temporarily - Electroconvulsive therapy (ECT) - Psychotherapy - Medications such as anti-psychotic drugs, anti- depressants – all of which are not conduicive to breast feeding Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 28
  • 26. 29
  • 27. Clinic – 35 years ago (May as well be in the past .  Dry phlegm and Blood deficient crack in tongue  (Underlying heat and yin deficiency)  Very wary if she has this at all – even when not pregnant  Can often see this in IVF drug taking – please try to dissuade her using these until she is stable.  Often can even say – ‘do you feel as though you are going mad sometimes?”- she will be so grateful you broached – as who else would think to?? Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 30
  • 28. Cases - 1 Normal pre pregnancy and during pregnancy care –  I was away for birth (continuity of care model broken)  She had herpes outbreak, so natural birth not possible.  From there – psychotic break.  Pristique drug – non breast feeding.  Never to have more children/does not trust herself  ??Past sexual abuse? Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 31
  • 29. 2 - Patient said . .  Went to visit a friend post baby - and she in front of her had an ‘absence’ of 20 minutes - when she ‘came back‘ briefly – she said she was trying to work out whether baby was better off dead with her, or just to kill herself’ (I said – straight to her husband and a doctor . .)  Another - walked in on his wife as she was drowning the baby.  This is NOT depression. Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 32
  • 30. 3 - Triplet mother  All 5 lb at term – born 4lb 6 ish at 35 weeks.  Breastfed – and at 6 weeks when husband returned to work – very distressed.  Obstetrician’s medical option – anti depressants and that did not help – psych hospital (no babies or breast feeding possible)  Protein, B , Zinc, Magnesium – and more food – (was eating an apple in between feeds), Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 33
  • 31. 4 – past trauma revisited  3 family members killed by brother 6 years before - so first grandchild- no family.  Stirred up all her distress – gut less and less able to support life – so only really eating meats.  (Where was her village – ad that of her lineage for baby?)  Did eat all placenta – but realised the sleep depravation was causing her madness (worried about her brother’s issues getting to her – ‘genes’)  (Where was her village??)  There is only so much a dad/husband can do  She asked for a sleeping tablet, used formula for a few days and got herself back on track. Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 34
  • 32. 5 - Too close together/too much to do  Prior children 14 months, 6, 9  Was not eating well/looking after herself as she had the baby before.  Arrived for ‘induction’ with no breakfast (was 11 am) and not having eaten much the day before.  Home within a week. Back into school runs, and not able to give youngest all she was used to – mother guilt.  Post baby – was on the ‘mad’ edge.  Chose to attack husband, yet he was bending over backwards to help himself.  Mother fracture/alcoholic. Dad dying (still ) of terminal liver cancer and she no longer the centre of attention . .where is her village? Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 35
  • 33. 6 - Modern ‘best’ birthing  At hospital – continual offering of epidural (‘before it is too late’) even though she was working well with her body – hence ended up lying on her back, no options  Meant there was 3 minutes between being found to be fully dilated and baby out (Ventouse)  Ripped back to anus/fourth degree tear  On antibiotics to prevent infection (Messes up human microbiome)  Had thus – pain (Endone, anti inflammatories etc – she forgot it would all go through his body via milk)  Eventually back in hospital fro surgical removal of impacted faeces!!!  None of this needed to happen – birthing is not setting us up to NOT be a bonded mum Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 36
  • 34. 37
  • 35. Magic oral helpers  Fat, minerals, chicken soup & herbs  Vit B complex a little often  Magnesium (no Calcium) esp topical all day (see entire presentation on Stuck Liver Qi/Stuck Liver Blood correlation with Mag deficiency on www.sharpen- up-your-results.com Eat/encapsulate placenta Heather Bruce WFAS 2014 Preventing Post Partum Psychosis 38
  • 36. Baby will thank you 39
  • 37. FIND OUT MORE  www.sharpen-up-your-results.com - recent conference presentations and loads on cupping navel esp in pregnancy  New Pregnancy App – HeatherSays  Navigation guide through all my research findings – available to all Use Heather’s decades of hands on healing experience – [patients ad practitioners alike).  Click to articles/selection of patient’s eBooks to explain more via www.HeatherSays.com For those who want to know how to help themselves www.simple- natural-solutions.com

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