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Katherine is author of the blog Postpartum Progress, and a writer for Babble's Strollerderby. She has also been syndicated on BlogHer. You can follow...
 
 
 
 

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How Perfectionism Can Lead To Postpartum Depression

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" ... a type of perfectionism in which individuals feel others expect them to be perfect, known as 'socially prescribed perfectionism,' is associated with postpartum depression for first-time mothers."

I resemble that remark.

Graded papers with apple and orange juice

I'm not sure I thought others expected me to be perfect, per se. It's that I felt I needed to be as perfect as I thought they were. Is that the same thing? I thought all the other mamas were breezing through new motherhood. That everything for them was easy, peasy, lemon-squeezy. They went to mommy and me classes looking perfect. They breastfed without trouble. They went to lovely lunches with their other new mommy friends. Their babies slept through the night at 6 weeks, and never cried for more than 10 minutes. They wore makeup and brushed their teeth. I just knew they were perfect, so why wasn't I?

I don't know why I thought this. The media, maybe? Women's magazines, with celebrity moms who seem as though they have it all together just two minutes after having a baby? Other moms around me who pretended everything was perfect for them when it wasn't? My own inner need to be perfect?

I'm guessing it was a combination of all of the above.

Per LiveScience.com's Rachael Rettner, a small study conducted in Canada is "one of the first to look at how perfectionism affects women's ability to adjust to life after childbirth."

It involved 100 first-time mothers in Toronto, Canada, who filled out questionnaires to assess their level and type of perfectionism as well as feelings of depression.

The link between perfectionism and postpartum depression was strongest amongst those who try to deal with perfectionism by appearing as if they don't have a problem.

"What this suggests is that there might be some new mothers out there who might seem like everything is fine, in fact it might seem like everything is perfect," said Gordon Flett, a professor of psychology at York University in Canada. "[But] in fact it's just the opposite, that they're feeling quite badly but they're pretty good at covering it up."

That was me.  I went to the pediatrician appointments all made up and looking well-rested and well-adjusted. Did I cry? No way. I didn't want the pediatrician to think I was crazy. I knew I was crazy (or so I thought), but I certainly didn't want him to think so. I wanted the man in the white coat to think I was the picture of serenity. So I faked it. Big time. And he was none the wiser.

The LiveScience.com article states that one way to combat this is to "try to get new mothers to speak about their experience in realistic terms as opposed to just saying what they think people want to hear." I wonder what that would look like for a mom with PPD. What would the doctor do and say to make her feel comfortable sharing her experience in realistic terms? What do you think?

_
Katherine Stone Postpartum Progress http://www.postpartumprogress.com

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MommyMeditations 5 pts

Meditation is a powerful tool for women (even perfectionists!) dealing with postpartum depression and other stresses that can follow childbirth. Mommy Meditations, http://www.MommyMeditations.com was developed with the help of Dr. Kerri Parks, ObGyn, who personally battled postpartum depression and the grief of losing her husband days before the birth of her fourth child. Mommy Meditations can help new moms recognize distress and ease into their postpartum bodies. Please check out the website and if you think it's something that could benefit your website visitors, please include it as a resource link.

http://www.MommyMeditations.com

Melissa Ford 5 pts

This thought struck me: I thought all the other mamas were breezing through new motherhood. That everything for them was easy, peasy, lemon-squeezy. They went to mommy and me classes looking perfect.

One of the greatest gifts a friend gave me was telling it like it is; telling me how hard it was and letting me know that I wasn't alone in struggling to get through those early months.

Melissa writes Stirrup Queens ( http://stirrup-queens.com ) and Lost and Found ( http://lostandfoundandconnectionsabound.blogspot.c... ). Her book is Navigating the Land of If ( http://thelandofif.blogspot.com/ ).

katstone 5 pts

Interesting thought. I don't think the study means that perfectionism is the one and only cause of PPD. Perhaps you were a perfectionist but you may have also been hereditarily or biologically inclined to get it as well (based on your family history and/or brain chemistry), which would make you clearly not at fault.

Plus, those of us who are perfectionists aren't exactly choosing to be this way. I look at is as a personality trait. I can control it to some extent, but I can't seem to eliminate it entirely.

Katherine Stone at Postpartum Progress ( http://www.postpartumprogress.com ) @postpartumprogr

katstone 5 pts

This is very true. Having a new baby is hard for ANYONE. For those who ask how to know if it's really PPD, I ask them whether the symptoms they have are impacting their ability to function on a daily basis. If that's the case, and if they are already past the normal baby blues period of 2 weeks postpartum, then I suggest calling a doctor.

Katherine Stone at Postpartum Progress ( http://www.postpartumprogress.com ) @postpartumprogr

Morgan Shanahan 6 pts

Wow does that describe me. My therapist has been encouraging me to write about my experience with PPD, but for some reason it is so difficult to share this particular experience - which is a strange feeling because I have no problem sharing pretty much anything else ever.

But I will say this: "...as opposed to just saying what they think people want to hear" was a huge factor in the depression that gripped me from about 16 weeks pregnant and snowballed into a postpartum whirlwind of misery through which I am still trying to navigate. The more time I spend staring at the post in my drafts folder titled "Where Did You Go?" the more abundantly clear that becomes.

http://the818.com

JennaHatfield 9 pts

Postpartum depression is more than "not knowing what to expect." It is the inability to function, to feel, to do anything more than the bare minimum. For me, the postpartum depression after my second and third live births was incredibly overwhelming, so much so that I still don't talk about some of what I went through for various reasons (not wanting to relive those moments/thoughts, fearing judgment, not having the right words, etc).

For me, I can say without a doubt that my perfectionist nature sent me down the PPD path with my boys. As I viewed myself as a failure the first time around, I had to be perfect. When I found out how hard mothering actually was, I felt like a failure again, which sent me on a dangerous spiral of emotions, fear, depression and seclusion. If I had been kind to myself, allowed myself the failures that do accompany motherhood with the realization that I was human, not perfect, I can't say for certain whether or not I would have dealt with the PPD as badly as I did. I am glad to have survived ... and thrived ... despite my obstacles, even if some of them were self-inflicted. (This sentence makes me wonder if this is possibly a bad idea to be telling women that perfectionism causes PPD. So it was my fault? Hmm. Things to ponder.)

Jenna Hatfield (@FireMom ( http://twitter.com/FireMom )), from Stop, Drop and Blog ( http://stopdropandblog.com ) and The Chronicles of Munchkin Land ( http://thechroniclesofmunchkinland.com ), is a freelance writer and newspaper photographer.

Expat Mum 5 pts

The problem when you've just had your first baby is that you don't know what's normal and what's not. A lot of women I know had mild depression and didn't realise it. Many women have a hard time adjusting to the huge change that a baby creates so it shouldn't come as a surprise that it can lead to depression. OB/GYNs and GPs should be trained to watch out for this, ask leading questions and intervene before the situation gets too dire.