The Fourth Trimester NP Show

                                             Postpartum Psychosis

Postpartum Psychosis is rare, however the impact on the family unit can be catastrophic. As promised, I have included the link for support groups for moms with a history of postpartum mood disorders. There are 30 different groups run by Postpartum Support International. So select the one that is best for you. PSI Online Support Meetings | Postpartum Support International (PSI) https://www.postpartum.net/get-help/psi-online-support-meetings/

Here are a list of my references. This is not a comprehensive list but the major points came from these two resources. To all my nursing professors, I am sorry but I used a creative means to cite 😊. Next episode I will do better. So stay tuned…

                                                          References

Friedman, S.H., Reed, E. & Ross, N.E. Postpartum Psychosis. Curr Psychiatry Rep 25, 65–72 (2023). https://doi.org/10.1007/s11920-022-01406-4

Kutty, H. (2023) PMADs Don’t discriminate, and neither should we. Blog Post. PMADs Don’t Discriminate and Neither Should We | Postpartum Support International (PSI)

Maternal Mental Health Leadership Alliance. Fact Sheet – Pregnancy & Postpartum Psychosis. (2022). Fact Sheets — Maternal Mental Health Leadership Alliance: MMHLA

                                                              Disclaimer

Disclaimer: The primary purpose of this podcast is for private, non-commercial use. It does not constitute medical or professional advice.

Eat Well

To facilitate postpartum recovery:

Continue prenatal vitamin

Prioritize Protein (meat, fish, beans, peas, nuts) 

Eat a variety of Fruits 

Eat a variety of Vegetables

Consume Fats like avocados, nuts, olive oil and seeds 

Drink enough Water

Ask your healthcare provider if you should supplement:

• Vit D3 • Iron • Vit B12 • Folic acid • DHA

Try to obtain these in a natural form in your diet.

Recovery Shopping List:

Supplements,  Prenatal Vitamin, Protein, Fruits, Vegetables, Healthy Fat 

On exercise:

First, ask your clinician if you are cleared to engage in exercise

Try to walk at least 20-30 minutes most days of the week preferably outside in a natural setting 

Try exercise apps like “Tone it Up: Workout & Fitness” or “Sweat: Fitness App for Women” 

Search for classes that you can try on the “Mindbody” App that are both virtual and in person

Tour your local fitness club or the YMCA. Ask about their class variety.

Sleep & Rest Tips

Make a sleep schedule and ask significant other or family member to help. 

Make bedroom cool, quiet, and dark 

Consider blackout curtains

Limit caffeine intake 

Disconnect from all devices

Sleep when baby sleeps 

Do not do household activities if you have childcare 

If thoughts about what you could be doing instead STOP you from falling asleep, keep a notepad and pencil next to you and jot them down to be completed after rest.

Religion & Spirituality

What do you believe?

How do you practice your beliefs?

Create or find your own mantras, example - The scary moments are temporary.

Disclaimer: The primary purpose of this podcast is for private, non-commercial use. It does not constitute medical or professional advice.

Here is the link for online support groups that are facilitated by PSI: 

PSI Online Support Meetings | Postpartum Support International (PSI)

Postpartum Support International (PSI) What to expect: First choose a group, there are about 20 different ones. Groups are 90 minutes (1.5 hours) in length. The first ~30 minutes is providing information, education, and establishing group guidelines. The next ~60 minutes is “talk time,” in which group members share and talk with each other. Group members must be present for the group guidelines before joining in the discussion or “talk time.

What to discuss with your family or friends:

1. meals for at least 2 weeks

2. rest (creating a schedule so that you can sleep)

3. company, not being alone for long periods of time (watching movies, chatting, playing games, discussing motherhood)

4. chores (allows your body to rest and heal)

Disclaimer: The primary purpose of this podcast is for private, non-commercial use. It does not constitute medical or professional advice.

This is our initial foray into Postpartum Depression. As promised there is a link here for the screening test for Postpartum Depression. If your score is greater than 10 please let your healthcare provider know. If you answer "Yes" to Question 10, please discuss with your healthcare provider asap. In the next episode we will discuss creating a community.

Edinburgh Postnatal Depression Scale  (EPDS) Calculator (perinatology.com)

Disclaimer: The primary purpose of this podcast is for private, non-commercial use. It does not constitute medical or professional advice.

We would like to help improve maternal health in the USA. The US has the highest rate of maternal death in developed countries. We would like to tackle that with evidenced based health education. This episode explains the why?

We included our ribbon cutting ceremony (tongue in cheek) after minute 4 for your amusement. 

If you would like to see the video use the link below:

https://youtu.be/bvxoMadktoo

Transcript as follows:

Hello, my name is Judith Wafe and I am a Women’s Health Nurse Practitioner. I have been in the healthcare field for 17 years and I like to help people. It was back in 2005 when I was at the University of Miami that I saw my first birth. I remember it as the patient was laboring all alone without any family. Her first language was not English and I was concerned about how frightening it must be to be completely vulnerable. Her primary nursing team was attentive and helped her as she labored. The attending physician was patient and did not perform any unnecessary interventions.
Ultimately, she had a healthy baby girl. We then scurried off as nursing students, to see another delivery.
However that delivery left an indelible impression on me. Now that I think about it, that is probably the moment when my desire to advocate became concrete and my wish to work in women’s health was solidified.
So why the podcast? If you read the health news headlines, you can see that maternal health is in trouble. The United States has the highest maternal mortality rate in developed countries. And the women at highest risk are African American and Hispanic. It has also been found that 80% of these deaths are avoidable. I will say that again, 80% of deaths are preventable. I started to think about how this number could be reduced and I considered health promotion. I would like to use this podcast as a health education device with the primary aim of getting the best information out there. It will include all things related to pre-conception, pregnancy and postpartum. You can expect evidence based presentations, exploration into cultural practices related to pregnancy, unscripted guest interviews and much more.
We will release at least one podcast per week…Tune in. Our next podcast will be on postpartum depression. We will also use a cliff notes version on postpartum psychosis as there has been a recent event in the news.

Ribbon Cutting
Hello everyone,
Thank you so much everyone for being here and taking time out of your busy schedules. I would like to thank my parents and my husband for believing in me and who have always gone the extra mile with me. So please enjoy the food and the drinks. We have some low calorie snacks, and lets proceed with the ribbon cutting ceremony. Yeah!!!!!!!! Thank you guys…Fourth Trimester NP Podcast.