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Follow-up to previous post about postpartum depression

by Jane on August 17, 2009 · 71 comments

postpartum depression medicationSo I’m sitting here on the couch while Tarzan is feeding Monkey.   What a day it’s been!  I have a massive headache due to all of the crying I’ve done today and my husband has been wonderful in taking over as the role of parent for little Monkey for a bit while I ran out to get my medicine and a few other things.

Let me back up and explain what happened…

I read my post to Tarzan and couldn’t get through it without crying a few times.  The look on his face was complete shock when I was finished reading everything.  He told me that he wanted me to call my OB immediately.  I went back and forth with him, “What if this is just part of being a new mom?“, “What if I just wait 2 more weeks until my appointment?“, and “What if it’s nothing?”  He told me point blank that if I didn’t call, he would.

Point taken.  I picked up the phone and waited to leave a message for the nurse.  Of course I didn’t get through the message without crying.  How embarrassing, but I’m sure she’s gotten calls like that before.  Anyways, maybe an hour passed by and then I got a call back from the nurse.

She asked me what was going on, I told her how I felt, she said she had talked to my doctor, and she wanted to put me on an anti-depressant.  She said that this 3-week mark is typically when patients call to say that something isn’t quite right with how they are feeling and she told me that I was a great mom for realizing that and making the call.  I’ll admit, she’s never seen me with my son, but it was nice to hear.  Really nice.

We talked for probably fifteen minutes.  She told me about her experience with postpartum depression and I told her more of what I was feeling.  I asked her what I should expect with an anti-depressant because, not going to lie, but I have a fear about taking any kind of “serious” medication.  She said that it should take about 4 days to a week for me to notice a change and that change should just be that my “weepy” feelings will be no more, I’ll feel like I can handle the baby & baby situations, etc.

She said that if I ever feel like the postpartum depression is getting worse or if I start having bad or suicidal thoughts, no matter day or night, to call the office and my doctor will call me back immediately.  Naturally I’m terrified that I’ll all of a sudden start feeling crazy at night time and I’ve told T. to monitor me carefully.  I’m paranoid, but smart I guess.  I think it bothers me to have to take an anti-depressant instead of taking care of this depression on my own, but I do know that it’s the smartest decision when there is a little baby involved.

After talking to her about the medication and the postpartum depression support person that they have if I want to talk to her, I asked her about the medication and breastfeeding.  That turned into me telling her how awful it was for me and us getting into a conversation about breastfeeding.  She shared her story with me and told me that if I’m not happy, the baby isn’t happy.  (Same thing many of you have said to me.)

She said that if I was that miserable breastfeeding and pumping that little Monkey would pick up on it too, which would explain so much really.  We started talking about the alternative of breastfeeding.  I told her that I wanted to quit for a while but that I was so conflicted with it as well.  I know that breast is best, but if I’m not happy…  is that enough to throw in the towel?

She said that she went through the same thing with her daughter too.  She wasn’t happy, but knew it was best.  It’s the same thing I struggle with.  She said that when she realized that she would be a lot happier giving formula, she wondered to herself why she breastfed miserable for so long.

She said that the anti-depressant “wasn’t recommended for breastfeeding”.

After hearing her story about breastfeeding and then knowing that I need medication for postpartum depression and knowing it’s not good for breastfeeding, I knew what I was going to do.  My answer was simple and finally made some sense and became very clear to me.

I made the decision to stop breastfeeding.

Now I hope that I don’t get a lot of flack for making this decision because I truly felt a weight lifted off of my shoulders almost immediately.  Of course I was crying on the phone to the nurse, saying my fears about giving up breastfeeding, feeling like a failure to my little boy for giving up 3.5 weeks into it, and just feeling like I’m failing at being a mom.

Those raw, real emotions are right there and you all know that I’ve struggled with breastfeeding.  Without sounding selfish, it’s a lot of pressure to be a sole food source.  I’m sure there are tons of rewards of this responsibility in the future, but right now it was too much for me.  I know that I said that I would give it 6 weeks and obviously that isn’t happening, but I truly feel at peace with my decision.

I know breastfeeding is best and at least I tried.  At least I gave my little boy 3.5 weeks of breastmilk.  At least I didn’t give up before.  And I also know that I do not view formula as poison.  He will still be eating.  I know that my little boy will continue to thrive on it and grow up to be a healthy, strong boy.

I can’t ignore my feelings anymore and breastfeeding was just one more thing that was adding fuel to the fire, so to speak.  There are a lot of changes with being a new mom and I haven’t been completely honest with myself and my feelings until today.  I wrote about them and spoke to my husband and a nurse about them.  I know that there is something going on inside of me and that is my first priority to fix so that I am a better mom to my little boy.

That’s the most important thing.  What sense does it make to have feelings of postpartum depression and feel so low and do something that I dread?  That won’t make me feel any better and it certainly won’t make me a happier mom to my little boy and a happier wife to my husband.

I need to fix myself first.

I am 100% okay with my decision to stop breastfeeding.  I never thought I would actually decide to stop, but it is what makes the most sense for me and my family.  I am honestly at peace with my decision, so I hope that you all don’t judge me for it.  And if you do, that’s your problem, not mine.

(Although there is some information out there that says that you can still breastfeed your baby while on the medication and that it “might” be okay, I don’t want to chance it.  I talked to Tarzan about it  and we both agreed that it’s too much of a risk and too dangerous to even consider continuing to breastfeed while taking an anti-depressant.  Plus, I don’t want that extra worry of wondering “what if” about my baby.)

Before I got off the phone with the nurse I asked her about my boobs and what would happen since I’m not going to be breastfeeding anymore.  She said that I would need to wear a fitted sports bra 24/7 unless showering.  She also said that I could wrap the girls up in an Ace bandage.  I guess you just want them to be firm and tight.

She said that when showering I would need to turn my back to the warm water because I don’t want the water hitting my boobs.  She also said that I could put ice packs on the boobs to help with inflammation.  (This part does not sound nice or pain-free at all.)  She said that I would want to take Ibuprofen around the clock to also help with inflammation.  She said that things should feel better in about 4-5 days.

Two words popped into my head:  Yikes & OUCH.  As much as I’m not looking forward to this part of it, I still feel it is best… and that says a lot.

We got off the phone and I headed to Walgreens to pick up my prescription.  I asked the pharmacist about breastfeeding and the medicine & he said the same thing as my nurse did:  It’s not recommended.  (The information pamphlet said the same thing too in all capital letters.)

I also asked the pharmacist about alcohol with the medicine.  I don’t want to mess around with an anti-depressant.  He said that a drink wouldn’t hurt anything as long as it was drank after a few hours of taking the medicine.  Good to know for future.

All in all, it’s been a crazy day.  I’m not kidding when I say that a weight has been lifted from my shoulders.  It’s nice to know that I have supporters out there that are on my side whether I’m breastfeeding or not.  It’s even nicer to know that I’m doing this for my sanity and for my baby.  I want him to have a happy and loving mom.

It bothers me that I didn’t make it without having postpartum depression, but I know that I’ll be okay.  I got help when I realized it was too much and that speaks volumes.  It’s nice to think about how things will be in a week, when the medicine has hopefully kicked in and helped me to see things differently.

I told Tarzan that I just felt blank earlier.  It’s true.  These past few days I’ve depended on him a lot with Monkey.  I didn’t actually put two and two together until tonight though.  I didn’t want to feed Monkey or change his diaper.  I would conveniently run errands or ask if he minded if I took a bath right around the times that I knew Monkey would be waking up.  It was my escape, I guess.

Tarzan said that he realized something was up too.  He said that I’ve been acting differently these past few days.  I guess it just took a while to put the pieces together.

I’m excited about the next few days and for the medicine to start taking effect.  Postpartum depression is no joke and I can’t wait to write about how different I’m feeling… stay tuned for whenever that happens.

And when I left to go to Walgreens, I jokingly told Tarzan and I would definitely come back home.  I told him that I was excited to be excited to be a mom and that I knew I was going to be okay.  And be the best mom to little Monkey, because really, he deserves nothing less of that.

You might also want to read:

  1. Being real with therapy, postpartum depression, family, & friends
  2. Past memory of postpartum depression, breastfeeding Monkey, & my dog
  3. Six week postpartum appointment and going to a psychiatrist for postpartum depression
  4. Normal feelings towards motherhood or something more serious like postpartum depression?
  5. Postpartum depression: Success with being real & worrying about word vomit
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Hang in there Jane. You are doing good. The baby will be fine. You look after yourself! Anne from London

I would not put ice packs on your boobs. To alleviate being clogged, you should buy warming pads from Gerber. If you want, you could try pumping to alleviate some pain. Pump when you are too full and dump it since it's medicated, put on warm packs, the milk will go away soon without the baby sucking.
On the bright side, this development is making your blog more popular, as people are arguing over your decision. Seems like most people are supportive, though a few people were willing to write what they really think. The truth is most of your readers are supportive, but not all of them have to agree with "Jane's decision". This is what you get when you ask people's opinions and put your thoughts and "your character --Jane's life out there". Don't be depressed though...you are doing the right thing because it is your life, and as long as you are happy with it, this is what counts!

Hey I've made it almost to the most recent blog post (You might remember that I started reading your blog from the start about 4 days ago :) ) and I just wanted to say a few things.

Annie - whilst the breast might be best, is a mother who eventually gets so worked up that she considers committing suicide and taking her child with her also best?? It is people like yourself that push people over the edge. Get off your soap box and crawl back under your stone aged rock lady - where did you get your medical degree?!

Secondly, Jane and Tarzan, I'm not sure this has been mentioned but you have potentially stopped many women from harming themselves and their children because you are so honest about your experiences with PDD.

If even just one person realises that they are in serious trouble and contacts their health care professional (Because believe it or not Annie they actually know what they are talking about!) you have saved someones life. That in itself is a little miracle.

I would just like to mention to you both, my own mum couldn't breastfeed no matter how hard she tried the milk wouldn't come in and expressing gave her 3 drops and nothing else. You are both showing the women and men who read your blog that it's ok to bottlefeed and not be ashamed of the decisions we sometimes have to make for our children.

Jane, I hope you are feeling a bit better about the whole situation, and Tarzan, I hope your happy go lucky Jane returns to you soon.

You're both doing an amazing job!

Love Melani

:(

I was rooting for yah. I am just like u were feeling like breastfeeding is just the way to go and there's no other way. Now I'm not so sure. Everyone is different so hopefully...

I have noooooo idea what ppd is like so I'm really happy you were able to identify quickly and do whats best for your fam.

Best of luck!

I'm really glad to hear that you are taking care of yourself so that you can take better care of your son. You are doing what is best for you and your family and that's all that matters.

For formula, everytime you're at the dr's or pediatrician ask for samples. They usually have tons and it will help you test out which one's Monkey will like.
We love ya and fully support your decision!

Good luck!!!! I hope you start to feel like your "old self" again Jane. not gonna lie this one made me cry. I'm glad you got the help you need and I'm behind you 100%!!!!

I'm glad you got the help you needed i felt so much better when i got help too! Fomula is fab don't worry about it all my 4 were and are forumla fed and they are perfect in every way, don't feel bad about the breast feeding you are doing what is right for YOU and that is what matters. take care xxxx

Even though i dont appreciate your decision to stop breastfeeding i appreciate your truth and boldness to call your doctor and accept u have PPD. Good luck.

Laurie @ http://www.postpartumprogress.typepad.com/ sent us an email and I wanted to share a site she gave us with everyone who is seeking additional info on PPD.

I am so happy for you Jane, you did just the right thing. You are taking care of youself so you can take care of your baby. PPD is something real and serious and needs to be taken care of as soon as possible. Don't feel like you're letting anybody down, you are doing the best for you baby and that's what great moms do. Your baby will be happier and you too and that's the most important thing.

Hey guys.
I just wanted you to know that I think you're both very brave. I applaud your honesty, your courage and your obvious love for one another and for your baby. Not one of us should sit in judgement of your decisions, because we cannot possibly know what it is like to be in your shoes.
I have two daughters, ages 3 and 1, and, although I didn't have the blues after their birth, I definitely felt overwhelmed at times and very anti-social almost all the time. I just wanted to get to know my baby, and it was hard to do that while entertaining guests! Don't be so hard on yourself Jane. The people who love you will understand if you don't get back to them, or you don't want to visit. But DO reach out and ask for help. If I was your pal, I'd want to do anything I could to support you and your precious family through this time.
Finally, IT DOES GET EASIER!!! For me, I felt like a fog had lifted when my babies were about three months old. And again, I wasn't someone who suffered from depression or had the baby blues, but it was still overwhelming at times.
Anyway, you're smart, you're strong and you're well-loved. You'll get through this and go on to have a wonderful love story with your monkey.

Jane, I wish I had a blog like this to read after my daughter was born. Thank you for your honesty - so many of us have felt the same, you're not alone by any stretch of the imagination.

I suffered severe blood loss (3L) and 86 internal stitches - my recovering body was doing things other than making milk (for like, 4 months!). Yet, when ever someone my age (formula was the norm for the older generation) heard we were using formula, their reaction was as though I was giving our little one Arsenic. I resigned to the knowledge that I did what I had to do for our family to be happy - as a unit.

There are women in poverty stricken countries who would beg, borrow & steal to have access to the kinds of formula so many people damn. Breast is NOT always best.

Tarzan - you were far too kind in your response. Thank you for being far more diplomatic than I ever would have been.

Jane, I am glad you were able to do what is right for your family. I have no negative comments to say, and honestly, feel like anything negative is best left unsaid (I'm a firm believer in if you can't say anything nice not to say it at all). It's not a selfish thing to "not breastfeed" when you know that breastfeeding may not be beneficial any longer. PPD is not something to take lightly so I'm glad you were able to take care of it. You know when something is not right. As for your blog not being funny anymore, being a parent has it's ups and downs. And I can look at many of your blogs and still laugh. I think it's why I love your blog so much. It's not fake. You speak true no matter what you are going through. Tarzan has great reason to be so proud of his wife. Though you don't feel l ike it, you are showing great courage in being able to tell how you feel. I hope no one makes you feel worse than you are feeling now because you are doing what you can. When all is said and done though we will all go away and all that is left is your family. That is all that really matters is your family.

I sent you an email Jane, because I had some personal stuff I wanted to share (and didn't want to do that here necessarily) but I just wanted to comment to say that you took the biggest and most difficult step of all when dealing with PPD and that is the one where you decide to get help. BIG HUGS from an avid blog follower!!!!

You are so brave to be so honest and it is greatly appreciated! I also struggled with breastfeeding for two weeks. My baby had high levels of jaundice and needed immediate milk to bring it down, my milk wasn't coming in, he wasn't latching and when it did come in I could only pump 2 oz which I fed to him but started feeling overwhelmed. As soon as I started with formula, feeding became a joy and something I could share with my husband. Congrats on taking good care of yourself, showing your son by example, that you can take care of yourself will teach him that it's okay to take care of himself. It's like the oxygen to you first before your child on the airplane analogy....There seems to be sooo much judgement about what the "right" thing is...and who is perfect enough to ascertain what is right for others? I know a few dysfunctional adults that were breastfed, and some great humans that were bottle-fed, so clearly, it's not the only part of parenting that makes an imprint. Breast milk is great but one day he'll probably eat a hot-dog with koolaid and birthday cake and he'll still have a good chance of thriving:) I hope you feel proud that you are making healthy choices and not afraid to share them and open yourself up to scrutiny. I think your blog helps others with similar struggles, including me, to know they are not alone. Kudos!

Jane, hang in there. After my first child I had to go back to work to support my family. I remember when she was 4 weeks old thinking, I CAN'T DO THIS, how am I supposed to leave my beautiful angel and try to work while being so sleep deprived I can't remember how to drive (really happened)? But two weeks later it all came together, it will for you too. I always refer to the first month as the "in the trenches" part of having a baby. You're exhausted, hormonal, overwhelmed, and having to redefine who you are. The best thing for you to do is get some help, and get some rest. Put together a list of things you want done and when someone offers to help, ask them to do something off the list. Our culture doesn't respect the requirement for rest after having a child, but you need it and it will make a huge difference for you. Take care

Tarzan, you sound like an awesome husband. Keep up the good work.

Good for you for doing what is best for you and your baby and your family. You deserve to enjoy being a mom. ((hugs))

I am so proud of you Jane. Most women are far gone by the time they call the doctor and that just adds to the burden for them. I have been on Lexapro for almost 8 years now. I have a chemical imbalance that is exacerbated by my birth control so I take to keep myself in balance. I have never felt like I was on an anti-depressant. I just felt like myself again, I still get upset, I still cry sometimes but its not all the time. All Lexapro did for me was let me be me. I was a little ashamed at first but then when I started to feel better I didn't care anymore, I was me again. Lexapro is a very mild anti-depressant, one of the mildest out there at the 10mg dose. So you're not quite as bad as you though you were if they prescribed that. Oh, and I have never once had to increase my Lexapro dose, been the same since day 1 and I still feel like a person. I sincerely hope that it works as well for you as it has for me all these years. There is no shame in needed a little help to be yourself sometimes.

Jane, you're doing great! A happy mommy = a happy baby, and you're doing what you need to do. Congratulations!

I also wanted to mention re: medication and alcohol. I KNOW how much you probably look forward to that beer or glass of wine with dinner, and yes, it's probably fine. BUT, if you're having a particularly hard day, remember that alcohol is a depressant and can actually make things worse for you!

I haven't read all the comments but I've read a couple. I've seen some people that want to help you continue to breastfeed and I've seen some people that condemn them for wanting you to continue.

The first few weeks were miserable for me as well. Hell I even think it's a hassle sometimes and my Tater is now 8 months. Recently she went through a breastfeeding strike and I realized how much I missed it.

I never went through PPD, but I had the baby blues. I didn't even get to make it home before they were offering me "drugs" to help with them. I've never been one to take medication regularly so I knew it would only hurt me if I took them.

I feel like, after reading your post, that if you want to stop breastfeeding, fine. At least you tried. At least he got more than some. I mean you gave it your all, and it didn't work out. By stopping, I think you're making the right decision. You'll be happier. He'll be happier. Hell maybe even the dog will stop being an ass now.

EVERYONE"S STORY IS DIFFERENT!

You did great and you're doing even better now! *hugs*

Oh, Jane, thank you so much for sharing your experiences with the world! It is so good to feel like I'm not alone. My little boy was born 3 days after yours (he was 2 weeks early) and I've been following your blog all during your pregnancy and beyond. I suffered from a massive case of the baby blues the first two weeks, partially because I developed mastitis and BF was so painful (not to mention I had a 102 degree fever -- pure misery when you're sleep-deprived), so I had to pump every 2 hours to keep up my supply. Long story short, I ended up quitting for good about a week ago. I just couldn't handle it anymore. And let me tell you, while I still feel overwhelmed with motherhood, quitting BF was the best decision I ever made for my sanity. My boy is healthy and gaining weight just fine. I feel guilty, but when I think back to how horrible BF was, I know I made the right choice.

I just wanted to add to everyone who put you down for not breast feeding F**K YOU!! This really makes me angry (I read a few more posts). You shouldn't listen to any of them. You are doing what's best for you and your family. Don't let anyone make you feel bad for that. Just ignore them because you are such a great mom and what you're doing isn't wrong!!! It was the best choice to make! So all you rude ignorant people F**K YOU!!!
(Im sorry I get carried away sometimes. I am just a hormonal pregnant woman : )

I just wanted to let you know that you are doing a great job!!! I read the first comment and couldn't read any more. I hope no one gives you trouble for not breast feeding. 1.) You shouldn't while taking that medication and it would be worse (for you and Monkey) if you continued to do it and 2.) Formula is great too! My sister has formula feed all 5 of her kids. They are all smart, no health problems, etc. Her 4 year old can tell the time on a real clock (not a digital one). It is better that mommy is happy and that in turn will make baby happy. Monkey may have been more fussy because he can sence you aren't happy. I hope this medication works well for you! You and Tarzan are such wonderful parents. I hope me and my hubby can be as great as you guys! (Im expecting #1) Dont feel bad for stopping breast feeding. Honestly, would you rather be horribly miserable and breast feed or be happy and enjoy your baby and bottle feed? I know I would choose #2. I have never planned on breast feeding (if I can I will but I don't think I can. I have 3rd degree burns on my boob since I was 3) and I know formula has so many vitamins and is still very healthy for your baby. Keep up the great work. I love your site. (Its the one things I look forward to when I go to work : ) Sorry if I rambled or didn't make sence.

I know people are trying to help, but she's made up her mind to not breastfeed because that's the best choice for her. Trying to convince her otherwise is not helping her!

There's more than one med to treat PPD, and more than one that's safe for breastfeeding. This is a case where you can have your cake and eat it too, and I encourage you to consider it.

Jane, Similac Advance is a great formula! It was my first choice to use, but my son didn't do well on it. He got very fussy because it made him gassy. He also had a hard time pooping when he was on it. I asked my pediatrician and he recommended Good Start since it's more gentle. A couple days after we switched he wasn't as fussy and he was pooping normally again. Chances are though that Monkey will do great with Similac. I know a lot of people who used it with their babies and they did great with it!

It might also take a few days for his tummy to get used to the formula. Do you have any breast milk left over that you could mix it with to make it more of a gradual change? If not, don't worry! I didn't have any extra so we switched cold turkey and it turned out okay. =)

Let me know if you have any other questions!

It is wonderful that you got help. DO NOT FEEL BAD ABOUT STOPPING BREAST FEEDING. With as much as you say Monkey has been fussing and the difficult time you are having, it seems like switching to formula is what is best for both of you. There is nothing wrong with formula. My first child was formula fed after I had problems with breast feeding her. It happens. Not everyone can do it. But I want to offer you a word(s) of encouragement. I was able to breast feed my second child for 14 months after only being able to breast feed my first child for 5 weeks. So don't lose hope for having a good breast feeding experience with future children you two might have.

Honestly, I couldn't get through the whole post, however breastfeeding is almost always hard on first time moms for about 6 weeks post partum. It does get better and it isn't always a miserable experience at all.

Have you read any of what Dr. Hale has to say about antidepressants and breastfeeding?

http://kellymom.com/health/meds/antidepressants-ha...
Finally, Dr. Hale concluded his talk by saying that breastfeeding should be supported fully and not interrupted by mom's needs for medication; and that treatment of postpartum depression can be accomplished relatively safely in breastfeeding mothers. So, in his consideration, moms should continue breastfeeding and should get drug treatment as needed for depression.

I know how hard these first few weeks are. I had mild PPD and I would have killed to have the supply to exclusively breastfeed my baby. I didn't, so I had to struggle with PPD while breastfeeding using an SNS and formula with my first. I hated breastfeeding for the first few weeks.

It gets better. It's not always like this. And you don't have to give up breastfeeding to be happier.

I think you are very strong for taking the step to get help! Don't ever feel weak or that you failed for getting help and doing what is best for you. Your son will be just as heathly and happy with formula!

First, Jane - I am 100000% supportive of your decision.
Second, let me rant for a second or two... I think the idea that "breast is best" needs to be discussed here. No doubt there are probably important antibodies that initially help protect a newborn against illness, but.... shouldn't the internationally known phrase "breast is best" be a little bit longer, as in
"Breast is best when mommy and baby are BOTH happy."
"Breast is best when it's not causing repeated illnesses for the mommy or baby." "Breast is best when the baby can latch on correctly, and the mother's milk is plentiful."
"Breast is best when the mother has the time to nurse or pump but if she's back at work after 12 weeks and she finds herself stuck in the ladies' room two hours a day pumping and missing out on meetings and becoming irresponsible putting her job at risk, then breast is NOT best."
Hey now, just trying to bring some common sense to the issue because La Leche League certainly doesn't. Without common sense on the issue, all mother's are at risk of feeling immense guilt when they make a choice to formula feed or supplement with formula. Let's try to change that by being honest that breast is best when it's good for the family.

To both T & J--great job on looking out for Monkey and doing everything you can to make sure he has a happy, healthy mom! I'm 17 weeks along and so greatful to have found your site several weeks ago.

Thank you for dealing with topics which are all-too-often ignored and talking about them honestly. I've read over several posts with my hubby and they've helped me talk openly with him about many of my concerns about motherhood. I know my mom had a really hard time with PPD and it scares me but hubby and I have talked about it, he's encouraged me to discuss my concerns with my doctor before it becomes an issue (even ask her if she thinks its appropriate for me to have a just in case script) and he, my mom, and my doctor will know to watch for signs in me once our little one gets here.

Its also been helpful to read about your BF struggles. Hubby really wants me to try BF and I will, but I've also already discussed with him that its very difficult for some women and they end up resenting the baby for it and I don't want that to happen. I can deal with any inconvenience of pumping and working but I don't want BF to interfere with enjoying my baby. We've already decided that if that happens, I'll stop. The plan is for me to try to BF for 6 months, but if I can only do it for 6 days, that's better than nothing.

Thanks again for helping bring these topics out in the open. Hubby and I are pretty good communicators anyway but you've helped open those channels of communication for us even more.

Keep blogging--

Lisa

jane, i applaud you for your honesty, courage and for being a good mother to your baby monkey by taking care of yourself. everyone is happier when they are surrounded by calm, happy people!

tarzan, good work, my man. you are a great husband and father.

so proud of you both for taking every possible stride to ensure your family's happiness. now pack a bottle and go get some good tex-mex and a margarita. sounds like you deserve it!!!

Jane, don't let anyone browbeat you about "breast is best," because there are exceptions to every rule. As a new soon-to-be mom, I also hope to breastfeed my baby. I am grateful to read your honest account of how breastfeeding is not right for everyone. It's great that you gave it a try (and it sounds like a LOT of work!) and even better that you realized it wasn't working for you and your family. There is nothing wrong with feeding formula and everything to gain if breastfeeding is contributing to your sense of being overwhelmed. I hope I can remember your example if I find breastfeeding to be too much. Good luck and sunshine to you!

You're awesome for doing what is best for you and your baby!

Jane,

I think you are a ROCK STAR for being real about your feelings. You are showing how wonderful of a mother that you actually are. Monkey is super lucky to have you.

I am 35 weeks pregnant and the thing that has caused me the MOST anxiety is thinking about breastfeeding. I already have a son that is 9 years old and I didn't breastfeed him but about 2 weeks and I have some regrets that I would like to try to overcome this time around. However, your post makes me realize that I need to be realistic about it and also need to keep in mind what is best for my little one. I also will keep in mind that my baby will thrive and be healthy no matter which feeding method I use. Thank you!

I love your blog and your honesty. I think you will help many women by your last two posts.

Keep up the great work mommy!!

I am so happy that you guys saw the signs early and did something about it. PPD is nothing to play with - EVER! I agree that "Breast is Best", but there are a ton of other factors. I often thought about posting and recommending that Jane stop breastfeeding because it sounded like it was just wearing her out, but I thought that was something you guys would decide when you all were ready. I can't tell you how comforting your blog has become to me. I am 14 weeks pregnant and just seeing your real posts and your honest stories is a relief. Keep up the excellent parenting and keep us posted!

You have done a wonderful thing for yourself and your baby. It is critical that YOU are happy and healthy in order for your baby to be happy and healthy. When I was in treatment for postpartum depression, I'll never forget the words of my nurse: It's like being on an airplane. You have to put on your own oxygen mask before you can put one on the baby.

That analogy helped me through some pretty dark days. Kudos to you for putting on your oxygen mask! Everyone, especially you and baby, will be happier. Take care.

I am so glad you sought help. That is the best thing for your family. When you get to formula, be sure to sign up if that brand has a site. I get coupons for the formula I use all the time. Like $5 off which comes in handy since I use a can a week with my little monkey.

Keep your chin up. You are doing great and not alone in the feelings you have.

How amazing for you to realize that all the little things you were feeling could be tied together and fixed all at once. So happy for you! Monkey is such a lucky baby to have someone so honest and loving in his life.

Hi Jane,Iam glad you got in touch with your doctor yesterday i could see you were going downhill with everything ppd is very serious and you did what you had to do.Already the air has lifted around you ,you can sense from your post, things will get better quickly for you now.I think you miss your cuddles with tarzan at night and i know he misses you but now that you are bottle feeding move the baby into your room and take turns through out the night and also get out of the house as much as you can now that you are bottle feeding you will feel that you are not so isolated.My God when we become parents we are really thrown in the deep end all the books in world wont help because every baby ,every mother and father are different so no experiences are the same.You are a fabulous mother look at what you have achieved so far,so keep up the wonderful work.

Thanks for all the support out there. It's amazing to have so many Internet friends that have my back. :)

You know it's funny... There were certain things that I knew I wanted to do when I was pregnant and one of these things was breastfeeding. If anyone asked me about it, I always replied with it being a for sure thing. I never thought otherwise. And I certainly never thought or wondered about my son not latching on, my supply not coming in, or just having any general problems with it. I just knew that I was breastfeeding and that was that.

I had heard from others and online that breastfeeding wasn't as easy as you would think it was, so I really felt prepared on that aspect of it. What I didn't ever think about was if I would be happy doing it. I also never thought about PPD either. I honestly (and probably naively) just thought that those things wouldn't happen to me.

I've never been depressed before and always been a very happy-go-lucky type of girl, so I thought I would jump into this motherhood thing and kick some ass. Obviously not so much the case though. I think that's why everything has affected me so much. I never thought that I would have issues on doing what was best for my son. It seemed like a no-brainer to me, but I never took myself into account.

Anyways, I feel like I'm rambling on right now... I just want to say thank you for still being interested in our blog even though I feel it's a lot more serious than it used to be. Thank you for still coming back and reading. Most importantly, thank you for supporting me in my decision.

I know that there are many pro-breastfeeders that read my blog and, not gonna lie, I feel like I let all of them down with the great advice that they have given me. Not that I have to defend myself, but I really was going to try to give it the 6 weeks, but I just can't. PPD got thrown in the mix and I need to think about my whole family instead of just myself right now. Please know that I've listened and been so grateful for all the breastfeeding help & I just hope that y'alls comments can help others when it comes to breastfeeding.

Brandi - I think it sounds like you're going to be a fabulous doula and LC! Thank you for not judging and for having such a great attitude about it! I'm glad to have you as a new reader & wish you the best in your career & life!

devaskyla - Thanks for the link. My boobs are actually doing just fine right now, which is surprising. As far as seeing someone and talking to someone, they did give me that option. I actually chose the medication route because I don't want to talk to someone right now. I'm not sure why, but I want to try to handle it with medicine and it's good to know that I have the option of talking to a trained psych. if I want to go that route later on.

Tarzan - Thanks for being a great & supportive husband! I love you.

Stacey - I can't wait to take a look at your blog about PPD. So glad that you left a comment!

Kristin - Well, I called the pedi as soon as I realized that we would use formula. Right now it is 336am and I still haven't heard back from her. :( I bought the ready to feed Similac Advance... it says that it is "most like breastmilk". I had no idea what to get and was freaking out about giving my son something that would upset his tummy. Hopefully the pedi will call me back today so that I can ask her opinion on what formula works best. Thanks for giving me your opinion. What was it about Similac that your son had a hard time with? Is there anything particular that I should watch for after he eats? Just one more thing to stress about... at least until we find the "magic" formula for him.

So glad you're feeling hopeful again. Glad you picked up on it sooner rather than later. Yes, "breast is best", but not at the expense of all the other things that also are important, like your sanity. Hope you feel better soon, we're on your side!

Also, I think Annie and everyone else are entitled to their opinion. You knew doing this blog that not everyone would agree with you on all points. Parenting is a controversial business. So please, listen to all the comments, but do what you know is right for you and your family.

Seriously, Annie you obviously are quick to judge and it's not necessary.

Jane, I went through the same thing with the breastfeeding. I was all set and excited to do it, but when it came time it was too hard. My son didn't want to latch. I was pumping every three hours around the clock and would get less than an ounce from each side each time. By day 5 my milk still wasn't in and I couldn't take the pressure anymore. I was miserable and knew breastfeeding wasn't going to work for my son and me. It was a really hard decision, but was the best thing for us. I too instantly had a weight lifted off my shoulders and was much more happy.

Don't let anyone make you feel guilty! You are doing what's best for you and monkey. I wish you lots of luck and hope you feel like yourself again soon!

Oh, I forgot to ask. What kind of formula are you going to use? I recommend Goodstart, Protect Plus (the green can). It has partially broken down proteins so it's gentle on the tummy. My son had a hard time with anything Similac, but of course every baby is different. It might take some trial and error to find the right one.

Breastfeeding comes really easy for some moms, but not for others. You tried, and he got the first few really important days on the breast. Don't stress - As a child care provider for many years I've had babies on formula & breastmilk, and they all thrive, and they all occasionally get sick from whatever germs are floating around. Happy moms are better moms. There are much bigger challenges in your future - don't let anyone make you feel bad. I would seriously check out the generic versions of formula though - since it's a pharmaceutical product it's all regulated, and you can easily compare the nutritional breakdown. You will be amazed at the savings over time if this route works for you!

well, I wasn't going to say anything. But after reading Tarzan's comment I have to say "Go Tarzan" It really doesn't matter what any of your readers' opinions are and way to support your wife!
Also, it may help the pain if you pumped (and tossed...not to feed Monkey!) a couple times a day. This may take a little longer than if you did it the nurse's way, but may be a little less painful. It also will keep you lactating if you do decide to nurse again.

annie can be a little direct in her wording - but i don't think she's uneducated or stupid. there are a lot of antidepressant options that are safe for breastfeeding, so i wouldn't let that be the straw that breaks the camel's back... i'd speak to someone experienced with PPD in lactating moms... if you call your local LLL leaders or put out a call on twitter there are a number of us who have Hale's book on medications and mother's milk and could let you know what research is out there about the meds you've been prescribed and breastfeeding - the Physician Desk Reference which is likely what the nurse and pharmacist were looking at is a very CYA source - it's material written by the drug companies, not from lactation researchers. you can also search individual drugs at http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT

that said, you obviously have had nursing challenges, and PPD is no walk in the park, and is surely more common in those who have struggled with breastfeeding. if weaning from breastfeeding is the way to go for you, i would also suggest weaning slowly to make it easier on your body - even if that means you're pumping and dumping because you don't want to get the meds in to your baby's system. a rapid wean for you could also throw your hormones into flux right now - the last thing you need with PPD. if you get the info from Hales you might also find out about the half-life of the drugs and metabolism in babies and whether you might be able to time feeds or pumping around your drug schedule so as to wean Monkey off breastmilk more slowly, too, without exposing him to much of the meds.

lastly, i'd like to just point you to great advice from askmoxie about preventing PPD - http://moxie.blogs.com/14Tips.pdf

take good care of yourselves! there may be dark days right now, but there will be many bright days in the future!

Hi Jane,

I've been dealing with PPD since my my son was a few weeks old. I just started getting better recently. I think it's wonderful that you've decided to make yourself better, I also bottle feed. We tried breastfeeding in the hospital and it didn't work, I already felt fragile and didn't want to tempt it since I have a family history of depression. Personally, I think that having that time to feed my son, that time cuddled together is bonding, not feeding him from my body. I also did try to feed him skin to skin at nightg at the beginning so we had a similar feeling to breastfeeding. I don't want this to seem like an ad but I did want you to know my blog is about PPD, also I recently started a new online support group you can find the link at my blog. And if you would ever like to talk you can email me at XXXXX (email hidden to protect Stacey from Spam, but we do have your email:).

Congrats for getting the help you need, it's a diffcult step, but the most important.

Stacey

Jane, I'm so happy for you to feel this weight lifted! I can tell you will really be able to focus on & enjoy the happy times w/ your special little family(dog too:)!
Your choice not to BF is the best one for you all, monkey will be healthy, smart and a happy baby w/ a happy mommy!
My mom only BF me for 2wks(she has been in education for like 29yrs....so she is pretty smart when it comes to knowing what's best for children!)but it just didn't work for us, and I have been SUPER healthy and happy for the last 27yrs of my life!:) I am preggers w/ our 1st now and he is healthy and active! Not BF is a great choice for you and don't let anyone tell you any different or make you feel bad about it! Your choice to call the doc and to switch to formula so monkey doesn't get exposed to anti dep is the best thing you could do as his mommy!!! Your posts have helped me through so much of my pregnancy and all the questions new moms have! I look up to you and it was a very HUGE thing to share your story of PPD so honestly and openly!
**Oh and cabbage helps!!! My girlfriend used them and her ladies were back to normal in no time!!!
Xoxo -c

So proud of you Jane for doing what you know is right for you. Breastfeeding is great, but if you are right that if you are miserable and so is he, its just not right for your family. I didn't have postpardum, but I know that its a tough go, so I'm so happy that you were able to address it so promptly and get some much needed help. Way to know yourself and your body and pay attention to your feelings! You will be in my prayers, and I know things will get better!

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