Prevention of Post Natal Depression - A talk for Midwives

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An illuminating presentation originally promoted to Dr Miriam Stoppard at a Midwifery Study Day as to how emotional and physical preparation through pregnancy can help prevent PND.

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  • We have all heard about PND Effects are far reaching This does not only effect the mother but the baby, the father and the family This is 10 – 15 women in 100 This would be an epidemic if PND was a virus! As a hypnotherapist and psychotherapist - this is an epidemic and requires our full attention
  • Every 90 – 120 minutes Brain switches from left to right hemispheric dominance Breathing will change from left to right nostril dominance Bodies natural rest period
  • Every 90 – 120 minutes Brain switches from left to right hemispheric dominance Breathing will change from left to right nostril dominance Bodies natural rest period
  • Every 90 – 120 minutes Brain switches from left to right hemispheric dominance Breathing will change from left to right nostril dominance Bodies natural rest period
  • Every 90 – 120 minutes Brain switches from left to right hemispheric dominance Breathing will change from left to right nostril dominance Bodies natural rest period
  • Every 90 – 120 minutes Brain switches from left to right hemispheric dominance Breathing will change from left to right nostril dominance Bodies natural rest period
  • Relaxation sandwich! No one size fits all!!! Yoga, pilates, running, walking, reading, massage etc
  • Every 90 – 120 minutes Brain switches from left to right hemispheric dominance Breathing will change from left to right nostril dominance Bodies natural rest period
  • Every 90 – 120 minutes Brain switches from left to right hemispheric dominance Breathing will change from left to right nostril dominance Bodies natural rest period
  • Every 90 – 120 minutes Brain switches from left to right hemispheric dominance Breathing will change from left to right nostril dominance Bodies natural rest period
  • Prevention of Post Natal Depression - A talk for Midwives

    1. 1. Relaxation & Control Hypnotherapy aiding Mental Health Post Natal Depression and Post Traumatic Stress Disorder
    2. 2. Post Natal Depression <ul><li>10-15% of post partum (after birth) women develop Post Natal Depression </li></ul><ul><li>Family relationships (partners, other children etc) suffer with the effects of Post Natal Depression. It effects the entire family </li></ul><ul><li>Breastfeeding is difficult </li></ul><ul><li>Bonding with the baby is compromised </li></ul><ul><li>Other far reaching effects </li></ul>
    3. 3. Agenda <ul><li>What causes Post Natal Depression? </li></ul><ul><li>What promotes Mental Wellbeing? </li></ul><ul><li>Clinical Evidence of Hypnosis to help cure Post Natal Depression </li></ul><ul><li>How does Hypnosis work? </li></ul><ul><li>Breathing </li></ul><ul><li>Hypnosis for Childbirth </li></ul><ul><li>Fear-Tension-Pain Syndrome </li></ul><ul><li>Relaxation </li></ul><ul><li>Promoting Mental Wellbeing </li></ul><ul><li>Birth Secrets Classes, Book and CD range </li></ul>
    4. 4. What causes Post Natal Depression (PND)? <ul><li>We don’t really know! </li></ul><ul><li>Some likely causes: </li></ul><ul><ul><li>Feeling of being “out of control” during childbirth </li></ul></ul><ul><ul><li>Have had depression or PND before </li></ul></ul><ul><ul><li>Do not have supportive partner </li></ul></ul><ul><ul><li>Premature or sick baby </li></ul></ul><ul><ul><li>Loss of own mother as a child </li></ul></ul><ul><ul><li>Various stresses and anxieties </li></ul></ul>
    5. 5. What promotes Mental Wellbeing?
    6. 6. What promotes Mental Wellbeing? <ul><li>It may be different things for every person </li></ul><ul><li>Mental wellbeing will only be achieved if you have all your basic human needs met </li></ul><ul><li>Maslow’s Hierarchy of Needs is a good place to start searching for what gives us mental wellbeing </li></ul>
    7. 7. Maslow’s Hierarchy of Needs
    8. 8. Our Basic Human Needs <ul><li>The need to give & receive attention (friends, family, social network) </li></ul><ul><li>Taking need of the mind-body connection (breath, sleep, food, exercise etc) </li></ul><ul><li>The need for purpose (goals, work, parents) </li></ul><ul><li>Connection to something bigger than one self (religion, clubs, a cause/purpose) </li></ul><ul><li>The need for creativity & stimulation (learning new skills) </li></ul><ul><li>The need to feel understood & connected (intimacy, partnership) </li></ul><ul><li>The need to feel a sense of control </li></ul>
    9. 9. How do we deal with normal challenges in life? <ul><li>Having a sense of control </li></ul><ul><li>Sense of knowing/knowledge </li></ul><ul><li>Confidence in your own ability (body/mind) </li></ul><ul><li>Fear of unknown is removed </li></ul><ul><li>Informed decisions </li></ul><ul><li>Information gathered from others – history/research </li></ul><ul><li>Tools to help you with the process </li></ul>
    10. 10. Having a Baby <ul><li>If we feel the need to prepare for a ‘normal challenge in life’ why do we not prepare for labour, childbirth and parenting to the same degree? </li></ul><ul><li>Antenatal classes give information on ‘signs of labour’, ‘pain management’ and ‘medical intervention’ but they fail to prepare us for the day of labour or parenting. </li></ul><ul><li>Birth Secrets courses and hypnosis is a wonderful tool in preparing you for labour, birth and parenting. </li></ul>
    11. 11. Many clinical trials have been conducted using hypnosis during pregnancy to eliminate Post Natal Depression by reducing medical intervention during labour We will take a look at them now
    12. 12. Clinical Evidence <ul><li>P. McCarthy (1998) ‘Hypnosis in Obstetrics’ (1998), Australian Journal of clinical and Experimental Hypnosis , 26, 35-42 </li></ul><ul><ul><li>Demonstrated a “virtual absence of postpartum depression” using hypnosis in 600 women compared with 10-15% average </li></ul></ul>
    13. 13. Clinical Evidence <ul><li>M.W. Jenkins, M.H. Pritchard (1993), ‘Hypnosis: Practical Applications and Theoretical Considerations in Normal Labour’, British Journal of Obstetrics and Gynaecology , 100 (3), March, 221-6 </li></ul><ul><ul><li>Mean length of 1 st Stage of labour in primigravid (first time labour) women was 6.4 hours after hypnosis and 9.3 hours in the control group. </li></ul></ul><ul><ul><li>2 nd Stage of labour 37 min and 50 min respectively </li></ul></ul><ul><ul><li>Use of analgesic agents was significantly reduced in hypnotised group compared with control group </li></ul></ul>
    14. 14. Clinical Evidence <ul><li>Harmon et al, 1990, also reported lower depression scores in the hypnotically treated group. </li></ul><ul><li>Martin A.A, 2001, Pregnant Adolescents, the reduction of complications, surgery and hospital stay show direct medical benefit to mother and child and suggest the potential for corresponding cost-saving benefit. </li></ul><ul><li>Hao TY, 1997, showed a significant shorter time of the first and second stage of labour in the study group (suggestion therapy) than in the control group. </li></ul><ul><ul><li>Also indicated the conversation between nurse and mother to be played significant role in the outcome </li></ul></ul>
    15. 15. How does Hypnosis work?
    16. 16. Hypnosis/Hypnotherapy <ul><li>Hypnosis is a powerful, natural and safe state of directed awareness. </li></ul><ul><li>It is a state of profound relaxation that you allow yourself to enter. You are in complete control. </li></ul><ul><li>In this state of relaxation you are able to imagine and visualise a comfortable & enjoyable birthing experience. </li></ul>
    17. 17. The Law <ul><li>Your body is inherently obedient to commands </li></ul><ul><li>We generally follow the first instruction </li></ul><ul><li>We interpret words literally </li></ul><ul><li>Once one person does something that seemed impossible before then it gives others permission to do the same (4 minute mile!) </li></ul><ul><li>Your body does not know the difference between imagination and reality (just think of how a fantasy can make physical changes to your body) </li></ul>
    18. 18. The Law <ul><li>Your body is inherently obedient to commands </li></ul><ul><li>We generally follow the first instruction </li></ul><ul><li>We interpret words literally </li></ul><ul><li>Once one person does something that seemed impossible before then it gives others permission to do the same (4 minute mile!) </li></ul><ul><li>Your body does not know the difference between imagination and reality (just think of how a fantasy can make physical changes to your body) </li></ul>
    19. 19. If these laws are true then … <ul><li>We can begin to use different language to have a better experience of childbirth </li></ul><ul><li>We can use our imaginations to: </li></ul><ul><ul><li>Remove fear of childbirth </li></ul></ul><ul><ul><li>Gain confidence in body and babies ability to birth naturally with less medical intervention </li></ul></ul><ul><ul><li>Rehearse the day of labour in our minds, imaging the day going well </li></ul></ul><ul><li>Gain more information of how the female body works during labour </li></ul>
    20. 20. How does fear effect birth?
    21. 21. Dr. Grantly Dick-Read <ul><li>Dr. Grantly Dick-Read – 20 th century English obstetrician (London 1913) </li></ul><ul><li>“ My theories are drawn from observation at the bedside of labouring mothers, not in a laboratory”. </li></ul>
    22. 22. Dr. Grantly Dick-Read <ul><li>Discovered the Fear-Tension-Pain Syndrome </li></ul><ul><li>“ Fear is the cause of tension within the body” </li></ul><ul><li>Scientists discovered in mid-seventies that a source of natural analgesic was within the body </li></ul><ul><li>Endorphins – neuropeptides in the brain and pituitary gland (80 times stronger than morphine) </li></ul><ul><li>Endorphins produce a tranquil, amnesiac condition </li></ul>
    23. 23. Fear Response <ul><li>Adrenaline effects birth in a negative way </li></ul><ul><li>Muscles tighten and blood supply is reduced in the uterus as it moves to the arms and legs gearing you for fight or flight response </li></ul><ul><li>Adrenaline blocks the release of Endorphins (the bodies natural pain killers) </li></ul><ul><li>Endorphins – 80 times more effective than Morphine, you want those available during birth! </li></ul><ul><li>Fear constricts muscles, not expands and dilates them! </li></ul>
    24. 24. Relaxation and Uterus Function <ul><li>Increased blood supply/oxygen to Uterus </li></ul><ul><li>Muscles of Uterus are able to function effectively </li></ul><ul><li>Each contraction works in harmony with your body and feels comfortable </li></ul><ul><li>Each contraction is effectively dilating your cervix </li></ul><ul><li>Relaxation aids in dilation of cervix </li></ul>
    25. 25. What do we cover in the Birth Secrets Classes? <ul><li>Breathing </li></ul><ul><li>Visualisation </li></ul><ul><li>Language </li></ul><ul><li>Body position </li></ul><ul><li>Knowledge of how the body works </li></ul><ul><li>Give parents a sense of control & confidence </li></ul><ul><li>Release fear about childbirth </li></ul><ul><li>Bonding with baby </li></ul><ul><li>Light Touch massage </li></ul><ul><li>Birth Plan </li></ul>
    26. 26. Promoting Mental Wellbeing with Hypnosis <ul><li>Education of bodies natural function </li></ul><ul><li>Confidence in body </li></ul><ul><li>Language </li></ul><ul><li>Knowledge </li></ul><ul><li>Encouragement </li></ul><ul><li>Relaxation </li></ul><ul><li>Breathing </li></ul><ul><li>Body Position </li></ul><ul><li>Visualisation </li></ul><ul><li>Support </li></ul><ul><li>Confidence </li></ul><ul><li>Advice </li></ul><ul><li>Realise the miracle of birth </li></ul><ul><li>Excitement </li></ul><ul><li>Preparation </li></ul><ul><li>Positive Birth Stories </li></ul><ul><li>Role of the Birth Partner </li></ul>
    27. 27. Promoting Mental Wellbeing <ul><li>Feeling prepared for Childbirth reduces the rate of post natal depression to “virtually absent”! </li></ul>
    28. 28. Quote from Dr. Michel Odent <ul><li>World renowned advocate of gentle birthing. </li></ul><ul><li>“ One cannot help a physiological process. The point is not to hinder it.” </li></ul>
    29. 29. <ul><ul><li>If we hope to create </li></ul></ul><ul><ul><li>a non-violent world </li></ul></ul><ul><ul><li>where respect and kindness </li></ul></ul><ul><ul><li>replace fear and hatred … </li></ul></ul><ul><ul><li>We must begin with how </li></ul></ul><ul><ul><li>we treat each other </li></ul></ul><ul><ul><li>at the beginning of life </li></ul></ul><ul><ul><li>For that is where </li></ul></ul><ul><ul><li>our deepest patterns are set. </li></ul></ul><ul><ul><li>From these roots </li></ul></ul><ul><ul><li>grow fear and alienation </li></ul></ul><ul><ul><li>or love and trust </li></ul></ul><ul><ul><li>Suzanne Arms - Immaculate Deception </li></ul></ul>
    30. 30. Thank you Happy Birthing!

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