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.

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

Transcript

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