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MerlinFluff View Drop Down
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    Posted: 03 December 2008 at 11:47am
*hyperventilates*

I've made the massive decision (for me!) to start a family, I am due my next depo injection tomorrow but me and my fiance are going to GP to discuss support etc.

I told him last time I saw him I was planning to come off depo, had a long chat and he agreed. It's a big deal as I severe mental health problems, complex PTSD, severe depression and panc disorder with agoraphobia. Gp has recommended, in agreement with psychiatrist, that I stay on all my medication apart from the antipsychotics (I was taking them PRN as no sleep=psychosis). I am worried I'll hurt a baby on my meds, especially the antidepressant (not advised in pregnancy) and benzos taken 5 x a day (also not recommended). Anti psychotic has been replaced with a sleeping tablet that is safer though not as effective on me.

GP said he was going to work out the best way of supporting me, during planning, whilst pregnant and after and was going to have info ready for tomorrow.

I really want this but am also utterly terrified. Terrified my MH will get worse during pregnancy, terrified coming off depo will upset hormone balance, terrified I wont be able to breathe during pregnancy (panic disorder!), terrified as my chances of post natal depression is sky high (hence staying on meds), terrified I'll not cope and leave my fiance alone with a baby.

Lol, sorry, this is my first help help help post. I'm sure there will be many more!!!

Elly
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MrsMojo View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MrsMojo Quote  Post ReplyReply Direct Link To This Post Posted: 03 December 2008 at 11:51am

It sounds like your doc is going to be really thorough and figure out the best way to care for you and your future baby.  You have the best support. 

There are AD's that can be taken during pregnancy so I'm sure your doc will go through all the options with you tomorrow.  Good luck, I hope everything goes well and remember you're alway welcome to rant, rave, ask for advice or brag about how well you're doing (hopefully you'll have reason to do lots of the latter and not so much of the former).



Edited by MrsMojo
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Nefertiti View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nefertiti Quote  Post ReplyReply Direct Link To This Post Posted: 03 December 2008 at 12:01pm
Thats good your doctor is being so supportive.
However I disagree with MrsMojo on this one as there isn't any AD's that can be taken during pregnancy. Yes they can be taken, but ALL have their risks. I have just gone through this and have decided not to take any medication until I have past 24 weeks. Reason for this is that they all carry the risk of what is called 'spontaneous abortion'. This is a miscarriage before a baby can survive in the outside world. Which is generally 24 weeks.
I have discussed this thoroughly with a psychiatrist (contacted them just for their input on the medication and their recommendation) and also maternal mental health. Whereas the psychiatrist said he was ok with prescribing me the medication, he was very insistant that I knew ALL the risks, but also the benefits. This is where benefits of taking the medication are 'over ruled' by the risks.

I don't mean to scare you, but I really feel that before taking any medication during pregnancy, you should look at all the risks and benefits. Looking at your case, I'd say the benefits outway the risks.

I was also told that there is also a risk to baby if you don't take the medication! I suffer from panic attacks and if they aren't controlled, this can cause all sorts of problems in itself.

Get information from your GP, also contact maternal mental health and also a psychiatrist at the hospital....all of whom can give you actual facts. Don't google in this case.

Again, I don't mean to scare you. There are meds that can be taken....BUT..they all carry risks.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MrsMojo Quote  Post ReplyReply Direct Link To This Post Posted: 03 December 2008 at 12:10pm

Originally posted by Nefertiti Nefertiti wrote:

Thats good your doctor is being so supportive.
However I disagree with MrsMojo on this one as there isn't any AD's that can be taken during pregnancy. Yes they can be taken, but ALL have their risks.

 

Apologies if I've steered you wrong.  It's just I know of other pregnant women on here who are on ADs and from Nefertiti's posts they can be taken but there are risks so I assume your doctor will advise you about weighing up the risks of being on ADs compared to the risks of not being on ADs - thanks for clarifying that Nerfertiti

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Nefertiti View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nefertiti Quote  Post ReplyReply Direct Link To This Post Posted: 03 December 2008 at 12:24pm
Thats ok MrsMojo...that why on the end I added they can be taken...but with their risks.

I too came on here asking advice when a doctor had prescribed them to me. But I'm rather paranoid about taking anyhing in pregnancy and looked into it quite thoroughly.

Sometimes the benefits outway the risks, and thats a hard thing to get your head around being a pregnant mum.....so in MY situation I have decided to wait until at least 26 weeks (24 is just too early for my liking)....and if really need to take something, I will then.

I have a friend who is bi-polar and she wants TTC for her 3rd in about a year. She is already discussing this with her doctor and counsellors who are advising that in her case, medication will be decreased but wont be stopped as it's better for her mental health to stay on them.

So each case is different :)
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MerlinFluff View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MerlinFluff Quote  Post ReplyReply Direct Link To This Post Posted: 03 December 2008 at 12:30pm
Thanks for the support

I've been on quite literally every med under the sun, electro convulsive therapy and 7 years in a psych ward when I was younger. I approached my GP (I'm Mackenzie Country rural so we usually consult with psychs from Timaru over the phone!) 3 months ago (last depo) as I cannot come off my AD without ending up in hospital, I've been stable *ish!* for 5 years but anytime I try lowering my AD dose I plummet. So I am stuck with it, it's my 16th AD and the only one that works!!

GP (and psych) have told me full risks, but believe risk to myself way too high to come off the AD. Some ADs are better than others in pregnancy, at least I am not on one of the really bad ones and I'm not on lithium any more (definate no no).

With my history they doesn't believe I'll get through the first 3 months without meds, I'm inclined to believe them, as I'm on the lowest I can go without being suicidal. lol, GP told me he wouldn't continue with me as a client if I came off meds, he thought the risks were too massive.

My GP is very supportive, as is the practice nurse. We have discussed how I am very attatched to my animals (even have a psychiatric service dog :) which is a good prognosis for attachment to a baby. Can be a problem with PTSD.

I heard mention of maternal mental health in another post, it's not something I've come across, are we too far away from a big town to get that service? Or does it cover NZ?

Elly
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Nefertiti View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nefertiti Quote  Post ReplyReply Direct Link To This Post Posted: 03 December 2008 at 1:16pm
I was talking to a lady at the Hamilton one, and she covers a large rural area and visits all the ladies in far out places.

I was referred by my midwife....otherwise I'd have never heard from them.

My nurse from MMH has also worked closely with my doctor so perhaps your doctor could send a referral.

I'm presuming its NZ wide as ladies on here from all over have talked about their service.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MindyW Quote  Post ReplyReply Direct Link To This Post Posted: 04 December 2008 at 10:29am
Hi MerlinFluff, first off

It takes a lot to talk about our problems on here, but we all do. Congrats onmaking the first step to TTC.

I can only recommend that you have a close consultation with your G.P, MW and a mental health worker that ?specialises in maternal mental health and a pharmacist if poss- a real multi disciplinary approach to protect you, your partner and bubs, like the other ladies have suggetsed.

Good luck and all the very best and please continue to share your journey with us.
My Beautiful Little Emily

We've Waited for You Forever!
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pikelets View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote pikelets Quote  Post ReplyReply Direct Link To This Post Posted: 04 December 2008 at 7:38pm
Hi MerlinFluff,

I too think you are very brave for sharing your story and fears with us.

It sounds like you have an awesome DR, nurse who will give you lots of support, as will your DF.

I agree with Nefertiti - don't google for any info. You are best to use your support people for answers or queries.

I wish you all the very very best



3 Angels - Dec10 / Mar11 / Dec11
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Bree1977 Quote  Post ReplyReply Direct Link To This Post Posted: 04 December 2008 at 9:49pm
MerlinFluff, they say the first step is the hardest! It is a huge step to ask for help, to talk about problems or issues we have etc. I do not suffer depression or MH - however my mother suffered sever depression all her life and after I was born (31 years ago) was admitted to a physic hospital for 1 year. My Mum has been suicidal, had years off work with depression etc etc. However, she got through pregnancy with me, with the help, love, support and encouragement from doctors, specialists, my father, her family, friends and MH workers. My mother was on a lot of medication during her pregnancy with me, but was very closly monitored. As said she got through the 9 months carrying me fine, but needed some hospitalisation once I was born just to help monitor the situation. I am happy to say I turned out fine (I think!) and my mother is still going strong - still taking daily medication. Whilst I am sure a lot has changed in the last 31 years, I am sure if you ask enough questions and have a good support network yuo will achieve all of your goals. I think the biggest thing is talking about your worries and fears and having plans of action for these. You obviously have a very supportive GP and partner and if you involve all in this journey I am sure you will be well rewarded. Good luck for a successfull, healthy and exciting journey.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Flipsta Quote  Post ReplyReply Direct Link To This Post Posted: 05 December 2008 at 3:42pm
Wishing you all the best MerlinFluff.
We are all here to listen so let it all out whenever you want. That is what it is all about
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MerlinFluff Quote  Post ReplyReply Direct Link To This Post Posted: 05 December 2008 at 5:10pm
Thanks so much for being such a supportive place. I was really worried you'd all just tell me I was being stupid trying for a baby with my history! Glad that isn't the case.

Went to GP, got cornered into smear and internal (NOT easy with PTSD from rape blah ) took swabs of all sorts and declared everything 'in there' is anatomically fine. Took ante-natal bloods (never even heard of that) and general health check up. He had written to 2 different psychiatrists for comment on my meds and was still waiting to hear back, psychs are SLOW sometimes , as my clonazepam-benzo taken 5x daily, has some serious post birth complications for baby yet they are the only thing (alongside my ADs) that keep me out and about and functioning, will be using condoms til he has heard back even if it takes up to 12 months to becme fertile after depo, don't want to take the chance til I'm sure about everything!!!

*frazzled nerves try to cope*

He is also getting into contact with MMH for me and doing a referral even at this point as well as an arm load of pamphlets of services available in this area.

Phew.

My fiance keeps asking if we can get a pony yet I think maybe that's a few years away!!! Men!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Kellz Quote  Post ReplyReply Direct Link To This Post Posted: 05 December 2008 at 7:54pm
Hehe, lol at your DF and the pony!

I have been reading this thread but havent commented yet.

I think you are really brave and very wise taking this big challenege on with so much careful thought and consideration. Sounds like your going to be great parents

Well done for coping with the awful smear and internal,..I can only but imagine how hard that must have be enfor you.
I have PTSD from the birth of my daughter and alos PND and anxiety, and a few months back when I needed a smear it was a very long, scary anxious awful time,..took me 7 attempts going to the clinic to have it done, before I could actually manage it    I was so pleased and so proud once it was over that I had actually finally done it!

Its great that u have such a supportive DF and GP and other services. Its good your Dr has referred u to MMH now too.
I am now in contact with them and have a case worker who I see in preparation for us ttc #2 which will be sometime next year hopefully.

So yeah,.hi and welcome to Ohbaby! Good luck with your journey to Mummyhood!


Edited by Kellz
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Post Options Post Options   Thanks (0) Thanks(0)   Quote shadowfeet Quote  Post ReplyReply Direct Link To This Post Posted: 07 December 2008 at 8:22pm
Best of luck MerlinFluff,

It's a scary decision, especially one to make whilst suffering mental health difficulties. A year to become fertile again seems like a really long time. Christmas Eve will be 6 months since I came off the depo, and it feels like forever.

I too have mental health issues, though I have been able to get off my meds and remain stable. A huge fear of mine is not being able to cope with it all and leaving my husband behind.

I wish you all the best and hope that you will be really happy in this decision.

Shadowfeet
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Post Options Post Options   Thanks (0) Thanks(0)   Quote _Soda_ Quote  Post ReplyReply Direct Link To This Post Posted: 07 December 2008 at 8:54pm

 welcome Merlinfluff!  i think youll find there are lots of people on here who can to some extent or another relate to what you are going through. sometimes, just knowing you arent the only one helps so much.

feel free to come chat to us ladies in the "waiting to TTC' thread. were all holding off TTC for some reason or another, so just chat about well, everything and anything! great to have others in the same position.

welcome again! thanks for sharing your story with us

My little miracle 6/1/2011
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MerlinFluff View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MerlinFluff Quote  Post ReplyReply Direct Link To This Post Posted: 08 December 2008 at 1:26pm
Originally posted by shadowfeet shadowfeet wrote:


A huge fear of mine is not being able to cope with it all and leaving my husband behind.

Shadowfeet


Oh, that hits home it's by far my greatest fear, just not coping and leaving DF alone with a baby. Though most people have said having a baby that totally relies on you for everything changes your perception on these things. But after many serious suicide attempts the fear is there and massive in my mind.
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MerlinFluff View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MerlinFluff Quote  Post ReplyReply Direct Link To This Post Posted: 08 December 2008 at 1:35pm
Originally posted by Kellz Kellz wrote:

Hehe, lol at your DF and the pony!

Well done for coping with the awful smear and internal,..I can only but imagine how hard that must have be enfor you.
I have PTSD from the birth of my daughter and alos PND and anxiety, and a few months back when I needed a smear it was a very long, scary anxious awful time,..took me 7 attempts going to the clinic to have it done, before I could actually manage it    I was so pleased and so proud once it was over that I had actually finally done it!

So yeah,.hi and welcome to Ohbaby! Good luck with your journey to Mummyhood!


Thanks for the welcome

You were very brave to make it for your smear, welldone . My gp knows me too well, just went for a 'normal' appt to get my meds and not take depo and he sprang a smear on me, he said he had time (whilst running over an hour late ) and if I just hop onto the table whilst DF was there it would be over in seconds crafty GP! He knows I would 100% not be able to make an appt for a smear, panic attacks would make it impossible to drive there and wait. lol. Not sure how I'll go with actually being pregnant and people wanting to have looksies up there etc. Though no idea how often that would be!

Hee hee, we have 4 horses already and ride often, DF wants baby on a pony ASAP. Made me giggle, waiting for Depo to wear off, even ttc will take a while let alone old enough for a pony . So glad he's excited though. He knows I love winnie the pooh and is already trawling trade me for winnie the pooh things. Talk about impatient men!!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 08 December 2008 at 2:41pm
Congrats on your decision and yay for a supportive GP.

There is a service available called "maternal fetal medicine" and it should be available in all DHBs.   These are doctors who specialise in pregnant women who have medical conditions that add a complicated factor into the pregnancy - e.g. when they need to be on medications, if the mother has a medical event during her pregnancy and there may be risk to the baby etc. They can be an excellent form of information and support, though if you have really onto it mental health services who are onto managing mental health issues in pregnant women, the maternal fetal med people might not be needed.

Good luck!
Mum to two wee boys
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Post Options Post Options   Thanks (0) Thanks(0)   Quote jaycee Quote  Post ReplyReply Direct Link To This Post Posted: 08 December 2008 at 3:03pm
Hi MerlinFluff for taking a big step and posting here - I am sure you will find lots of help and support on your journey.

Your GP sounds great and clearly knows you very well! As for loking *down there* I had no idea what to expect when I was pregnant with Amy and was amazed that no one looked until 2 days before she was born - when I had a stretch and sweep to try and move things along!! I know that every LMC is different but I don't think that it is like the old days when they looked at every check up .


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Post Options Post Options   Thanks (0) Thanks(0)   Quote Kellz Quote  Post ReplyReply Direct Link To This Post Posted: 08 December 2008 at 3:08pm
Yep its defianlty not routinue that u will have any internal examinations until u are at the very end of your pregancy or giving birth!
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