Sleep

Come As You Are: What Happens In a Perinatal Support Group?

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Annie Keating-Scherer, LCSW is the Support Group Committee Chairwoman of PSI-CT and is the co-founder of the Adjustment to Baby Challenges Support Circle, formerly the Blue Mamas group, in West Hartford, CT. Annie maintains a private therapy practice in West Hartford and is the mother of two wonderful little girls.

“This is a judgement-free zone,” we tell the women as they settle into their chairs. “It’s ALL in here.”  The pregnant and postpartum mamas, understandably, often seem a bit nervous at the start of their first support group, unaware of what to make of this hour together. My co-facilitator and I try to put them at ease as quickly as possible, to know that this is a safe place, one with very few expectations or rules, and one where we hope moms can truly be themselves. We encourage every mama to simply “come as you are.”

Coming together  

Twice a month, our perinatal support group serves as a gathering place where moms come together to share. We invite moms to recount, “the good, the bad and the UGLY,” as they discuss their personal experiences around motherhood, and to receive respect and acknowledgment for their individual journeys. Moms joining this group may be going through depression and anxiety in pregnancy or the postpartum period.  They may be sleep-deprived, worn out, feeling stressed or unsupported.  They may have been referred by their therapists or seen a flyer at the OB or the local library. There is no one unique challenge shared by the women in this group. Nor is there a specific path that leads them to the group. Yet, through our diversity in thought and experience, we create a mutually supportive community that is open to all.  

My co-facilitator and I hope moms can put their inner-critics on hold for this hour, or at least a few minutes of the hour. There is no expectation that anyone arrives on time, or changes out of pajamas. We invite breastfeeding and bottle-feeding. We invite diaper changing, and we certainly invite crying babies (and mamas). The group is a place for moms who need to talk and for moms who would rather sit back and listen, and though we would love it if women showed up to every group, it’s also totally okay to drop-in once in a while.

Confidentiality

Truly, one of our only rules is that what happens in this room stays in this room. We take confidentiality seriously, knowing the vulnerability and bravery it takes to show up. Moms sign a simple contract at the start of their first group acknowledging that they will keep to themselves the names, identities and stories in the room.  We think of this hour together as sacred space.
Feeling Understood: Someone else has been there!

It can feel so good to not feel alone. Motherhood can be a very isolating experience, whether being home alone with a baby, or around others but not feeling comfortable sharing true thoughts and feelings. One of the magical moments in a support group happens when a mom is talking and we see nodding around the room, or the verbal acknowledgment of, “Yes! I have been there.” Whether a mom is struggling with depression, feeding issues, pregnancy after loss, or any other issue she is often met with someone in group who gets it. As a facilitator, I see a weight lifting in these moments of solidarity.

Helping Others Helps Us

While group members are encouraged not to tell other moms what to do, or give outright advice (as we get enough “advice” outside of group), we do share what works for us individually. As a group member, it can feel downright awesome to tell another struggling mom that some form of self-care helped you feel better, or that you struggled and got through a similar challenge. I love watching a mom come back week-after-week and growing in her own self-confidence in motherhood. Perhaps in her first group she felt she was only able to receive support, but as time goes on, she is recognizing that she’s helping others through her own growth and healing.

Finding the Light

It may seem counterintuitive, but we laugh a lot.  Motherhood is hard but also hilarious. Hardly a group goes by that there isn’t an eruption of laughter over some shared baby or pregnancy moment.

It’s more-than-okay if a mom can’t get to laughter, though. It’s okay if she hasn’t smiled in a while. We welcome her no matter what. We want the group to be a safe place to land during the upheaval and identity changes that equal motherhood. Our group offers a time to slowly start to feel oneself again. It’s an honor to be part of that journey.

 

 

 

Sleep? With a new baby?! Protected Sleep as an aspect of self-care

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Cory Bernard, LCSW, is a mom of two boys, aged 2 and 7.
She has worked in psychiatric social work for 12 years.  
And currently has a private practice in Bloomfield, CT with a specialty working with women during pregnancy, postpartum, and when experiencing the loss of a baby or during other life transitions. Cory is a founding member of PSI-CT Chapter and currently serves as the Treasurer as well as the chair of Fundraising & Events and Membership Committee, and as a member of the Resources and Professional Development Committee.

By Cory Bernard

Prioritizing good sleep is good self love.

What is protected sleep?

Sleep is important to all humans; it’s one of our primary sources of energy. Sleep deprivation will affect all other areas of functioning . . . physical, mental and emotional.  Uninterrupted sleep is essential to the recovery of a new mom or dad, particularly if they are suffering from postpartum depression, anxiety or other mood disorder. This is not to say that sleep alone will “cure” their emotional distress, but it can be key in helping them on the road to recovery. Being well rested will improve their ability to think clearly, analyze rationally and make decisions. When these abilities are negatively affected by lack of sleep, feelings of confusion, frustration, sadness, anxiousness and guilt can follow, further complicating the situation.

 

Protected sleep is a term that refers to the idea that the person (often but not always the mom) suffering from emotional dysregulation gets uninterrupted sleep. Her sleep time is “protected” in any number of ways by both herself and those around her. The following information, guidelines and suggestions refer to ideal situations. Even if ideal cannot be reached, any improvement in a mother’s sleep will be helpful in regulating her emotions, functioning and care for herself and her child(ren).

I sleep when the baby sleeps, isn’t that good enough?

While sleeping when the baby sleeps is what we are taught to do, and sometimes babies are good sleepers so this might be enough for a mom, often it is just not enough. Many babies sleep in 1-4 hour windows which means mom is getting less time than that per opportunity to sleep. This is barely enough for a nap, never mind full, rejuvenating sleep cycles. Also, frequently mothers have other obligations (self-imposed or otherwise) which they attend to when the baby does sleep for longer. These can include caring for older children, cooking, cleaning or working. The goal is for mothers to get at least 5 hours (more if/when possible) of uninterrupted sleep. This does not include time needed to get ready to go to bed or fall asleep, it only applies to time asleep.

How am I supposed to do THAT?

A common question when the discussion of protected sleep comes up. The answer takes a team effort, consistency and practice. A mom may not sleep as long as hoped the first several times. Perhaps she is having anxiety about the changes being made or her body is adjusting to being “allowed” to sleep. Even in these early attempts, having quiet rest time is beneficial to mom. Here are the basics on protected sleep, some tips and other ideas…

First, protected sleep means the mom is “off duty”…completely. This means she does not have other expectations or obligations, and there is another trusted adult who is responsible for the baby and other children during the protected sleep time. Preferably protected sleep will happen at night to maintain regular sleep cycles but, particularly when baby is young, this may be difficult. If daytime is the only time someone can be available, take it! Even getting a full night “off” once a week can really help.

The baby’s other parent is often the “go to” when looking for someone to care for baby/children during mom’s protected sleep time. But what if that person is not available? Sometimes there is no partner or the partner works nights.

  • If partner works nights, have a conversation about how mom can get protected sleep time during the day when they are there and awake.
  • Try another family member such as a sibling of mom or partner, parent, cousin, or a friend you trust. Anyone can have their sleep interrupted for a night. It’s not as much of an imposition as you would be inclined to think. Remember, they don’t sleep in your house with a new born every night so being there once a week or a couple nights in a row will not cause them the distress that your lack of sleep is causing you. If they can not spend the night, enlist their help during the day to get some sleep.
  • Not everyone has friends or family in the area. In these cases, partner may be the only option and there may need to be a conversation about both of you losing “some” sleep.
  • Hire a postpartum doula, night nurse or babysitter. If you have the means, this can be a wonderful resource when it comes to sleep.

***Be sure whoever is caring for baby has questions answered and a resource other than mom to contact if something comes up. This prevents mom being woken with questions during her sleep time.

Second, when protected sleep time comes, prepare for sleep. Some people are very deep sleepers and once they fall asleep, noise won’t bother them, but this is not the norm for new moms. Put your phone away in another room, take a shower or relaxing bath, drink some calming tea, listen to calm music or a guided sleep meditation (consult with doctor before doing meditation), journal or use other methods to calm and empty your mind to prepare it for sleep. None of this may be necessary if you are exhausted but it’s good to establish a sleep routine if needed.

In order to “protect” sleep time, put as much space and buffer between you and baby as possible.

  • Close doors (as many as are between you and baby)
  • Sleep on a different floor if possible (basement rooms are particularly good for insulating noise)
  • Put on an air conditioner, fan or other “white noise” machine
  • Put on soft music, spoken word (mundane book or podcast) either out loud in the room or through headphones if you can sleep with them.
  • Use earplugs

Since space is a luxury not everyone has, you can also remove baby from the home in order to create the buffer.

  • Have a trusted adult take baby out of the house completely (even if it is just in the yard). They can go to the library, a playground or a long walk. Once you have had time to fall asleep they may be able to come home put baby down for a nap, read books or play quietly if you are a deep sleeper or have some buffer abilities. Try to protect sleep for as long as possible.

But I’m breastfeeding….

One of the most common concerns or roadblocks to consecutive sleep is a breastfeeding mom. While it may be particularly difficult to fit in protected sleep in early weeks, it will become easier as baby feeds less often. There are also ways to work around breastfeeding to limit the amount of time mom is awake.

  • You may not be able to get “uninterrupted sleep” but you can still protect your sleep by asking your partner to change the baby before bringing her in for feeding and then to take baby back out of the room to rock and put back to sleep right after feeding. As baby gets bigger and feeds less, you will get more protected sleep.
  • You can also prepare a bottle for one feeding a night and just wake up, pump and go back to sleep. Keep a cooler in the bedroom to store the milk or ask you partner to come in when up with the baby to get the milk and put it in the fridge/freezer.

While all of this may seem like more work, in the end, it pays off and you will get into a routine. Remember: The ultimate goal is to stay in bed, asleep as many hours as possible (within reason) to give your brain and body time to rejuvenate, refresh and recover. 😊