Mom of Twins Gets No Help From OB/GYN For Her Postpartum Depression

postpartum depression after twinsI asked the members of the Postpartum Progress Facebook Fan Page if any of them had stories of having postpartum depression after delivering twins or multiples.  Melissa D., a mother of four from Wisconsin, was kind enough to share her compelling story.  She had so many risk factors, including everything from a history of anxiety, to previous infertility treatments, to a previous miscarriage, to an upland pregnancy, to the loss of her mother during one of her pregnancy, to a major house move and more:

My twins’ pregnancy was a complete surprise, as we already had two children and had decided not to have any more.  I had difficulty pregnancies previously — modified bed rest and preeclampsia — plus a recent miscarriage, all of which were part of the decision.  I had already donated most of our baby items, and my husband was about to get a vasectomy.  I was pretty shocked to find out I was pregnant. A few weeks later I learned we’d be moving, and then I found out we’d be having twins!  I cried pretty much every day from that moment on.

I was already upset, but people’s reactions to my having twins only made things worse.  They would say, “Thank God it’s you and not me,” or “I know someone who had a nervous breakdown with twins” or “I would hate to be you.”

I resented my husband for making us move when I was seven months pregnant.  It was nearly impossible to move around, never mind unpack and try to make friends.  I was highly agitated and irritable.  I started pre-term labor after the move, and my uterus was so irritated that I was continually in a state of one giant, painful contraction. I remember wondering whether it would be better to roll out of bed and wobble to the bathroom or just stay there and pee on myself because it hurt so much to get up.

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Mothers of Multiples Have Almost Twice the Risk of Postpartum Depression

A study came out yesterday confirming that women who have multiples are at a higher risk for postpartum depression. This new study, conducted at Johns Hopkins and appearing in the journal Pediatrics, found that these mothers are actually have a 43% higher risk. What we still don't know for sure is why. As reported on MedPage Today:

"[The researchers] said their work was limited in identifying mechanisms for the increased risk of depressive symptoms among mothers of multiple births because of a lack of data on psychosocial covariates of maternal depression such as spousal support and marital relationship.

The researchers said, too, that little documentation is available regarding hormonal changes and dysregulation in women associated with multiple births. They were also not able to factor infertility treatments into the analysis.

Although we do know that infertility puts moms in a higher risk category for PPD as well.