If you think it’s an AFE, call us! 1-307-363-2337 (1-307-END-AFES)

If you think it’s an AFE, call us!

1-307-363-2337 (1-307-END-AFES)

Inside the Survivor’s Guide
Birth Trauma, Perinatal Mood and Anxiety Disorders

Understanding the Impact of Birth Trauma: Resources and Support for Perinatal Mood and Anxiety Disorders

AFE Survivor Guide offering important information and resources to aid AFE Survivors in navigating their physical and emotional health after an amniotic fluid embolism.

Birth Trauma

Birth Trauma is experienced by a majority of women who survive an AFE. Trauma is an emotional response to a life-threatening or frightening event. Birth trauma is distress experienced by a mother during or after childbirth. It may be caused when the mother or baby’s life is threatened. It may also be caused by an extreme sense of powerlessness, isolation, lack of care, fear, or anxiety. Birth trauma is complex because birth is often expected to be a happy event. Click here to learn more about birth trauma.

The postpartum period following an AFE may be accompanied by confusion and failure. Your birthing expectations were shattered, and you’ve been left to make sense of it all. Your emotional and physical recovery from an AFE may be complicated by PMADs. PMADs are perinatal mood and anxiety disorders.

Is the term used to describe a group of mental health disorders that occur during pregnancy and after delivery. These disorders include postpartum depression, postpartum anxiety, obsessive-compulsive disorder, postpartum psychosis, and post-traumatic stress disorder.

Baby BluesPostpartum Depression
Very common1in 7 women will develop PPD
Onset typically begins 3-5 days after delivery due to hormone fluctuation and other physiologic changes that accompany birth.Feelings persist beyond 3 weeks after birth and can last many months if not treated
Usually resolves within 3-4 weeks as hormones stabilizeRequires treatment, most commonly with therapy and/or medications
Excessive crying
Mood swings
Feeling withdrawn from family and friends
AnxietyLack of interest in regular activities
Feeling overwhelmedFeeling worthless or not being a good parent
ExhaustionSleep disturbances such as insomnia or sleeping too much
Having a hard time concentratingFeeling worthless or not being a good parent
Inability to bond with your baby
Thoughts of harming your baby or yourself*

The risk assessment below can help you understand if you might be experiencing symptoms of PPD. This is not a diagnostic tool, but may be helpful in assessing your symptoms. If you believe you are suffering from symptoms of PPD, it’s important to seek professional support.

PPD Risk Assessment

AFE survivors and their partners may develop post-traumatic stress disorder or PTSD. PTSD is a condition that can occur after a person has experienced or witnessed a traumatic event. At this event there was serious physical harm or threat of physical harm or death. A diagnosis made by a mental health professional and requires treatment. Read more about the link between traumatic birth and PTSD.

The risk assessment below can help you understand if you might be experiencing symptoms of PTSD. This is not a diagnostic tool, but may be helpful in assessing your symptoms. If you believe you are suffering from symptoms of PTSD, it’s important to seek professional support.

PTSD Risk Assessment

Postpartum Anxiety (PPA) affects up to 10% of postpartum women. Symptoms may include constant worry, hypervigilance, racing thoughts, sleep disturbance, and appetite changes. Symptoms can also be a feeling that something bad is going to happen. PPA can include obsessive thoughts or be related to postpartum obsessive-compulsive disorder. Learn more about PPA.

Postpartum obsessive-compulsive disorder affects between 3-5% of postpartum women. It typically includes obsessions and/or compulsions.

Obsessions are often centered around the newborn. These are persistent, repetitive thoughts. Compulsions occur as a way for the mother to reduce fears or obsessions. These compulsions may be checking, counting, cleaning, or thought-based.

Mothers with Postpartum OCD understand that their thoughts are strange. They are unlikely to act on them.

Without treatment, Postpartum OCD is likely to worsen over time. Treatments such as Cognitive Behavior Therapy and Exposure Response Prevention, along with medication, have been successful in treating Postpartum OCD. Get more information on Postpartum OCD.

Postpartum psychosis is rare, occurring in just .1-.2% of postpartum women. It typically occurs within the first 2 weeks postpartum. Postpartum psychosis is a break from reality. It can include delusions that the mother believes. Postpartum psychosis is treatable with professional help. It is important to get treatment rapidly. Symptoms may include:
Hallucinations, irrational thinking, rapid mood swings, difficulty communicating at times, and paranoia.

Postpartum Psychosis is an emergency. The mother needs treatment quickly. Call your doctor or take your loved one to the ER promptly.

Perinatal Mood and Anxiety Disorders are:

  • Not your fault
  • Not who you are as a mom
  • Temporary medical conditions
  • Treatable

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