Episode 58 SN: The Power of Hormones, Hyperemesis & Postpartum Depression Visit a Pregnancy: Laura’s story

Today’s guest had a pregnancy marked by extremely easy things and significantly hard things. Getting pregnant was consistent with the kind of fertility you see in a romantic comedy instantaneous, but the first trimester morning sickness was more like a sci fi thriller, totally extreme and requiring all kinds of medical help. And after a pretty challenging pregnancy, she ran into postpartum depression after the birth but her’s is a story of overcoming. She found help and recovered and she’s deeply immersed in the joy only a five year old child can bring.

(image courtesy of https://www.girlsgonestrong.com/blog/articles/pregnancy-hormones/)

Links to some of Dr. Meltzer Brody‘s work

https://scholar.google.com/citations?user=6CCrvBEAAAAJ&hl=en

Audio Transcript

Paulette : Hi, welcome to war stories from the womb. I’m your host, Paulette kamenecka. I’m an economist and a writer and the mother of two girls. Today’s guest had a pregnancy marked by extremely easy things and significantly hard things. Getting pregnant was consistent with the kind of fertility you see in a romantic comedy instantaneous, but the first trimester morning sickness was more like a sci fi thriller, totally extreme and requiring all kinds of medical help. And after a pretty challenging pregnancy, she ran into postpartum depression after the birth but her’s is a story of overcoming. She found help and recovered and she’s deeply immersed in the joy only a five year old child can bring. After we spoke, I talked to a fantastic psychiatrist who’s done lots of research on postpartum depression, and gives us a sense of what the field might look like in the future. One more thing to add. My dogs were desperate to be a part of this episode. So you’ll hear their contributions at certain points, which in no way reflects the many efforts I made to keep them happy and quiet. Sorry about that.

Let’s get to this inspiring story. 

P: Hi, thanks so much for coming to the show. Can you introduce yourself and tell us where you live?

 

Laura : Sure. Thanks so much for having me. My name is Laura Nelson. And I live in San Francisco, California. 

 

P: Nice, lovely. And Laura, how many kids do you have? 

 

L: I have one child and one husband.

 

P: well said and before you got pregnant, I’m sure you had an idea about what pregnancy would be like. What did you imagine it would be like?

 

Laura : Oh, well, I imagined I didn’t imagine it would be magical. I didn’t imagine it would be like a fairy tale. I think I took worst parts of pregnancy depicted on TV and media and went yeah, that’s probably what it’s gonna be like.

 

P: Well good. There’s only up from there. Right? That’s that’s a good way to start. 

 

L: Yeah. 

 

P: And did you get pregnant easily the first time?

 

Laura  2:09  

Oh, yeah. First first try. We pulled the goalie pregnant.

 

P: Good lord. You’re the story we all hear. Everyone. Everyone thinks they’ll get pregnant as soon as they try. But it doesn’t happen all the time. Right? But this is the perfect example. That’s so good. I’m glad that was easy. And you found out with like a home pregnancy test.

 

L: I found out I was I was house sitting for my parents and their dog. And I went to I didn’t know I was pregnant, obviously. But I went to Long’s and I got I was like, I really needed some kulula And why not like a pregnancy test? So I had some grua and I took some more pregnancy tests and all of them are positive. And I was like, well yes, that’s that’s what it is. You know, truthfully, I was like, I was a smoker. And so I was like, I called my best friend and I was crying. So it’s just like such a shock. And I was smoking. I was like, it doesn’t count until the doctor says it right. And she’s like, you’re fine. 

 

P: Yeah, that’s kind of a shock. 

 

L: Yeah, but it was it was nice. It was good. And a good reason to quit smoking. So how about that?

 

P: And how was the pregnancy? How did it start off?

 

L: What was it like? Oh, the pregnancy was in a word traumatic. I think it started off with violence, never ending nausea and vomiting. So throughout the course of my pregnancy, I lost 30 pounds. 

 

P: Wow

 

L:  and then I think, so weeks, six through about 20 is going to the hospital three times a week for IV infusions, because I couldn’t even hold down ginger ale and crackers. I was just unable to eat food without taking. I ended up taking what was called Zofran. I took sublingually as well as intravenously. So if you are experiencing severe morning sickness and you’re worried about Zofran I took it pretty much the whole pregnancy and there were zero adverse side effects other than I could pull down food, which was nice.

 

P: so that seems like a violent entrance into a pregnancy like what it happened once and you thought, Oh, this is just once or like, did you react to a food or it was all food or how does it work?

 

L: It’s all food, all food and all smells and I was throwing up Bile or food. On a good day. 10 times I was throwing up.

 

P: Wow, that sounds unbelievably intense. So did it. It happened one day and you went to your doctor like how did it how did you kind of sort it out?

 

L: Oh, it happened in happened for a few days in it. I thought like, Oh, this is morning sickness. Right? Like This must be what everybody talks about. And then when I was showing signs of dehydration, and I like couldn’t actually function and was feeling very sick. I went to my OB and she said, Oh yeah, no, you need to hyperemesis Gavardiam you need to get fluids we need to give you medicines or you can eat and we need to give you something so you can not be nauseous all the time.

 

P: So they think like oh, maybe you have the flu or because it’s pretty distinct. 

 

L: yup

 

P: So even though they gave you the medicine you lost all my weight.

 

L: Yeah. So I gained again Yeah, back towards months, eight and nine, nine and a half. Right. But But yeah, in the beginning, it was dramatic

 

P: That sounds super unpleasant. And where are you at? Were you working? 

 

L: I was I was working. I was going into the office. I you know once I was able to announce my pregnancy, which I had to do earlier than I wanted, because I was so sick. You know, it would just be I’d be talking with people about plans and then I thought oh lord is gonna go vomit and I’m gonna throw up and then come back and keep working. But yeah, I was a very understanding very parent focused company. So I was very lucky that, you know, the CEO had kids and everyone I was working with was already a parent.

 

P: Yeah, that sounds intense. And so it sounds like it got a little less prominent later in the pregnancy. 

 

L: So weeks 20 to about 32. I would say I was normal. So I was eating food walking around. I had a good normal pregnancy and then weeks 33 to 42. It came back and then

 

P: No, no, is that normal? Was that what they say?

 

L: Yeah, you’ll either have it just for the first semester or you’ll have it for the first semester and we’ve got like school for the first trimester or you’ll have it for first trimester in the second trimester and the third, so I was lucky that it got a little less severe. For the second semester, trimester. But It came back.

 

P: Oh my god, I’m so sorry to hear it. Good Lord. That must have been so disappointing the first time you threw up after you have the break.

 

L: for sure, 

 

P: and so you get to 40 weeks and what happens?

 

L: I get 40 weeks and and nothing happens. You get to 41 weeks may be scraped the inside what’s it called an induction 

 

P: Yeah. they strip the membranes or something or 

 

L: yeah, they stripped the membranes and then they send you home so they gave me an induction I was induced. They said go home out should start happening. When it’s less than five minutes apart. Come back. 

 

P: so this is this exciting. Because you’re done.

 

L: Oh, I am ready to not be pregnant. Yeah. Yeah. So I go home as they’re happening and laboring, and it never retiming them. It never gets closer than five minutes eight eighths and spicy food. And it still stayed farther apart than 4-5 minutes. So I called and they said no, if you if you came in, we wouldn’t be able to admit you. I said okay. So 41 weeks, 2 days, I go back. We’re doing health checks. They’re doing the screens. They induced me again, go home labor. bounce on a ball. again It doesn’t stay closer than five minutes. So finally at 41 and five, said okay, well it’s time to come in. so We went down. We checked into hospital it was so I think the one of the nicest and most surreal things about going to the hospital knowing that you’re going to have the baby is you have this like brand new car seat. That you take with you. And you’re like, Okay, we’re taking carseat with us and like we’re leaving, we’re entering the hospital as just us and we’re gonna leave as a family like that. That’s just like it’s definitely a beautiful moment. So

 

P: let’s talk about your labor for a second. Were you like imagining a natural labor or I want to be in a bathtub or what was your you’re already shaking your head? What were you hoping for?

 

L: No, I took some birthing class classes with liars. They all said they wanted natural childbirth with flowers, and I said, my vision was epidurals just all of the like as many natural drugs as you can give me. Yeah. Was my natural birth vision. Plan. 

 

P: good, I feel like you’re moving in the right direction then.

 

L: Yeah. So we go I’m in. I’m induced, they give me they give me Pitocin. I labor for about 12 hours. So that’s fine. We’re just me and my husband all night or just watching 30 Rock and I’m like, a little bit of pain, but not too bad. Then the doctor comes in and checks on me and she says, All right, you’ve been laboring for 12 hours and you’re not even one centimeter. And at this point, I was like, No, like really? Are you kidding? And so she said very plainly. She was a wonderful, wonderful doctor. She said, we think your baby’s really big. Can you either labor naturally over the weekend, and if things get bad, we’re going to have to do an emergency C section. Or we can get this baby out of you in the next two hours 

 

P: oh wow

 

L: and do a C section right now.

 

P: yeah, I’ll take the door marked baby now.

 

L: I said yeah, let’s get this baby out. Like right now. And so the so it just went from a having a baby in two hours. So anesthesiologist came in and the anesthesiologist assistant who looks like Jessica Alba it might have been the drugs I was on but I swear I still tell my husband I’m like man do you remember that anesthesiologist. She was just she delivered kisses from angels with the epidural and she’s out of this world attractive. So anyway, I had the epidural. Seeing your partner scrubbed up in scrubs is just like, interesting.

 

P:  I sort of felt like it you felt like you want to do an SNL skit 

 

L: a little bit 

 

P: come in with all the blue scrubs in that and hair cover and stuff. It’s so weird.

 

L: Yeah, just like Alright, we’re gonna go have a baby and then I didn’t expect can’t have your husband in when they give you the epidural. So you’re on your own and they’re having you bend over. You’re like gigantic pregnant belly. Yeah, this point I’m like basically 42 Weeks Pregnant I would say again to our baby and me. As the room is so cold, and you’re naked, your butts expose. Just jabbing  you with a needle 

 

P: It’s glamorous. 

 

L: Yeah, then I had what’s known as a gentle C section. So I was able to listen to music which was nice we put on Lyle Lovett and put on allow love it playlist. So I was now they put up the curtain and they tested they said let us know if you feel this and just looked at my husband and said it’d be funny if I said it out. And he’s like, No, it would not be funny if you sat down. So we listened to music. Baby came out beautifully and immediately instead of wiping her off or when her they just immediately her on my chest and I was able to breastfeed her while they sewed me up. 

 

P: Oh, wow. That’s amazing. 

 

L: So that was really beautiful. And then they weighed her. And, you know, whisked us off to the recovery room. Once everything was all done. It was life changing in a lot of ways but I think having that gentle entrance into the world surrounded by so much chaos was just very nice bookend and blessing. 

 

P: I was thinking gentle C section was marketing, but that sounds like a gentle C section. That sounds really nice.

 

L: Yeah,they  just give you the baby right away. 

 

P: That’s awesome. 

 

L: Being able to breastfeed even though like I couldn’t feel my arms was nice.

 

P: Maybe the best way to do it. So you up, you’re in recovery. And then how long do you stay in

the hospital? 

 

L: I was in the hospital. She was born on the 10th and went home on the 13th. 

 

P: All right. And how do you feel when you go home? 

 

L: Oh, I was loopy for sure. I think one thing that I was grateful for from just another friend who was a mother was I was taking the stronger pain medicine. It wasn’t Vicodin. I think it was Percocet and was actually causing like panic and me taking such a strong as soon as my friends had stopped taking Percocet, only take Motrin and so I switched to Motrin, and immediately the panic went away.

 

P: Oh good. I’ve never heard of that. That’s interesting to know that. It’s like well known enough that someone could give you a nice,

 

L: yeah, it was very good advice. Yeah, went home. tried to figure out how to be parents, and it was it was nice, but it was also very hard because I had a C section and I was on the I lived on the third floor walk up. And so the doctor says don’t do don’t take any stairs or I live on a third floor walk up. You know in retrospect, they after the kid is born, they have you come back or the next day or two days later for a sort of wellness check to weigh them and make sure they’re eating and maybe even get another shot. In retrospect I should not have gotten to that appointment into that with my husband. And if I had to do it again. I would say I’m gonna lie down. You can take the baby to go get a check up

 

P: because it was painful to manage the stairs and all that.

 

L: Yeah, the stairs were just brutal. I ended up popping a stitch. 

 

P: Oh No. Oh my god. 

 

L: but, that’s okay. I mean, the grand scheme of things. It was worth it. 

 

P: What’s it like in the fourth trimester when you’re home? 

 

L: Oh, yeah. So the fourth trimester be brutal for me, who loved my daughter? I think know that I had a lot of unhealed trauma from both the pregnancy and the birth that I didn’t address and being isolated in apartment–not that I couldn’t go outside but that going outside meant downstairs and eventually you know popping a stitch and hurting myself. A lot my husband took two weeks of paternity leave and to care for me and and us and the first day he went back he was let go. 

 

P: Oh, my God that is crazy. Yeah. 

 

L: So I had, I’m a mom, and I’m the sole breadwinner and I feel literally trapped in my apartment. So I should have seen The chips stacking up earlier than I did. But it wasn’t until it was about six or seven months old. I realized I was not well, I had severe postpartum depression. And I just had a breakdown one day where I just could not stop crying and it wasn’t that I didn’t love my child because I did I loved her so much was that and I thought of postpartum depression. The only things I thought of were very black and white. It was you had it or you didn’t. There was no gray area of you have it a little bit and then drawing on media and growing up. The only postpartum depression that I’ve ever seen talked about was that woman who drowned her kids in the bathtub. 

 

P: Oh, wow. Yeah. 

 

L: And I thought well, I don’t want to drown my kidney bathtub. So I obviously don’t have it 

 

P: I brought the topic of postpartum depression to an expert. Today, we’re lucky to have Dr. Samantha Meltzer Brody, a psychiatrist who’s the director of the UNC Center for Women’s mood disorder, and the author of many, many scientific papers on the topic of perinatal, and postpartum depression. Thanks so much for coming on the show Dr. Meltzer-Brody. 

 

Dr. Meltzer-Brody: Thanks for having me.

 

P: Harming your children is one small one small aspect that might present but there are probably many ways many things that postpartum depression can look like. So maybe you can define it for us.

 

Dr MB: Absolutely. So postpartum depression is a mood disorder that occurs in the postpartum period. However, it comes with often many co occurring symptoms, including anxiety, also, according to the DSM can start during pregnancy. So oftentimes, hear the word Peri, partum, or perinatal, used to define symptoms of anxiety and depression. That occur either over the course of pregnancy or postpartum. If we’re talking specifically about postpartum depression exclusively, oftentimes, you’re not seeing symptoms creep in until late pregnancy or they start in the postpartum period. They can have a range from very mild to very severe with everything in between. So if someone is having the most severe symptoms, they may have suicidal ideation and tenor plan. Most rarely, you have co occurring psychotic symptoms that can be associated with postpartum psychosis which is not postpartum depression. It’s a severe postpartum psychiatric disorder that is thankfully because it’s so devastating, more rare and can be associated with thoughts of harm to the baby. But then can have a range of symptoms that can include anxiety, worrying, or being able to sleep even when the baby’s sleeping because of worrying about the baby not being able to enjoy the baby feeling keyed up on edge, feeling overly tearful, feeling completely overwhelmed having difficulty concentrating. Again this can be on the more mild side to the to the severe side but in general, they are going to last more than two weeks it is not the baby blues, so most women immediately upon giving birth are going to feel more emotionally exhausted because birthing is very powerful, profound time. Most moms will get their sea legs if you will, but for the one in eight women that continue to have clinically significant symptoms or up to 15% of women postpartum. It’s much more complicated. So what you will hear the terms, perinatal or postpartum mood and anxiety disorders. You’ll hear the term maternal sort of mental health, maternal mood and anxiety disorders to sort of be more broadly inclusive. So we’re not having any one woman gets stuck on one particular symptom as you stated that doesn’t resonate with her

 

L: but I did and I think that there’s so many different layers of postpartum depression that people don’t talk about. People don’t understand there wasn’t even you know, the right level of support even now, looking back that I was able to get, you know, I broke down i i called my doctor and I said, I’d like a really need help. And so I did three months of intensive outpatient therapy. So I was going in three days a week to the hospital to get talk therapy and medication and art therapy and group classes and group therapy and it really just only let me heal and focus but just realize that I wasn’t alone and that there’s nothing wrong with me as mom. There’s nothing wrong with what I was doing as a parent or how I was loving or how I was living. It was literally a cat, something’s wrong with your brain and you just have to fix it or work on it. So eventually, I found the right mix of medicine

 

P: One tricky issue with postpartum depression is it seems like it might be hard to identify in yourself or to rely on someone else to identify for you. I’m wondering if something like biomarkers might help here

 

Dr MB: well the use of a biomarker is, you know, variable depending on what biomarker you’re talking about. But for example, ideally there’d be a biomarker that would show women who are either at risk or to have someone start treatment in a preventative way or start path that would prevent symptoms from happening. Or biomarkers can be used to track response to different treatment or you know, indicate that someone’s going to be differentially responsive to a certain antidepressant or whatever it may be. So they can be used in lots of different ways at this point We do not have a reliable biomarker that’s ready for primetime. And so that’s an interesting area of investigation, both looking at genetic signature, but then looking at other types of biomarkers that can either help with diagnosis or help dictate treatment to be most targeted and effective. And that’s often when we think of precision medicine, or precision psychiatry, rather than saying, you have postpartum depression and we don’t know what treatments going to be most effective for you. So we’re going to, if we say pick an antidepressant that may or may not work for you, biomarkers when they are more sophisticated, can really help guide a specific line of treatment to be most effective.

 

L: I’m A huge fan of Lexapro I’m like a lexa pro cheerleader. But yeah, the days are brighter and heart is healed and I’m just so full of love and of being a parent, but I think one thing I would say to everyone who’s either expecting to have a child or just had a child and it’s in the fourth trimester is there’s absolutely nothing wrong with you. If you are feeling a little sad if you are feeling like you can’t make it if you’re feeling like things just aren’t adding up to help because it’s really easy and there’s nothing wrong with you. You’re doing a great job.

 

P: I think that’s a great message and I’m impressed that you were able to see it in yourself. And I’ve talked to a lot of women who have talked about postpartum depression and a lot of them don’t recognize it or think this is just what motherhood is, or I’m just a bad mom, or some version of that. 

 

P: I talked with Dr. Meltzer Brody about some of the challenges inherent in identifying PPD: I’m imagining we don’t have a biomarker and we don’t know which medication would help you if you require medication because postpartum depression is really a constellation of things. And there are many, many roads lead to postpartum depression. So it’s not this this one thing. In the same way you’re describing all these different symptoms that could be sort of a postpartum depression diagnosis. Because there are many ways to get there. Is that Is that accurate?

 

Dr. MB: I think that there’s not going to be any one reason a woman would have postpartum depression. So in the same way, that there’s not any one type of breast cancer either, so I think one of the things we’ve seen as we get much more sophisticated in other fields of medicine in terms of precision medicine, as we get very tailored and targeted on the specific treatment, that’s going to lead to the best outcome. So 25 years ago, most women with breast cancer you may have gotten the same treatment. It turned out that didn’t work very well at all. And we now are much more specific and targeted based on you know, receptor type and hormonal responsiveness and any number of things where I hope we can get to with postpartum depression and all forms of depression is similarly so that there’s not one form of depression and that people are going to become depressed for any number of reasons and that there’s going to be obviously the psychological psychosocial factors that render someone more vulnerable, but ultimately, it’s going to be the biologic processes, right? So is it immunologic in origin? Is it inflammatory markers in origin? Is it genetic in origin? Is it epigenetic, you know, or dysregulation of the HPA axis or dysregulation of a specific neurotransmitter system? So all of these are hypotheses. It’s very likely going to be an interaction of those but also that some people differentially are going to have a specific sort of past that’s driving there’s for which a specific treatment may be most effective. Now, we are not there yet at all, but I think the hope will be that we can be looking forward to that in the next I would, I would like to say aspirationally decade,

 

P: generally speaking, it seems like postpartum depression is thought to arise from hormone shifts, during or after pregnancy, in particular, a big drop in progesterone but it sounds like all these other bodily systems are affected immune system HPA access other systems. So it does that contribute to why it is tricky to establish a link between hormone drops and postpartum depression.

 

Dr. MB: So I think that we know that all women who give birth have rising and then falling levels of estrogen and progesterone, female ganando hormones, that’s a normal part of physiology. They rise dramatically during pregnancy and they fall at the time of delivery and that is part of physiology and so there’s no difference in the rise and fall in any particular way that’s been studied for someone that has postpartum depression or not, what the current theories are, and you’ll hear the the expression, differential sensitivity meaning a woman who gets postpartum depression may be differentially sensitive to the rising and falling the normal, rising and falling in a way that someone else is not. Now, we haven’t necessarily gotten able to refine that exactly, not even close. And it’s very likely that some women are differentially sensitive to the rising, falling and they have postpartum depression for that. rising, falling and they have postpartum depression for that reason, it’s also very likely that other women have postpartum depression because of a different trigger. So, the dysregulated system is not necessarily going to be hormonally based it may be something else and so this is an active area of investigation is understanding what are all the different factors and how they interact and what may be driving that for any you know, individual person

 

P: In Laura’s experience she have really significant hyperemesis I’m wondering if someone like Laura, who is presenting with evidence of a sensitivity that’s really strong to changes in hormones is more likely to get something like postpartum depression because obviously her system is sensitive to these fluctuations.

 

Dr. MB: So there’s there’s some data and we actually looked at this in the Danish registries and published out there is data showing that women that have hyperemesis gravidarum are at higher risk of having perinatal mood and anxiety complications than women that do not have it for an individual person who experiences hyperemesis gravidarum. It’s an extremely miserable experience, and I think it is just psychologically miserable. The second thing though, it also makes sense that whatever is happening in that individual person that makes them more sensitive to have the severity of symptoms in that way. There may be something happening in their body that works differently, that may make them more susceptible to other things. So I think it makes sense in a number of different ways. But we don’t understand deeply and at the biological level, exactly what’s going on. And I think that that’s what’s exciting right now is trying to get much more precise and dive deeper into the underlying pathophysiologic processes. So if I looked back over the last number of decades in our field, it it took decades in this country for even routine screening to take place and for us to move towards seeing this as a one of the greatest complications of pregnancy. And the postpartum period to do routine screening and all pregnant and postpartum women, to have it become part of public awareness to you know, work to decrease stigma so that people could talk about it. So we could get more women screened and more women into care and over what we’ve seen in the last 20 years is pretty remarkable in terms of a positive sea change in that direction. So where we need to go next is taking our understanding of what’s driving it, what’s the underlying pathophysiology, what are continued to be novel ways of diagnosing and treating, how can we be more precise and targeted and doing that and there’s a lot of work being done, which makes me encouraged on what may come next.

 

P: I have spoken to a couple of people at UCSF I don’t know if that’s where you were but they were saying that they are making an effort to have way more postpartum visits that aren’t normally scheduled because it is pretty spare.

 

L: Once you have a baby, it’s all about the baby and then six weeks, six week checkup, they’re like, Okay, hey, mom. You know,

 

P: and it does seem like it’s almost entirely physical. Have your wounds healed, and then we’ll send you on your way. 

 

L: Yup

 

P: You know, having been through it, which seems bizarre.

 

L: Great. Yeah. UCSF has they have a really good postpartum depression group. I wasn’t able to join it. But I would have if I could have,

 

P: Yeah I’m guessing where and from whom you get care may make a difference because there’s a lot going on in the field of postpartum depression. 

 

The future of postpartum care may not look much like the past I asked Dr. Meltzer, Brody about new medications. One thing she talks about is GABA, which if you’re not familiar with it is a chemical messenger in your brain that has a calming effect. 

 

It looks like in 2019, the first drug was approved specifically for postpartum depression. Is that right?

 

Dr. MB: Yes. So in 2019, the drug Brexanalone was approved for postpartum depression. It was the first FDA approval for a drug specifically for postpartum depression. And it’s a novel drug it’s a neuroactive steroid. So it works on GABA, which is different than other drugs. And it’s actually a proprietary formulation of allopregnanolone, which is the neuro active metabolite of progesterone. So you have levels of allo that normally rise very high during pregnancy, just like progesterone does, because it’s a metabolite of it and then fall rapidly. Postpartum. And so we were able to do the first open label study and then proceed through the double blind placebo controlled studies of using brexanolone for treating postpartum depression at at the University of North Carolina at Chapel Hill. It’s an IV drug. It’s a 60 hour infusion. It’s powerful. And you see this rapid onset of action within the first day and so we continue to have a robust clinical program. We’re continuing clinical trials and then there’s also an oral being drug being developed by Sage therapeutics, which is the pharmaceutical company that’s developed brexanolone And now is arann. Alone. Saran alone is also a neuroactive steroid, but it’s different. It is not an oral form of bricks and alone. It’s not an oral form of allopregnanolone it’s a bit of a different interactive stereo. And there’s been multiple positive studies showing its effectiveness after a two week course for postpartum depression, that that could be a new tool in the toolbox available in a year plus.

 

P: Well, that’s super exciting.

 

Dr. MB:  it is a really nice example of using pathophysiology to develop treatments leading to new treatments and a new tool for postpartum depression. And I think that approach hopefully, can be used in lots of different ways. Who’s going to be most responsive? For whom is this drug going to be the best fit? Or drugs like this and as we get much more refined understanding what treatments are going to be best for an individual patient that will lead to the best outcomes and brexanolone works fast and it works really fast. And so that’s so important in the perinatal period in the postpartum period, and having a rapid acting antidepressant that can work within a day is powerful and unlike most things on the market, a number of current therapies that we have take time. take days to weeks to months or longer, and then we unfortunately have people who don’t respond to the current therapies. So having new tools and new treatments that can act quickly and more quickly than what we’ve previously had, and then can increase effectiveness or be more effective to peep for people that haven’t responded to other treatments is really important.

 

P: How old is your daughter now? 

 

L: She’s five and a half.

 

P: That’s so fun. That’s a great age what she into.

 

L: So if you ask her what she wants to be when she grows up, she will tell you she wants to be a mom, doctor, astronaut scientist. So she’ll go to space, but she’ll still be able to drive her gets to school.

 

P: well that’s the dream isn’t it? Seems like the right ambition. She sounds busy. is very busy. 

 

L: She’s very smart. She’s I think she’s smarter than me. She’s five and a half and I’m pretty sure she’s smarter than me. She’ll be like, Mom, do you know what the biggest magnet on Earth is and no one should be like it’s Earth. Like okay

 

P: I feel like she needs a YouTube channel. These are just some real nuggets.

 

L: We’re not gonna stage mom her yet. We’re gonna try to keep childhood in its little bubble 

 

P: is she goes to kindergarten or is it high?

 

L: So we did distance learning we did like a week of online kindergarten, because we live a half a block away from our public school. We found out very quickly that Zoom learning is not the way to go. It’s just not she hates it. enforcing it was not worth it. So we are in another year of transitional kindergarten, which is private and falls under the preschool rule so it can be in person rich, she’s thriving. And moms are think of

 

P: I think of  kindergarteners socializing. And so that’s a hard, hard thing to do. So I’m glad that you guys have worked it out so that she can be out.

 

L: Even in the core things to work on like she’s an only child so sharing can’t can’t even do that in person preschool now because they all have their own pieces of art supplies and paper so they don’t contaminate.

 

P: Hopefully next year, 

 

L: fingers crossed back to normal. 

 

P: So if you could give advice to your younger self about this process what do you think you would tell her? 

 

L: Oh, I would say two things. One, I would say Laura depressed get help. So okay. Yeah, because if I got help sooner, I just think it wouldn’t have been as bad as it was. The other thing I would say is, you’re going to be a great mom, don’t worry about messing her up. In 2020 it’ll all make sense. Because I feel like everything I could have done and did do like once we had to just pause and have her home and be a family and just sort of figure it out like it’s really mattered, you know? 

 

P: Yeah, it is nice to have her home at this age. Right because five is so fun. I remember my when my oldest was five or went to kindergarten, I missed her so much. 

 

L: uh huh

 

P: And she got she had walking pneumonia for like a week and a half and it wasn’t like that was technically the diagnosis but she didn’t seem very sick. And I was like, walking around with my arms in the air like this is the best week ever to get her back. So it’s kind of nice. 

 

L: It was sad to knock at the end of preschool when she was turned five during this when she was four and a half. And we were lucky to be like Okay, let’s see, like there’s no, there’s no school. You’re gonna stay home with mom and dad. And she’s like, great. No school home. I get to stay home with you and dad. Cool. 

 

P: that’s Awesome. Well Laura, thanks so much for coming on and sharing your story today. I really appreciate it.

 

L: Yeah, thank you so much for having me.

 

P: Thanks again to Laura for sharing some of the challenges in her pregnancy and the really really about her experience in the postpartum period, her recovery and her ultimate joy. And a big thank you to dr. meltzer brody for sharing her insights on the current state of PPD and what the future may look like.  I’ll link to some of Dr. Meltzer Brody’s work in the show notes if you want to read more about these new medications for PPD.

 

Thank you for listening.

 

We’ll be back soon with another story of overcoming



 

Episode 57 SN: Secret No More, the First Baby: Cathryn’s story

Today’s episode features a moving story from a woman who recalls her first pregnancy in the late 1960s. The pregnancy was unintended. She was 18. Her parents, her social setting, and the cultural expectations of the time suggested that she had two options: either to marry her then boyfriend and start a family or have the baby in secret and surrender the newborn to the social workers who vaguely tended to her in the Home for Unwed mothers where she spent the end of her pregnancy and birth. Raised in the catholic faith to strict parents, abortion was not something she’d think to pursue, and it wasn’t legal or easily accessed, especially for a women who wasn’t married.  My guest reflects on how dramatically cultural views of sex and marriage have changed since she was first pregnant, and how her feelings about these topics have changed as well.

To find Cathryn’s work:


cathrynreadsandwrites.com

facebook.com/cathrynvogeley

https://www.instagram.com/cathrynthewriter/

To find Karen Wilson-Buterbaugh’s work:

 babyscoopera.com

and her book, is here

You can find more about the baby scoop era at

You can find more about the baby scoop era in this interview with Karen and Dan Rather: https://www.danratherjournalist.org/sites/default/files/documents/2012%20DDR%20715%20on%2005%2001%20Adopted%20or%20Abducted%3F.pdf

Audio Transcript

Hi welcome to war stories from the womb

I’m your host Paulette Kamenecka. I’m an economist and a writer and the mother of two girls.

Today’s episode features a moving story from a woman who recalls her first pregnancy in the late 1960s. The pregnancy was unintended. She was 18. Her parents, her social setting, and the cultural expectations of the time suggested that she had two options: either to marry her then boyfriend and start a family or have the baby in secret and surrender the newborn to the social workers who vaguely tended to her in the Home for Unwed mothers where she spent the end of her pregnancy and birth. Raised in the catholic faith to strict parents, abortion was not something she’d think to pursue, and it wasn’t legal or easily accessed, especially for a women who wasn’t married.  My guest reflects on how dramatically cultural views of sex and marriage have changed since she was first pregnant, and how her feelings about these topics have changed as well.

I also spoke with an author of many books on adoption who experienced her own version of pregnancy in the 60s outside of marriage.

Let’s get to this inspiring story.

Paulette:

 

Hi, thanks so much for coming on the show. Can you introduce yourself and tell us where you’re from?

 

Cathryn: Hi, I’m Cathryn Vogley. And I was born and raised in Pittsburgh, Pennsylvania and have lived in Portland, Oregon for the last 21 years.

 

P:  Oh my god, I’m so jealous. I love Portland. Thank you. I feel like that’s the home of good ice cream and coffee 

 

C: and beer and see 

 

P: oh my god, why would anyone leave?

 

C: Well, the thing is you can be you can go to the mountain. You could go skiing, which I don’t do anymore, but you could go skiing and then go surfing because you can go up to the coast in the same day. That’s people save it. I mean, it was a very strenuous day, but you could do it

 

P:  Oregon has a lot to offer, for sure…so we are here to talk about pregnancy, so Why don’t you walk us into your story? 

 

C: Yeah, I raised two daughters. They are now in their late 40s and I’m one of five children myself. I’m a middle child. My I think my place as a middle child as part of why. Part of my story of why I wanted to be a mother so much, and I actually I wanted to my mother was super stressed and I wanted to do a better job than she did.

 

P:  Are you third of 5 Are you four or five?



C: I’m the third of 5. Yeah, yeah. My mother had three children in three years. Wow. I was the third of those. And they had very little money and catholic and constrict. And they were young and she was so stressed and it was my father and and being the third and my older sister. 18 months old. I mean with colicky and so I once I had my own children, I realized how time consuming and how tiring it is to be the parent of a little child, the baby under a year, but then to have three under three years. 

 

P: Yeah, 

 

C: you’d have one of them screaming all night long. You know? It dawned on me No wonder she was acting nuts  that I was always being pushed to the side and be quiet.

 

P:  Yeah, there’s nothing like your own babies. To make you more sympathetic to your parents. Right? Yeah. So so were your daughters your first pregnancies?

 

P: No, my first pregnancy was baby and I kept secret. Most of my life. I was pregnant at 18 I was in nursing school. And you know, I look back on it now. And 18 doesn’t seem so terribly young, but I thought I felt childish and felt like I had no choice and what was happening. My boyfriend of two years didn’t want to get married. And he walked out. And my parents kind of went nuts and and there was a burden of shame. That was so strong, and it just kind of covered my whole being.

 

P:  So this sounds like an unintended pregnancy. 

 

C: Right 

 

P: As the mother of an 18 year old, I can say 18 Feels pretty young. I think 18 is young, right? 18 is high school.

 

C: I was through my first year of nursing school.

 

P:  So you may have been a little bit ahead. So that seems pretty young to me. Yeah. So it was unintended. And then you find out because you missed your period. That he found out

 

C: Yeah, I missed my period. Yeah, I started to feel funny, you know, sick to my stomach and so on. And I mean, I feel like I knew pretty quickly when I missed my second period. I know you know, this is I’m pregnant. I’m sure I am.

 

P:  Did they have those kits they have now where you can test?

 

C: No, there was no way to tell for sure. No way to tell on your own. And by the way, there were no birth control pills back there. It was illegal. back then. It was illegal to prescribe birth control to an unmarried woman. 

 

P: Wow

 

C: and birth control pills really had just come on the market and they were considered dangerous because they people suffered blood clots. Anyway, so you couldn’t get birth control pill and so the choices were limited as far as how to protect yourself.

 

P:  Today, we’re lucky to have Karen Wilson butor bow on the show. She’s the author of a number of books about adoption, including most recently the baby scoop era, unwed mothers infant adoption and forced surrender. So today we’re going to talk about Katherine’s experience. Her pregnancy and birth took place in 1969, which is in the baby scoop era from post World War Two and 1873. And Katherine is telling us that birth control was illegal unless you were married, which is hard to get your mind around. Maybe you can tell us more things about this period. What did the world look like for a woman who was pregnant outside of marriage?

 

Karen Buterbaugh: I always describe that era of time as black and white with no gray. It was either or so it was a very judgmental time, especially for women. you didn’t have any information, especially during the baby scoop era. So this was a time of of not having any information about sex about birth control. They locked all those books away. You weren’t able to get any birth control methods. Even if they had the pill. They kept it behind the counter. You were not able to get it unless you were married. Same thing with other methods of birth control condoms do we did not have sexual education in our schools. It was considered a taboo topic. So we didn’t have any information highway like you do today. And the baby scoop era is, you know, a very short window of time as you said between the end of World War Two and the beginning of 1973. There are certain criteria during that period of time that existed that that does not exist before or since 

 

P: Ok

 

KB: the baby scoop era and the reason that it ends with 1973 is because early 1973 We had choice. 

 

P: Yeah, right. 

 

KB: You know, it begins when it does because the end of the war brought home many soldiers who had STDs and render their wives unable to conceive not to mention the fact that that’s when baby boomers mostly were born. And we were the ones caught in the web. Because we came to sexual maturity during the baby scoop era. So if we did not have information about pregnancy, how could we prevent it? So there are certain criteria that only applied to that timeline, and there were more babies that were given birth by baby boomer, unmarried females, of course, they call this unwed was the term of the day during that period of time than at any other time before. Since then, we were automatically expelled from school, removed from our neighborhood and removed from our family home. We were deemed inferior.

 

P:  That sounds fairly traumatic. I remember as a young person, even though I was on birth control being spasmodically nervous if you know my period was a day late. 

 

C: Yeah. 

 

P: So I can somewhat relate to the stress of you know, this is not a time in which I want to be pregnant. And if I do get pregnant, like many things will follow. 

 

C: Yeah, 

 

P: I’m sympathetic to 18 year old you. 

 

C: Yeah, well, it wasn’t just this is not a time when I want to be pregnant. I didn’t want my mother to know that I had had sex. I mean, that was huge. For me, it sounds these days. It sounds kind of almost unbelievable. But you know you were expected to be a virgin until you’re married my mother really stressed that it was the highest value to be a virgin and, and, you know, she acted like sex was dirty unless you were married, she seemed to have this aversion to woman’s physicality. Marilyn Monroe was you know, she would tisk and shake her head and my parents were just really pretty tight. And so the shame the fear that I had around pregnancy was primarily in the beginning was that my mother would know that I had had sex

 

P:  and do you think that’s also a kind of religious message or just wider culture in general?

 

C: I think both. I think both, you know, I had loads of friends who were not Catholic, and yet it was pervasive. If you were pregnant back then, and you weren’t married. You had a shot on wedding. And if you were pregnant and not married, nobody knew about it. You know, if you didn’t get married because you went away. Girls in my world didn’t have babies if they weren’t married.

 

P:  So what year is this?

 

C: This is 1968. 

 

P: So it’s before Roe v. Wade. Oh, yeah. So also the idea of an abortion, which maybe because of your Catholic upbringing is not even in your universe. It’s also just not accessible.

 

C: both Yeah. And my boyfriend’s mother suggested that I have an abortion. And It startled me. My parents certainly never suggested that in my 18 year old mine. It was number one scary number two, murder. And, you know, I thought I could, I could die for heaven’s sake, and I didn’t want to I always heard about quote unquote, back alley. Abortion was and I could picture myself going into a wet dark, dirty place and having my insides ripped out. That was my 18 year old thought so that I was offended when she suggested an abortion. And I just said, No, I’m not going to do that.

 

P:  Well, this sounds very stressful. So So at some point, you decided to tell your mother or how does this all unfold?

 

C: Yeah, you know, I finally went to the doctor and he confirmed it and I told my boyfriend while we have to go on. And tell my parents

 

P:  Let me ask a question: Is the doctor kind to or are they judgmental?

 

C: very judgmental. I actually, I didn’t know any doctors and a OB GYN doctors. I had never had a pelvic exam. And, you know, I was pretty scared. And the only OB I knew the only gynecologist I knew was my mother’s doctor. 

 

P: Okay, 

 

C: you know, she had had five kids, and she talked about him. And so I knew his name, and I knew he was in Oakland. So he’s the one I went to. And of course, he had delivered me so and he knew my mother, you know, for five children. He knew her. And so when he said I was pregnant, he was disgusted. And he said, So what are you going to do? Are you going to tell your mother or should I tell her should I call her? And I felt like I was in grade school. And you know, he was the principal and I said, No, you know, I was crying and terribly upset that no, I’ll tell her. And he said, Are you sure? Yeah, I will. So yeah, it was humiliating. From the very start. It was humiliating. And

 

P:  do we look back on that conversation now and think differently about the way that the doctor treated you and the way that you were made to feel,

 

C: you know, I could go on about how everything that happened and how I was made to feel or how I felt, and I can dish out a lot of blame. But you know, things were different back then. And it really, everything it fit, it’s how it was. I couldn’t ever have imagined that my world would change as much as it has. there and now. To think that a young woman would want to get pregnant and not have a husband is just, it’s just, you know, back then it was just incomprehensible. And my feelings have changed toward abortion, for sure. And maybe that’s a whole other program. I don’t know if you want me to get into that or not.

 

P:  Well, we can we can talk about it at the end because, I mean, I think the show is about the transformative process of pregnancy and how it’s different experienced than it is described. And I think abortion is part of that story. You mean you have to tell the whole story, right? It’s all these things that can happen when you’re pregnant. And so many people come and talk about the physicality of pregnancy that’s unanticipated. All the things that come with it. And so, abortion is part of that, right? Like, you can’t, I mean, you could tell half the story, but that seems counterproductive. But let’s, let’s focus on your experience right now. you’ve decided you’re going to tell your mother and do you feel like you’re gonna tell your mother because it’s either you or the doctor or you just think I don’t have any other choice?

 

C: There’s no way out. You know, I mean, I didn’t have a driver’s license. I didn’t have a job. I was in school. My boyfriend was a junior at Notre Dame I think or sophomore, a junior at Notre Dame and he you know, we were both from Pittsburgh. So we had to go away to school and so on. Once you’re pregnant, there’s no way to me there was no way to undo it. And so there was no you know, I couldn’t run away. There was no place for me to reach out to and really, the shame was, like, a straightjacket around me. I just didn’t feel you know, I look back on it. I think I really did have a lot of options. My grandparents lived in Fort Lauderdale. I could have gone and stayed with them. My sister was married. We were very close. I could have reached out to her for help. But I was so ashamed. I didn’t want anybody to know.

 

P:  do you think your sister and your grandparents would react differently than your parents? Oh, my

 

C: well my sister would have for sure I know that. My grandparents. I don’t know. I honestly don’t know. My my family. My parents, the adults in my family work so straight laced and proper that again, for my grandparents to know that I had had sex. I mean, it’s just sex just wasn’t there wasn’t such a thing, you know, and and to admit that it was human. It was I can’t express how humiliating and shameful it was. And and I was so afraid and afraid of what I don’t know. I was just afraid.

 

P:  Well, it sounds important, like afraid of judgment, which seems reasonable, but I’m wondering if your boyfriend felt the same way or you scot free.

 

C: He was a fairly responsible individual. And I don’t know what went on between him and his parents. He was the oldest in the family. of three boys. And he would be the first to graduate from college. The grandparents were immigrants; Italian…. And my mother said he’s gonna pay it and so it ended up he did. Time and whatnot. He comes back in a week and says he can’t get married. She jumps up and screams at him and said get out, get out and don’t ever come back here. So then I ended going to a home for unwed mothers. And it cost $2200 and my mother said that he’s going to pay for it. He shouldn’t get away scot free. And he did pay it and that was a lot of money at that time and he did pay it. He earned it At the railroad. I think the median income that year was like $7000.

 

P: oh Wow. oh my god

 

C: He was, but he definitely totally shut down. I mean, I didn’t get any support from him. He was just gone from my life

 

P:  that sounds unbelievably hard. Also. $2,200 Sounds like a luxury resort which I’m guessing it was not.

 

C: You know you are right. I thought that the hospital delivery, the cost of meals, etc. And I came to the conclusion. I’m remembering right.

 

P: Wow. 

 

C: So I went in November 1, and I was three weeks overdue. had a terrible, terrible labor and delivery.

 

P:  Wait, wait, let me slow you down. You’re per second. What’s the pregnancy like and are you spending your entire pregnancy at this place? Or?

 

C: No, they don’t take into take girls until they were seven months pregnant. And so I had to find a place to hide between five and seven months. I found…

 

P:  so you’re not in school anymore?

 

C: Correct. Things kind of just fell in place so to speak. I found out I was pregnant in them within like may 1 part of May and my term was coming to go I finished the term. And then we had a break, like three weeks. So this is nursing school, not college. So I had a break and everybody cleans out their dorm rooms. Because when you come back after the break, you will move up to a different form level. Right? So it was a three year program. So anyway, I had finished my freshman year, and I waited until everybody cleaned out their rooms. I didn’t go when everybody else went and once everybody was on then I went in in the empty dorm and cleaned out my room and I didn’t tell anyone and so people didn’t know what happened to me because  I didn’t come back

 

P:  This sounds incredibly hard and incredibly lonely 

 

C: Oh, it was. It was. I’m going to start crying

 

P: this is such a weird way to treat young women. Intellectualy I understand was a different understand that this really it’s very hard not to feel angry on your behalf and all these things. All these like larger cultural pressures that you’re being forced to bear

 

C: Yeah, yeah, it was it was such an unjust and cruel thing to put on young women. And the thing is, I’m just one person and there were, you know, the numbers vary. I’ve read 400,000 I read a million, etc. I can’t get a tight grip on statistics And what I’ve read is it’s difficult to get statistics on how many women gave up programs secret during that period during the baby era, the 50s and 60s.

 

P: Let’s talk about the numbers here. So Catherine was saying she’d seen all different kinds of numbers about how common this was. And that it was tricky to get reliable statistics so for sure I have an opinion on both of those

 

KB: yes I do have some statistics the number of illegitimate live births married mothers 700 These six 756 68 and 6972. Numbers have surrendered just years they call them the numbers increased because it was such a ready supply and such a huge demand

 

C: But I’ll tell you there are a lot of people around in writing my book or the writing classes. Somebody would come up with me often, really often and tell me in confidence and still keep the difference. And so that you know as time went on, and I was working on this book, it became clear to me that this is a story that people like me, you know, we’re all older now. We had babies in the 60s. People like me are holding on to their pain and they’re story and not letting it out and doing this writing their story. The way I kept saying, to my writing group. I don’t know. Nobody’s gonna care about this you know, it’s my thing. Its’ what happened to me… And there was one person I might have actually told me in confidence that that was her story and if it wasn’t for my writing group, I probably would not have published my book. But to me to do

 

P:  It is a time capsule in some ways and it is kind of a an incredible story which I’m glad that you shared because even today while Roe v Wade is being challenged in a significant way. It’s hard to believe that this is where we are. But probably from your perspective we’re so lightyears ahead of the what you experienced in this world of pregnancy and secrecy and it just it’s such a lack of awareness and understanding of what pregnancy is and does to a person. Even at 18 How was the pregnancy?

 

C: I had the normal you know, morning sickness, which I had to hide of course. Yeah, I think that the first the first part of my pregnancy was fairly easy. I’m a person who swells up so I had a lot of problems with my feet swelling and being you know, feeling all the time. But then I was my baby was overdue. And, you know, my, let me back up. There were things that happened that I didn’t know. Were going to happen like quickening. For example, you know, I felt the little twinges and they didn’t know what was going on. And I talked to the woman I was living with for those few months, and she kind of cleared it up for me. But as an 18 year old girl with a body a young body like an 18 year old girl. It was the stretch marks that got me that stretch marks. I have dry skin though. You know they started as these line is vertical lines and on my belly and they just kept growing and more of them came and it was it was very disfiguring and very hard for me to see. And to know

 

P:  I can relate to this actually…you have spent your entire life with society telling you that part of your worth is what your body looks like. So it’s impossible to just drop that once you’re pregnant when all these changes happen, right? It’s the all these things in such dramatic conflict. Of course you’re gonna feel unhappy with that. Of course she well that makes perfect sense. This is the most human thing you’re gonna do. And

 

C: I have a double whammy. I was hiding and having the stretch marks and my mother saying you’ll you’ll have a baby and then you’ll move on and then it will all be behind you but not only emotionally wasn’t never behind me. But then I had a young woman you know who was brought up to believe virginity is you know the most precious thing you have that now not only did I not have that, but my body was disfigured and I mean my baby was 3 weeks late and 40 hours of labor. 

 

P: Oh my God 

 

C: alone. And

 

P:  so let’s talk a little bit. Are you getting our OB visits while you’re pregnant?

 

C: You know, I cannot remember that. In writing my book. There were certain things that I just could not get a hold of. In my mind. I can’t you know, I could remember a lot of moments but my OB visits I can’t remember a lot of punch ball moments but my OB visits I can’t remember

 

P:  So before you give birth, how do you know today’s the day?

 

C: Well, like I said, I was always in a home for unwed mothers. Everybody who had come in when I was there when I first came in, was already gone. People came in after I was there already gone and I thought I was never going to have a baby. So finally you know I was having a lot of Braxton Hicks a lot of pains, but I was not dilating enough for them to send me to the hospital. So finally, my water didn’t break. I started having pains and I think I feel like I just willed it into happening. I was going to break apart if I don’t get this baby out. The baby was actually, I think, borderline stressed. I know I was distributed and they didn’t want to do a C section because I was an unwed mother and there will be a scar which, you know, I this is what they told me but as an adult in retrospect, I tend to think that and this is just my opinion, that it didn’t have so much to do with the scar as in with the cost if they didn’t want to do a section because that would mean that’s as much as a surgery. It is. 

 

P: yeah Yeah, 

 

C: and so they let me go and kill you know, they couldn’t let me go anymore I guess so how did I know? I guess just the pain has finally got regular you know when they’re not regular every X number of minutes then you’re not in labor. That’s what I was told

 

P:  What is the home for unwed girls like Is it is it a church? Is it a its own building? What’s it look like?

 

C: It’s his own building. It was fairly modern building for the time was Rosario family home Catholic Charities place run by the Sisters of Charity in Pittsburgh. It reminded me very much of my nursing dormitory. You know, there were you know rooms and there were two people in each room. There was a lounge where you watch TV and play games and things like that. There was a chapel where they had mass every day and we were encouraged to go to maps. There was a dining area and there was a an outdoor area but we didn’t go outside. Some girls would leave but I never did. I did one time my father came over. They were only 20 minutes away. And they came over my dad came over and took me for a ride after dark and I was there for Christmas time. To see the lights and the windows downtown Pittsburgh. That’s something we used to do as a family. Right around Christmas time. We’d looking at the light. And my mother didn’t come she didn’t want to see pregnant. Yeah. So what I remember about Christmas was that everybody else left. I don’t know where they went but they left and I was there alone. And I ate dinner by myself in the dining room. Everything was shut down because it was Christmas. So



P:  they’re really taking this hiding away things seriously.

 

C: Well, I did you know, I I have heard other stories from women like me whose parents would come and get them. Women who they’ll communicate with people but I didn’t. And I my mother suggested that I that my dad take me downtown to look at the windows, but I said I didn’t want to because somebody would see me and we went back and forth. Well then he said nobody will see you to be after dark. And as a matter of fact, you know, she didn’t come because she didn’t want to see me. So it was a constant message from her that she couldn’t handle it

 

P:  did you become friendly with other women who are in the home with you?

 

C: Yeah, they’re my roommate who I don’t write about and my roommate and I became close. And we kept in touch after the births and eventually we drifted apart and with the internet, I’ve tried to find her and I can’t find any anything about her.

 

P:  And does she bear this experience in a similar way that  you did?

 

C: You know everybody’s situation is different. Her sister was who was like eight years old and he was lived in Pittsburgh also, and she would go out occasionally to her sister’s place. But yeah, I think that we were both together in our grief and she was Catholic too in fact I think all the girls there were catholic

 

P:   Wow. So let’s get back to your birth. So you are having regular contractions and and is someone with you or how does that all work?

 

C: No, nobody was with me.

 

P: First of all, her mother didn’t come to the birth right. She had to give birth alone.

 

KB: Oh yeah, me too. Yes.

 

P:  So this is another question about who does this benefit. I don’t understand whose decision this isn’t

 

KB: to terrorize you is to keep you from reoffending. They didn’t want recidivism. They didn’t they did not want you to know what’s coming because they wanted to properly properly terrorized and the parents I think did not want to be exposed to what the reality of what was occurring. So oftentimes, they would even sign the documents in advance that if you get you had a boy, they would be circumcised. I have the signed paper by my mother, and oftentimes the babies were born at night. So so nobody from the maternity home of course wanted to give up their nighttime hours to stay with you. Not even a nurse would be with you. They would just maybe check on you, you know, every hour or something.

 

C: Now they take you to the hospital, you know you’re admitted they kept my door closed. Because I was a Rosalia girl. And so it was all secret. You know, nobody came in. I think one nurse was assigned to me so that it would be limited exposure. I don’t mean that I have private nurse I mean that only one nurse would see me and the doors kept closed. And I was alone and I knew that I had done the wrong thing by getting pregnant and I deserve this. I was a perfect martyr. I couldn’t suffer enough to pay for my sin by 

 

P: God that seems like a lot to bear. And so it sounds like the the delivery was pretty hard.

 

C: Yeah, I you know, after two days, I was pretty worn out and there was a nurse that came in I’ll never forget her name was Lynn, when he came in second evening when I was still there, and she said she couldn’t believe that I was still there and she do as close to me and age. And I remember her crying and saying, You know, I could be I could be you laying there and you could be me. And she said you shouldn’t be alone, and I she said I just can’t I would sit with you myself if I didn’t have to work. So she was one person who showed me some kindness and, you know, real sympathy. My cousin who’s a priest, who arranged for the, for me to go to Rosalia or I should say gave us the information. He came in one day, and he’s the only visitor I had and he said that my mother sent him because she knew I was in labor and she didn’t know what was taking. He just came in gave me a blessing and left

 

P:  That seems incredibly hard. Do you know where the the issue was or service wasn’t entirely in it? Or like Why was the birth taking so long?

 

C: I don’t know. I was 18. I don’t know. I got you know, I was a pain. I don’t know. I just know that they kept saying or not all the way yet. Okay,

 

P:  so that sounds now the way dilated with that sounds like 

 

C: yeah, you know, I think these days they give epidurals so they didn’t do anything like that back then. There was no, there was no sedation at all. And so I was having the baby, you know the final stage of labor and they put me on a cart and put me into the delivery room. I remember being so frantic and holding my hands over my face and saying, Give me the gas. My mother had told me like way before it happened, that they would give gas right when the baby was being born. And they put the mask over my face and I blacked out basically. And when I woke up, the big light was on and there was all this clanging of pans. You know there are people bustling around and I’m laying there and you know trying to I wasn’t wide awake I was still recovering from the ether…you know, it gives you a terrible taste in your mouth and saying you know what? What was going on? And they said, you’re all done you can go back to your room now. Come on over on this car and about the baby. And they said, Oh, you had a girl because back then you didn’t know what you were going to have. Yeah. And so I couldn’t move apparently was a traumatic birth because I went on to bleed for months. And I didn’t have I didn’t have care afterwards. I didn’t know. I don’t know if if something was broken when I was born, or what but I remember I couldn’t afterwards. And my mother said at some point. I don’t know. I think maybe you should go to the doctor. This is not normal. still bleeding after two months.

 

P:And did you go to the doctor?

 

C: I don’t think that’s another piece that I can’t remember specifically. 

 

P: So after you give birth they just send you home or

 

C: no you actually have given birth. A I think most I must have stayed at least one night I don’t remember what time of day she was born. I think she was born the morning but I can’t explain but I know I was sent back to Rosalia very quickly. I don’t remember if it was that same day or if it was the next day. But I was taken out through the kitchen because they you know they go a wheelchair thunking over the floor. And people in the kitchen looking you know, like the only time somebody would be brought through the kitchen I guess is if you’re a Rosalia  girl and you were hiding and there was a cab out back so I went out to service and back to the hospital. And I got into the cab and went to close the door and a nurse comes running out of the hospital. She’s screaming at me Wait, wait, you can’t go yet. You can’t go yet. And she’s got the baby who I hadn’t seen and I had been told over and over and over at Rosalia You can’t see your baby. You can’t hold your baby. If you do, you’ll never be able to give her up. And a nurse went to give her to me. I put my hands up I said no, no, no, no, no, I can’t No, I can’t hold her and the nurse was totally annoyed. And she said Why would you say that? Why don’t want to hold your baby and hoping you don’t ever want your baby. And she said that’s ridiculous how she supposed to get back to the Rosalia and I said I don’t know. Can you bring her in? No. This is the way we do it. Now hurry up. It’s cold out here because in January. She put the baby in my arms and so I held her for the ten minutes or whatever it was from the hospital to Rosalia. That was The only time I got to hold her.

 

P: I’m confused. How is she supposed to get back to Rosalia if you aren’t supposed to touch her. Do you know how it works there, if not at the time, do you know now? 

 

C: So there’s a prenatal section where the young women were waiting and then there was a second area that was nursery and the postpartum section. And the nursery was divided away. So it was the pre prenatals couldn’t go over and see the nursery. Right and I can’t remember specifically but I think that the host part on floor was on a different floor or at least a long ways from the nursery because they wanted to discourage you from seeing your baby.

 

KB: And we of course were oblivious because many of us entering the maternity homes at that point didn’t even know that our babies would be surrendered. Until we had been there for some time and talk to other girls. And we didn’t even get information about what was happening inside our bodies. And that was intentional to keep us from bonding emotionally and physically with our own baby. And we can go into that more about thought reform and brainwashing and how they used it to their advantage to get these babies and kept us away from the new mothers completely separated from them so that we could not learn what their experience was. So keep us properly terrorized.

 

C: So the baby went in the nursery and I went in the postpartum area that was that was a bad time was hard.

 

P: That seems particularly cruel to say you take her over and put her in the nursery. That seems that seems nuts. and then Rosalia is facilitating adoption from the nursery.

 

C: You know, that’s interesting, because my understanding was that the baby would be fostered for a short time like a month or something and then would go to adoptive parents. But I found out afterwards, like during my search, that that’s not what happened that she was actually stayed in the nursery for a long time or something. And then she went into a foster home. And then she was adopted. And she was born in January and she wasn’t adopted until July. 

 

P: Oh wow. 

 

C: And I don’t think I don’t know the circumstances because I don’t know how the adoption system worked. But my understanding is that parents are found ahead of time, you know, not like, you know, a puppy mill or where you go pick out your dog 

 

P: Yeah,

 

C: I don’t know that side of the story. But I know that I was upset and shocked when I discovered that she had not been parented. He had not been with her adoptive parents until so far down you know? Many months later. I think that is an incredible mistake. Or for a baby for my baby. who have not had a mother figure immediately. 

 

P: Yeah. Yeah, 

 

C: talk about the primal wound. Right.

 

P:  Yeah, that’s a well devastating for both he was wearing sounds like

 

taking his babies were actually in foster care. We could have visited them. We could have taken possession of them, had them held them. Reclaimed them had we been told where they were but we were not told we were told in fact that they had gone from our arms to their new family.

 

P:  14:34  

So then you stay in postpartum for a little while then go back to your parents house.

 

Unknown Speaker  14:38  

Yeah, I went back home and my mother was a quitter. Like, you know, it’s just your home now you’re gonna get better you’re gonna get on with your life. You’re gonna forget about a little bit. You just have to keep looking forward. And so that was your mantra every day. Keep looking forward. Look back to think about it.

 

P: One thing I don’t really understand is this press of like move on. Let’s this this

 

KB: forget it ever happened go on life as if it never happened. That’s the mantra of what they said to us all along from the minute they got their hands on us until the minute we were discharged empty handed. Was that you will forget about we promise you will forget that this ever happened. You will go on with your life and you will have a children you can keep you are told do not tell anyone Yeah, they didn’t want what they were doing no to the general public so you know we’re believing them well if you tell everybody’s gonna think you’re you know you’re used dirty laundry you’re you’re in the you’ll never find a decent man who will marry you. You will be able to find a job and you won’t be able to rent an apartment. You won’t be able to feed your baby. Your baby will suffer because of you and what you’ve done. So that was that was you know, to hide the evidence of what was done, don’t tell. And boy did they drill that into our brains. I didn’t tell for 30 years, we were very easily manipulated. And so we were grieving privately and we could talk to no one about it.

 

C; And so I never had a chance to grieve. I never had a chance to talk about it. I felt my shame I was able to push it away and feel like okay, this is what I’ve got. This is I’ve just had to keep going. What else am I going to do?

 

P:  So did you go back to nursing school?

 

C: I enrolled in a different school. And you know, people who wanted to know what happened, why did you leave? Why did you leave St. Joseph. And, you know, well, I wasn’t sure I wanted to be a nurse because I needed to take some time. I mean, that was my explanation in general. Yeah, I started a new school and they allowed me to pick up basically where I left off. So that was good I mean, you know, I lost the year because I was out of school, but I was able to finish. I did a lot of drinking after that

 

P:  God I can imagine. I mean it’s such an enormous thing to imagine putting aside or acting like it didn’t happen or like Academy Award Level stuff you have going there seems unbelievably hard. She did a lot of drinking after that, which I believe is appropriate.

 

KB: Somewhere I came across a syndrome for mothers who had surrender never relinquish. It was a surrender because it was a gun to the head experience. You had no choice at all, except to sign so it’s surrendered and terminology is important. But I read the syndrome where mothers when they returned home, they face drinking, drugs, rape, sleep disturbances, everything pretty much that you would associate with Post Traumatic Stress Disorder. We faced when we came home and yet we could talk to no one about it and that’s why they call it disenfranchised grief. So it was no one that we could turn to and yet it felt like our baby had died.

 

P:  And I’m imagining complicated. The pregnancies of your children later.

 

C: Yeah, well, to a point. I couldn’t wait to get married. And I wanted to have a baby right away. I’ve heard and I’ve read other people’s books or stories where they spent the rest of their life thinking about their baby that they gave up. And I couldn’t I couldn’t let myself I just wanted to like my mother said and move on. And so I got married not to the baby father but to a different person. But he I found basically and I think I just I just charmed HimI charmed him into marrying me  like a baby. So when I finally I had a baby pretty quickly, so we were married in April of 71. And my daughter was born in June of 72. And, you know, when I said about, you know about getting pregnant, he said he didn’t want to have kids yet and he knew about my baby, but he didn’t talk about it. He was just like okay, so that happened to you. So I, you know, in the summer we were married in April in the summer I started talking about having a baby and he said it’s too early. I don’t want to have a baby yet. You know, we need to get some money and blah blah, blah. So I got pregnant in September. She was born in June, and I swear it was the happiest day of my life. I just remember holding her and feeling like I finally had what I wanted. I didn’t feel like I have finally replaced my child. I just felt like this is you know, I finally I’m, I’m legitimate. And I can have a baby a real baby that I can keep that I can have a shower for. And people congratulate me and asked me about her and fawn over her and it was it was the opposite of everything I had been through

 

P:  I guess I can see where you’re looking to square what happened previously in some ways. Do you look back at 18 year old you and is the shame dispelled? Do you think now with your experience like that none of that was right. And that wasn’t my fault. And it’s, you know, sex is human and natural. And you know, it was it was an accident. 

 

C: That’s a real interesting question. It really took my whole life up to that point and I think when I turned was when I was about to publish my book, you know, and that’s recent, right? And I put it on social media that I was, you know, I had finished my memoir and I were it was about having a baby at 18 and giving her away, and people in my family, my siblings knew, but people in my family and in my general point, nobody knew. And so when I did that, that’s that’s when I felt like I opened the doors. And like I’m saying it to the world and that’s when my shame started to dissolve. When I first started the memoir, which I never intended public, I used a pen name my name was Susan Siskin. I think is pretty cool name. But I was I was told no, you can’t do that when you write a memoir. 

 

P: Yeah. 

 

C: You can’t do that. And so then I started calling myself Cathy in the book and that was really, really hard. And eventually when somebody in my writing group say that, Oh, you’re going to publish this Sunday and I remember having a flip flop in my chest  like, Ah, no, no, I can’t do that. No. And, you know, as time went on, I’ve been working on for many years as time went on, it became more solid. And you’re not supposed to write a memoir to heal. That’s what I read. that’s not why I did it. But that’s what happened. It’s been a tremendous help me be able to talk about it, you know, in the name of my book is I need to tell you, I still don’t know why I need to tell the story. I still don’t know why. But I think of it is kind of like a whole thing that’s kind of like an abscess, and you know it, it opened and I just have to keep on getting it all out. You know, for to heal. And I don’t know if it will ever go away. I’m not sure I’ve been saying before I got the publisher I said I just it’s just too much for me. I’m just gonna, I’m gonna erase all my computer files. I’m gonna burn all of my paper. I’m just gonna walk away. I’m not going to talk about this or write about this anymore. And you know, my writing group friends. You can’t do that and just take a break and get away from it. And oh, it’s been a hard process.

 

P:  I can imagine there’s so much packed into the year that you spent hidden and the years after when you’re not supposed to talk about it and not supposed to feel it and not supposed to have any emotional energy around it. But it did happen in Israel and you know, you’re a person so that all that stuff lives in you right in some way until until you acknowledge it. What are your girls say? Didn’t you say to girls?

 

C: Yeah, yeah, I have two girls. I didn’t tell them about it until they were well out of high school. I think they were around 20 You know, one was maybe 920 something and they were they were pretty shocked and they just kind of were like, Whoa, go. So what are we supposed to do? And what about us? And of course I haven’t found her at that point. I wasn’t looking for a point I just said, I just wanted you to know that. You know, I was I was through my divorce and a lot was changing in my life and I felt like it was time to tell them they’re grown up. So the baby first child I have has never been discussed. You know, they there was that it was it was very special was very limited. And when I started writing, my youngest daughter was 100% supportive. He said I I’ll help you whatever way you would ask me about the older one, I think sees me strictly as her mother. And not somebody who had a relationship before she was born and had a baby is not interested in a half sister. Yeah. So when I began my search, my oldest daughter said I’m just afraid for you Mom afraid to get hurt. Her she’s always she’s been protective. And the younger one has read the book. The older one has the book, but I haven’t heard a word about the book from her and I don’t want to ask her about it. I don’t want to put her on the spot. So I’m just waiting, hoping that at some point, you’ll have process which she needs to and maybe she’ll talk about it.

 

P:  So it sounds like you found your first child?

 

C: I did. Yes, I did

 

P:  And are you allowed to contact them or how does that work? Is there such a thing as allowed?

 

C: Well, in my case, I discovered that, you know, Pennsylvania had a law in a closed adoption, as do many states. The records were SEALED for 99 years. And so after my divorce in the 90s I started wanting to find her but there was no way before the internet. There was no way to really, really search

 

P:  I’m imagining that it’s easier now with genetic stuff. It’s much easier.

 

C: Yeah. Because the records were SEALED for 99 years and and when I started searching for her when I started writing this book, I was told, you know the records are sealed, etc. And this was like 2016 17. After a long period I discovered kind of by accident that the laws had actually changed in Pennsylvania in 2011. 

 

P: Oh, wow. 

 

C: That with a certain process, the records can be opened. And it seemed that nobody knew that because the baby’s father is an attorney doing works represent located and I contacted him and asked him for help and he said nobody can get into those records. So he didn’t even know that the live change. But I contacted after a year of false leads. I contacted Catholic Charities social service department and I couldn’t believe it that right away. The woman said yes, we could find your daughter. Wow. You know after a year of letter writing and the process is I don’t know what it is today. But this is what it was then you hire or they have an intermediary, a search agent. So costs $300 And they give the service agent the record. The search agent connects with the baby the person and the parent, and so everybody’s still living so that was done a letter is sent out to each of them, letting them know that the first mother is searching and asking, you know why and there’s no obligation obviously, and if they would, if they’re interested, contact the third agent not me, but the agent. And so that was quite an emotional process for me. So some time went by, like three weeks I think it was And finally I got an email from my daughter. And that was it was pretty emotional. So she lives on the East Coast and I live on

 

On the East Coast and I live on the West Coast, and we email back and forth several times a day for a long time, months and months. And eventually it kind of dwindled. And then we were just texting and the cracks dwindled. And now I don’t hear from her.

 

P:  So the original connection, what she said was emotional. Is it emotional, happy or emotional angry or, like what’s the tenor?

 

C: My first thing was to ask for forgiveness to tell her that I do want to give her up and tell her I’m sorry that he didn’t have her mother with her to raise her and she wrote back and said, there’s nothing to forgive. Thank you for giving me a life. And then there was a lot of curiosity. You know her questions and that’s what the emails were questions about her beginnings and what I went through, and I think I was I gave her everything I could. I gave her pictures of my family, who wanted to hear my voice I sent her a voice recording she’s so guarded She would send me pictures. He wouldn’t talk on the phone. I think she’s a natural thing. She’s afraid. She’s afraid to trust. And I was so I went through a period where I was so anxious to meet her that I offered to fly to her airport she’s in a big city, fly to the airport where she lived, and meet her there for lunch, and then get on a plane and go back to Oregon. Like in the same day, just so she wouldn’t have to worry about anybody. You know, her parents were a consideration for her because he’s very loyal to them and didn’t want to upset them. Her father was upset though, I guess he said What does she want after all these years? And you know, she’s I think she was 45 years old or 46 years old

 

Yeah, and I would have loved it. If parents had contacted me. I would have loved was still love to speak to her mother communicate with her mother and find out what she was like growing up. I would just love that.

 

P:  It is incredible story and I I so appreciate you sharing it. And I I can’t help but feel angry for younger you that that this is what you experienced and that this was deemed okay by so many people. So many people thought this was an appropriate way to treat young women who were you know, in a really hard situation no matter how even if you’ve gotten married. It’s really hard to be pregnant the first time. Yes, especially as a young person and it’s not like you could go and get you know What to Expect When You’re Expecting or look something up on the just you don’t have any of those resources. So just the like conspiracy of people around you to say, Oh, this is appropriate treatment of someone in your circumstance. Just I just I maybe I’m not being empathetic enough to those people but I just feel angry. I just feel like that all of that is wrong.

 

Unknown Speaker  3:19  

You know, I really appreciate that. And that if something that started coming out or coming to me and and surprising my awareness when I started writing about people, particularly my mother, people would say, you know how how my mother was and how cruel and I didn’t know that until I started talking about and I started realizing, you know, like you said I started being getting a perspective on everything that happened. And picturing myself as a mother and having an eight year old daughter and having all that happen. And I just can’t connect doesn’t, you know, there’s, regardless of the times or whatever I never would have been able to allow my regardless of the shame and whatnot. I mean, no, I wouldn’t have been able to do that.

 

P:  4:23  

Yet. Well, it’s amazing that you wrote the book. I’m so glad it’s published and will you remind us of the name? Yeah,

 

Unknown Speaker  4:28  

my name is I need to tell you, I need to tell you. Yeah, I need to tell you. Yeah. And it’s funny because people will say, well, what’s the name? overhead and who’s on first? Exactly.

 

P:  4:44  

I’ll put a link in the show notes so people can find it. Thank you. So much for coming on and sharing your story.

 

C: Thank you, Paula. Thank you so much.

 

 



 

Episode 56 SN: A Run in with Gestational Diabetes, among other things: Tabitha’s Story

In general all the stories women shared on the show reflect on Roe in part because they show how challenging pregnancy can be both physically and mentally even when pregnancy is highly sought after. That’s one of the major take homes from this podcast real women sharing their actual experiences and hopefully contributing to a more realistic narrative around pregnancy and birth. And today’s story is very much in this vein. My guest today walked into pregnancy unsure about whether she wanted to have a child. Ultimately she and her partner decided they did. She ran into gestational diabetes which effected how she felt about the pregnancy and her ability to control her blood sugar, and had a significant impact on the delivery, which happened in late fall of 2019, so she also had to contend with a six month old when the first lockdown happened. She and her partner managed it all and now are enjoying their 2 and a half year old.

To find Tabitha’s writing, click here, here and here…or search for her on the web

Gestational Diabetes

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3120181/

https://pubmed.ncbi.nlm.nih.gov/3542067/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4290225/

The Placenta in Pregnancy wrt GD

https://www.ncbi.nlm.nih.gov/books/NBK1668/

https://diabetesjournals.org/care/article/30/Supplement_2/S120/23944/The-Human-Placenta-in-Gestational-Diabetes

https://www.gestationaldiabetes.co.uk/gestational-diabetes-placenta/

https://www.karger.com/Article/Fulltext/455904

GD and preeclampsia

https://www.everydayhealth.com/gestational-diabetes/gestational-diabetes-and-preclampsia.aspx

Induction and Breastfeeding

https://www.sciencedirect.com/science/article/abs/pii/S0378378216302122

https://www.sciencedirect.com/science/article/abs/pii/S0889854517301158

https://www.liebertpub.com/doi/full/10.1089/bfm.2017.0012

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3947469/#:~:text=Compared%20to%20all%20other%20study,lower%20oxytocin%20levels%20during%20breastfeeding.

Audio Transcript

Paulette: Hi, welcome to war stories from the womb. I’m your host, Paulette kamenecka. I’m an economist and a writer and the mother of two girls. A few things to mention before we get going. First, this episode is late, because COVID essentially grounded me for the better part of two weeks that I’m recovering and episodes will roll out on a regular schedule again, starting now. Second, since the last episode, Roe v Wade was overturned. I still have too much rage about this outcome to talk about it. But in future episodes, we’ll address this specifically. In general all the stories women shared on the show reflect on Roe in part because they show how challenging pregnancy can be both physically and mentally even when pregnancy is highly sought after. That’s one of the major take homes from this podcast real women sharing their actual experiences and hopefully contributing to a more realistic narrative around pregnancy and birth. And today’s story is very much in this vein. My guest today walked into pregnancy unsure about whether she wanted to have a child. Ultimately she and her partner decided they did. She ran into gestational diabetes which effected how she felt about the pregnancy and her ability to control her blood sugar, and had a significant impact on the delivery, which happened in late fall of 2019, so she also had to contend with a six month old when the first lockdown happened. She and her partner managed it all and now are enjoying their 2 and a half year old.

Let’s get to this inpsiring story

Hi, thanks so much for coming on the show. Can you introduce yourself and tell us where you’re from?

 

Tabitha: My name is Tabitha Blankenbuehler. I’m an essayist I live outside of Portland, Oregon.

 

P: So nice. Well, let’s go back before children for the very start. You grew up with siblings?

 

T: I did. Yeah, I’m the oldest obviously she had a brother and a sister. My sister was three years younger than me. And my brother was nine years younger than me. So he was kind of like, you know, I sort of got that mothering experience a little more with him. And still think of him as like a child.

 

P: Yeah, my sister is eight years older than me and her little nickname in my email is kiddo. So I’m with you. And so we were just talking about before we went to tape, the fact that for a lot of people growing up in a house with siblings makes them think, oh, I want a family. I’m definitely gonna have kids. And it sounds like for you that was not the case. So why don’t you tell us what your experience was?

 

T: Right? Yeah. I mean, I had, you know, a really great childhood. My parents were loving, supportive people. You know, the kind of people that you would say, okay, they were like born to be parents. I guess. For me. It wasn’t so much that I was that I didn’t have a good childhood that I wanted to recreate or anything like that. It was just sort of that I saw how much time and how all encompassing. Parenting was especially, you know, for my mom and I just didn’t want to do that. Like I wanted to do other things. I wanted to be a writer and you know, I had a bunch of other things I wanted to do be president and all these things. I really wanted to take precedence over having a family and I also kind of thought, you know, well, my family is really great. I don’t need more. 

 

P: Yeah, yeah, yeah 

 

T: I have, I have what I need. So also, when I was growing up, I just didn’t really like you know, I was an oldest child and I was very stereotypically the oldest child. You know, I was like, best friends with my teachers. Oh, all the adults around me and people pleaser and all those sorts of very boilerplate things. So I didn’t like kids. I had a hard time with other kids. I just didn’t relate to people my age. So I think there was that too, but just that I don’t like kids, even though I am one. I don’t want to be I can’t wait to not be one anymore. So

 

P: Well, I think seeing your mother in that way is wildly insightful. So maybe you were just kind of ahead of the curve there. And I for sure have you know, most people don’t know how they’re going to jack in a child to their existing life. And, and a lot of people, myself included, just kind of threw my hands like up, people figure it out. I assume I’ll be one of them. But it seems to me very smart to look at that and say Holy shit, that’s a lot of time. I can do other things. Right. And now that you’re on the other side, right, you’re right. It is time consuming. Yeah. So how did you move from the I don’t like kids. I don’t want kids to look I’m pregnant.

 

T: Yeah, it was, you know, really unexpected. Journey, I suppose. So, in 2018, I was on the end of my book tour I was doing I was completely absorbed in that in the writing pursuit and everything. And towards the end of my book tour, I realized I was you know, a few days late on my period, and being very obsessive about everything. I just took a pregnancy test. I figured, oh, well, there’s no way that I’m pregnant. I’m on birth control, blah, blah, blah. And it I took it in my office bathroom, and it was positive. Yeah. And, you know, completely threw me for a loop. It was the last thing I was expecting. And my first instinct was that I didn’t want to have a child and I wasn’t going to keep this pregnancy. So I went in and talked to the doctors at Planned Parenthood. I had caught the pregnancy super early, just because of being so conscientious about my schedule. They wouldn’t have been able to do an effective procedure at that time. And so when I just kind of sat and thought about it for a while, you know, it just sort of gave me the opportunity to react in a way that I didn’t expect because my initial reaction is I don’t want to do this, which is a completely valid response. 

 

P: Totally, especially especially when you’re on birth control, right? Yeah. This was not my intention, right?

 

T: No, no, and we totally wasn’t and I think we always kind of said, my husband and I, well, maybe when we feel like the time is right, like, you know, whatever the hell that means. means nothing. Yeah. Yeah, the longer I kind of just sat and thought, I realized, maybe this is something that I want to do. I sort of feel a connection to this pregnancy that I didn’t expect to have and you know, I’m just I’m feeling a way. I didn’t know I’d feel. So we had a discussion and we decided that we were going to keep it and was we were really excited. And then a few days later, I had a miscarriage, which is super common in those early pregnancies, but you know, it was devastating as it is in any stage in a pregnancy. So after recovering from that a little bit, we still wanted to try and we still wanted to go down that path that had been presented to us. So we did and fortunately, we were pregnant a few months later.

 

P: So it sounds like it was easy to get pregnant the second time. 

 

T: It was 

 

P: good. 

 

T: Yeah. 

 

P: So that’s great. That’s one hurdle over. And then this time, you’re excited to check the pregnancy tests, I’m assuming.

 

T: Oh, yeah. Yeah. Super excited. My big reveal my husband had to go to work trip to Arizona when I was able to take the pregnancy test. So I was flying down to visit him while he was working. And so it took the pregnancy test and my carry on, and I wrapped it up in a little plastic bag. And I picked up In & Out on the way to the airport and I put it in the bag with the double double is like the happy meal price. So yeah, we it was it was all a big party. We were really excited. 

 

P: That’s a cute reveal. So that’s exciting. And then what’s the first trimester like 

 

T: first trimester was pretty good for me. As far as you know, I didn’t get very sick and I didn’t have a lot of problems. The complications for me started to start about I’m sure the second trimester when I had to get the gestational diabetes check. And I ended up getting diagnosed and it was a case where I couldn’t control it no matter how hard I tried with diet, you know, I counted out all my grapes and didn’t do anything that I wasn’t supposed to do, but it just like would not work which was extremely disheartening and induced a lot of guilt. Because it’s like, no matter how hard I try, no matter what I do, I can’t make my body it feels like safe for this child.

 

P: So there are a lot of different ways to respond to that right to some degree. Your body has already shown that it has a pretty good autopilot in that like you can get pregnant and you’re you’re pregnant and you don’t have any control over that chemistry. Right. It is what it is. But for some reason you’re feeling guilty over the gestational diabetes, which I also assume is like a chemically induced shift in your ability to process blood sugar that you also don’t really have that much control over.

 

T: No, no, I don’t. Nobody does. 

 

P: Right. 

 

T: But you know, there’s just like any sort of condition. You go and you try to find your answers. And there’s a lot of conjecture about, oh, well, maybe you should have been this weight when you got pregnant or maybe should have thought of that before. Your parents had diabetes are all these all of these things that make you second guess yourself?

 

P: Is it in your family? 

 

T: Yeah, I have risk factors from both sides of my family, which isn’t necessarily a indication that you will get it but it does of course. Yeah. increase your chances. Yeah.

 

P: Well, that sounds hard. I flirted with gestational diabetes, which is to say like, I think I had to do like a week long trial where you prick your finger with a needle to measure blood glucose levels at home, which is so wildly unpleasant. I think after day three, I was like who do you say, Well, I don’t eat. There’s no reason to, you know, to scrap the whole system. So that sounds really hard to do. You have to prick yourself every day. You’re nodding yes. On paper. It’s a small thing, but in reality, I thought it was really uncomfortable from the oh my god, the middle of the second trimester.

 

T: Yeah, right about then yeah, I started to have to do the finger pricks. And then like I said, I couldn’t control it with the diet alone. So I started having to take insulin, and the amount of insulin I had to take just kept going up and up and up. And you know, which was also really distressing. You know, as the vile just kind of keeps like going and going and going and you have to stick it in your stomach, right? Yeah, like, I mean, obviously, I know. Like scientifically or biologically I can’t hit the baby, but it still feels like you’re just jamming it.

 

P: Yeah. That’s not a great visual. No, I agree. 

 

T: No, it’s not. It’s great.

 

P: So we took some questions about gestational diabetes to an OB today and we’re lucky enough to have Dr. Mehta Thiago on the show a fabulous OB from California who’s got a lot of experience with these issues. So Dr. Mathis Yeah, who thanks so much for coming on.

 

Dr. Matityahu: Thanks so much. Paulette, I love being on your show. Great.

 

I’m wondering first of all, if you can just define gestational diabetes.

 

Dr. Matityahu: So gestational diabetes is basically elevated blood sugar in pregnancy. We test for it around 25 to 28 weeks because as the placenta develops, your placenta is basically making the insulin not function as well. And so your blood sugar’s begin to run higher, and for some women, they run high enough that you’re considered diabetic. And so if you’re someone who maybe has a family history, or borderline would become diabetic later or just isn’t following a very good diet, you’re you’re likely to have issues with managing your blood sugar later in the pregnancy because your insulin isn’t working as

 

well, 

 

P: I neglected to ask them to Dr. Matityahu more about the placenta when we spoke but then I found some articles that suggested that every pregnancy independent whether you have diabetes or not, involves a placenta that churns out more hormones over the course of the pregnancy, some of which block the effects of insulin, which will lead to higher blood sugar levels, the mother’s pancreas will release more insulin but if it’s not enough to compensate for placental changes, and you can end up with gestational diabetes, although there are numerous routes to gestational diabetes. If you have that condition, your needs for insulin will grow as the pregnancy progresses because of an increase in placental hormones. 



P: does it feel Like any like not the needles obviously the needles are uncomfortable, but having gestational diabetes doesn’t feel like anything.

 

T: No, no, you don’t feel different, but only way you’d feel different is just being hungry. 

 

P: Okay, yeah. So once they put you on insulin, does that free up the constraints on your diet or no, then you still have to eat like, grass?

 

T: Yeah, yeah. They still want you to have really low numbers compared to someone that you might know in your life with diabetes, like type one or type two. The numbers that a gestational diabetic has to get to are so much lower,

 

P: as I understand that the numbers for gestational diabetes to qualify you as as having that condition are relatively low compared to diabetes outside of pregnancy.

 

Dr. Matityahu: Yes, we have very strict guidelines of where your blood sugar should be in pregnancy. And so we’re super super tight with sugar control in pregnancy and blood sugar’s that may not at all be considered diabetic for someone who’s not pregnant. We consider that diabetes in pregnancy. 

 

P: Is that because of something that a higher level of blood sugar does to a pregnancy to a fetus? 

 

Dr. Matityahu: Yes. So high levels of blood sugar causes high levels of sugar in the amniotic fluid in the baby’s bloodstream. And so then the baby reacts to that high sugar, high blood sugar by producing more insulin and that puts weight on the baby. So now the baby starts gaining and getting like big and so the body of the baby can get if it’s uncontrolled. So really high blood sugars that are not controlled, would cause the baby to start gaining a lot of weight. So the body of the baby gets much bigger. The baby starts peeing more and so the amniotic fluid is managed by the baby drinking and peeing. And so in a person when they have high blood sugars will drink a lot more fluids and will pee a lot more to kind of dilute the sugar in our bloodstream. The baby will do the same thing will start drinking and peeing more and that also makes the amniotic fluid start to expand because now the baby’s peeing a lot more. And so it causes weight gain on the baby increase in the amniotic fluid and and it can over time they get to like the baby’s lungs don’t develop as quickly as they should. And so it so it can cause a lot of problems with the baby. So one of the problems with the baby getting so big is the baby can get pretty large, the head can come out and now the body is way too big because the baby gained too much weight and so you get what’s called Shoulder Dystocia where the baby can get stuck.

 

P: So aside from all the difficulty with the needles and the food, like how are you taking this emotionally because it sounds like you’re someone who’s detail oriented. So that seems like

 a lot of pressure. 

 

T: Yeah, yeah. You know, it was sort of back to the days when I was in college and on Weight Watchers and writing down obsessively everything I ate and being really obsessive about food and yeah, it was extremely depressing just feeling like no matter how hard I tried, it wasn’t good enough and just being worried that something could go wrong. I think it’s a really common condition but a lot of people don’t really understand it. Like so many things with pregnancy. It’s like unless you’ve actually been with child you don’t know it exists. Like I had to explain it to everybody in my life. 

 

P: Oh, that’s interesting. 

 

I’m wondering if we know why sometimes you can control diet and sometimes you can’t.

 

Dr. Matityahu: We can’t predict we don’t know. What we know is if you can control your blood sugar’s by diet, or even if you’re controlling them with medication, the baby’s going to do great for women that can control it with diet. We don’t even consider them high risk. That you know you have gestational diabetes, but if it’s diet controlled, you’re a normal risk pregnancy you’re not even a high risk pregnancy. Once we give you medication, we consider it a little bit higher risk pregnancy and so we follow that pregnancy differently. Can we predict who’s going to do well with diet and who’s not? No. And a lot of times even for women like Tabitha who are incredibly meticulous in like cutting out almost all sugar in their diet and doing like the perfect combination of foods doesn’t always work. And, and yeah, and so women also will easily feel like I’ve failed because I have not been able to control how my body responds in all aspects of life. And yes, the reality is we don’t have the ability to control how our body responds in all aspects of life. And we just have to let that go. It’s similar to women who end up with a C section and feel like I’ve failed. I you know, my I wasn’t able to make my pelvis deliver a baby. You know, vaginally we just don’t have control. We just have to accept that all of us type A people have to accept that like we cannot micromanage every aspect of life and how our body responds to things. And I think you know, most of us that have kids quickly learned that you know, we can’t manage how our kids come out and, and grow up either.

 

P: I mean, one thing that’s interesting about your experience is when things are screwed up, like on the front end, like we could not get pregnant and you do feel like your body is failing you and I you know, why can’t I reproduce and but that’s a totally different feeling than being like waist deep in a pregnancy and having things go a little topsy turvy because now there’s no way but through, right. So that’s a little s and now like you’re very much thinking about the baby that you’re growing and how’s this affecting him or her and like it just seems like it’s a much harder thing to manage.

 

T: Yeah, yeah. So it just caused a lot of stress. I also had a lot of stress going on in my job. So it was kind of just compounding all of that. And yeah, it was it was a bad final trimester. So for sure, 

 

P: also, like everyone’s telling you not to stress out right, stress is just as bad for the babies. You’re like I’m not freaking out because that’s the one thing I can control kind of not really. So that sounds like a time so take us to the day that you’re it’s your daughter, right? 

 

T: Yeah. 

 

P: Take us through the day your daughter was born. How do we know today’s the day? What does that look like?

 

T: Yeah, well with the way that my gestational diabetes progressed. I knew fairly early on that it was likely to be an induced pregnancy. Because another thing that happens when you have gestational diabetes is that the baby develops faster, grows bigger. So she already was sort of predisposed to be a larger baby. My husband was 10 pounds.

 

P: That sounds like a threat.

 

T: Yeah, it’s not good. When every time you go to the doctor, you get this like ooohh face when they ask about it. So yeah, it just sort of was coming from all sides there. And we kind of had like this tentative date for about a month. or so. So I was sort of working with that. And by that time, I was going into the doctor at least once a week to check on it. And the day before we went into the hospital. It was let’s see. Over a week before this date that we were going to originally induce my doctor, she ran some tests, looked at some things and she said, oh you know you’re kind of borderline for some things and I don’t know I’m sort of thinking we should maybe have the baby sooner and ask okay sooner, like this weekend or what? No, why don’t you come in tomorrow morning. So all of a sudden, I mean, this was a I remember it’s a Wednesday so I had just come off work. hadn’t really obviously prepared to be going yet. But honestly, that was kind of my silver lining of having this condition was sort of the feeling of control and knowing when it was going to happen even if it was like 12 hours. 

 

P: Yeah, yeah. 

 

T: So like nicely packed my bag. We stopped at Starbucks on the way to the hospital. I dressed up and took a selfie by the doors. I mean, it was it was very that so that was sort of a little bit of retribution for all the stress but

 

P: I like you making the most of it. That’s that’s a good way to do it. Let me ask you before we get to the actual birth, are you imagining giving birth in a tub surrounded by angels strumming harps, or like what what what image did you bring to the delivery?

 

T: It was so hard for me to imagine because I did all of the classes that the hospital offered and did all of those things and it was all centered around a natural uninduced birth, or they also have a lot of good information for mothers that were getting a C section, which is great, but I kind of raised my hand and asked what happens when you’re induced and they’re just like didn’t really have a very good answer. We toured the hospital before we went so I did see the little jacuzzi and I thought that sounded cool. But yeah, the reality was that with the monitoring for preeclampsia and everything I had to be stuck on an IV the entire time. So all my dreams were very quickly squashed and I just sort of wanted things to be, you know, I want to make use of all the drugs, very happy with modern science love it. So my birth plan was all laid out with those sorts of things. And I remember bringing the printout and pointing at them and everybody just basically was like Oh, cool. we’ll recycle that for you. Yeah,

 

P: great. That’s a lot of support at the hospital. New Plan. 

 

T: Yeah, 

 

P: so you check in when you’re supposed to and have a blackout I feel like induction is usually thought of as kind of painful because it’s your like ginning your body up in a way that puts it on a schedule that might not naturally be on, which is a hard thing to manage.

 

T: Right? Yeah, it wasn’t. It wasn’t painful, especially at the beginning, basically, the first 24 hours when I started taking the initial medication. Were just boring, you know, just sitting in the hospital and since I did have to be hooked up and monitored and poked. They took my numbers for my diabetes every couple hours or whatever. I couldn’t go up and move around, but couldn’t go sit in the tub and couldn’t do a roll around on the ball. You just had to sit in the room. And I remember binging probably 20 episodes of restaurant impossible with Robert Irvine. So I always, you know, kind of think of him when I think yeah, the hospital and so yeah, it was just kind of sitting and just trying to figure out if something was happening, like just sitting and trying to listen to my body, you know, is anything happening? How will I know what’s happening? And I think that was another issue I had was that I didn’t know what labor pains were going to feel like. And I don’t know how someone has to describe that to you. I don’t know how you prepare for that. But what I was thinking was not at all accurate. I am going to go ahead and blame Hollywood and producers and directors because every TV show and movie it made it seem like someone was stabbing you in the gut kind of pain. When it’s actually that feeling that you have to take the world’s worst shit. It’s like the most terrible constipated sort of feeling. So since I felt like that I kept getting up and going to the bathroom thinking I had to poop when I was really starting to have contractions. So oh my gosh, I was really far along by the time I finally asked for my epidural. I think I was I can’t remember like which centimeters or which at this point, but it was like they were kind of saying I’m glad you told us now because you weren’t getting really far along before kind of raising your hand and saying I might be having the baby. So that’s when things started to get painful was when it finally kicked in 24 hours or so later. And that wasn’t so much I don’t think that I was induced it was just sort of the way Well, no, I guess it was sort of that I was induced because some of the things they had to do. They might not have had to do if it was my body’s natural response, like they had to go in and break my water. And that was the most uncomfortable and painful thing in the entire process.

 

P:Wow. 

 

T: Yeah,that really was awful.

 

P: Because the cause the getting the thing in your cervix is painful or because the actual breaking of that amnion is painful.

 

T: Kind of I’m not sure which was which but the whole thing and they had to use the needles so they poked my daughter in the head. You know what she did? I was fine, but it wasn’t fun for anybody. And

 

P: also when they bring it in, I’m sure you’re like get that crochet needle away from it. Right Like what are we doing here?

 

T: It’s really terrifying. Yeah. And it was the middle of the night. It was must have been like 3am or something. So everything is very surreal. Yeah, very bad. And then after that, because it was about 5am that I got my epidural. And they missed my spine with the needle. So they had to do it twice. 

 

P: Oh that’s bad

 

T: Oh my God…But then again, it’s, I think when you’re at that point, it’s just like whatever. I don’t care.

 

P: I remember being terrified of delivery and I got some comfort from the fact that I knew that at some point, things on the outside would be so bad that I would say, Do whatever you have to to, you know, the threat of an epidural needle seems small compared to having my body crunched from the inside, right. So

 

T: exactly. Yeah, yeah, you can just whatever, whatever makes it go faster, whatever makes it over. I don’t care. Take my fingers. Take my toes.

 

P: Yeah. So you get the epidural and then does that calm everything down because now you can’t feel it or where are you?

 

T: It did a bit but then Yeah, it did for a while. I remember a few hours where I kind of fluttered in and out of sleep. But then slowly those contraction pains started, you know, making their way through the medication I could. I really felt that that was coming. I remember telling my husband you need to go get the nurse now. It is time. It’s amazing how much you know it is time. I had no idea when to know but I did. And unfortunately, I thought that I thought my worst case scenario was like okay, well, once I get to this point, it’s going to be 45 minutes or so. I had to push for three hours. Three hours.

 

P: yeah that’s a long time. That’s an amazingly long time.

 

T: It was so long, and I don’t know how. I don’t know how I did it. You know, it’s it’s exhausting. It is the most exhausting thing I’ve ever done or will ever do. And, you know, it’s really easy to say from here. And from before and from any other angle that well you always find a way to do it. Your body knows what to do. It’s natural. Okay, yeah. But when it’s happening, you really feel like you’re going to die. There feels like there’s no other alternative than this is just going to destroy you. And I guess it kind of does in a way. I mean, by the time you’re done, you really are a different person. 

 

P: Yeah. 

 

T: You’ve been through something that I don’t think is necessary. I don’t think anybody has to go through childbirth to you know, live a full life or experience things, but that very specific feeling is just so I don’t know how it could be recreated in any other capacity.

 

P: Yeah, I mean this to some degree, which is ironic in a conversation between two writers but is something that kind of defies language, which is why no one can tell you what it’s going to feel like when you’re having contractions There are no analogies that are fitting, right. So usually you can sidle up to something similar, but there’s not really anything that’s like it. 

 

T: Yeah, no and yeah, the funny story was my doctor or the doctor who was delivering the baby just kept telling me with each push, one more push, and then you’re a mom. One more push. Gonna be and this went on like five or six. times and I just like screamed “where’s my baby?”.

 

P: Yes, this is very much like it’s just around the next bend right there. Yeah, that sounds frustrating. So but once the head crowns and all that then it was quick.

 

T: Yeah, yeah, I had to have an episiotomy which was in my birth plan is don’t do that. But when they brought up the options, like yes, anything now, yeah. So there was you know, that kind of final complication, which also I was surprised how long that took honestly to recover from postpartum you know, I had a lot of issues with sort of pain and things with it and sort of feeling it being there for probably six to nine months after giving birth. So I think, you know, I think it’s a good thing that it was done, but you know, it’s also I think it gets brushed off a lot like, oh, it’s not that big of a deal. But it’s, it’s kind of a big deal. It kind of really sticks with you for a while.

 

P: Yeah, I wouldn’t I wouldn’t even say kind of, I would say and actually a big deal and it’s a little bit like it falls into the postpartum black hole. And you are everything falls where you just we don’t talk about it anymore. And I find in the discussions of pregnancy, there’s a constant kind of conflating of common and easy 

 

T: hmm, 



P: episiotomies maybe common, but it has these real repercussions as you have experienced for a long time, you know, postpartum as some people think it lasts a year after birth, right, which kind of makes sense because at six weeks, your uterus shrinks down to its normal size, but there’s so many other things that don’t either never go back to the way they were or take much longer to heal or so six weeks is kind of I think the date we all have in our head, but right it’s a little bit false. Yeah, I’m jumping ahead a little bit. Your baby is born. They put her on your chest.

 

T: For a second, and then they had I think she had some of that fluid. So they had to really quick like grab her and start doing some things that really alarmed My poor husband, who could actually see them. But no, she was she was great. She was fine. Of course, the most beautiful thing I’d ever seen and all the all the good things all the good, happy feelings for sure.

 

P: That’s awesome. That feels fitting after three hours. And then what happens to gestational diabetes does that how does that resolve?

 

T: Fortunately I the first thing that I made my husband do after I had given birth and kind of got the all clear like okay, you can take a drink of water you can have some food and a little bit. I sent him down the road to Five Guys. He had to bring me a double burger fries and a milkshake. He didn’t think I could finish them which was hilarious. Yeah. after that. But uh, yeah, so they have to test you they keep testing you on when you’re in the hospital to make sure nothing weird happens. And then for the rest of my life, I’m going to need to be screened for diabetes, I believe on a yearly basis, especially with my family’s history and everything but so far I’ve I haven’t had any signs that it’s back or it’s coming back. And neither is Sophie. They have to check her a little more to because that does raise her risk. But no, it’s it’s gone.

 

P: If you have gestational diabetes doesn’t resolve with the birth.

 

Dr. Matityahu: Yes, once the placenta comes down, then you go back to having normal blood sugars in the future. About 50% of women can develop diabetes. We usually have women we remind them like every year or so check your blood sugar to make sure that you’re still doing okay.

 

P: And we think that’s because the pregnancy exerted this extra stress on their body and that has changed the trajectory or we think they were going to get it anyway or there’s no way to know.

 

Dr. Matityahu: It’s more that they were they were at risk of getting it anyway and with the placenta causing an issue with their insulin. It pushes them just over the edge while they’re pregnant. But if they continue to have a high carb high sugar diet for the next five or 10 years, then they’re going to continue to push their body into becoming diabetic. A lot of diabetes is diet related and not for everyone. So it’s not to say that everyone that has diabetes is has a poor diet because that is that’s not it at all, but but for a lot of diabetics is that we’re giving our body too much sugar and our body’s insulin can’t handle it. And so our blood sugar ends up being high and for some diabetics that’s the issue for others. It doesn’t matter. You can have the most strict, you know, low carb diet and you’re still going to have issues with your sugars because for some people, they just have issues with their insulin production and it has nothing. It has nothing to do with how well controlled or strict they are with their diet.

 

P: Other than physically healing. How did you find the fourth trimester?

 

T: I wasn’t I wasn’t prepared for it. I’m sure that might have been said before once or twice Yeah. I was not prepared at all for the hormonal issues and changes. I didn’t sleep for about the first week after having her and it was it was literally making me insane. I felt like I was losing my mind. And I got misdiagnosed. When I called the doctor as having postpartum depression, which wasn’t my issue. It was just it was more I have anxiety. So it was the anxiety manifesting itself. And so the combination of not being able to sleep and the anxiety of just, you know, when I lay down to sleep, and she’s right next to me, I’m like, listening for to breathe, afraid that something’s going to happen. Or on the reverse side. I didn’t have this is like tripping me up. I didn’t want to miss anything. I didn’t want to be asleep while she did something. And I would miss it. I don’t know what I was looking for. You know her to sit up and start talking to me or something. But I felt like the time that I was there was so important. And so precious that if I slept it would it would be gone or something.

 

P: I mean there’s there’s something real there right like they are one day old once that’s it ever again. So so and they develop so quickly in that period that there’s a lot there’s a lot going on. There’s a lot to watch. There’s a lot going on

 

T: I also had a lot of trouble because of being induced. my milk would come in. Yep. So I had physical problems feeding my daughter I was going to try and breastfeed. It wasn’t the end all be all to me. I just wanted to make sure that she had food. So when I started having troubles, I wasn’t opposed to using formula or any of those things. But the frustrating and heartbreaking part was you know, she’s telling me she’s crying and she’s telling me that she needs to eat, she’s hungry, and I physically can’t help her I have to wait for my husband to go in the kitchen and mix up a bottle. And so that was really heartbreaking. Not so much that we had to make a change but just that in those moments where she needed me, I couldn’t immediately help her. The way I wanted to

 

P: and did that wane as she got older because you got more in a rhythm or didn’t have that the whole time?

 

T: Yeah, I think I continued for about two months to try and feed her breastfeed her and and I supplemented with formula. And by that point, it had become so unpleasant for me. And obviously unpleasant for her because if it’s not pleasant for me, it’s not going to be pleasant for her. And also she was just very not interested. You know, she learned like, oh, this bottle is already to go and I don’t have to do anything. So why am I messing around up here? Yeah. So you know, she was more into that and the process of trying to pump and everything was making me miserable. So one day I had to do a long drive to visit family and during the drive you know my I got those painful over just painful feelings and I just got to home I’m like I’m done. You know, I feel like my body has sort of stopped gotten angry. We’ve done some things during this drive. So we’re just gonna donate the equipment and move on. So 

 

P: yeah, that seems smart. I mean, if you think of all the things your body is doing to get pregnant to stay pregnant, to grow a baby to deliver, and then also to breastfeed, you know, you’ve done like 87 of them. So, all of which are amazing, right?

 

T: And it’s very weird to see one of my sister’s best friends. She had her baby right around the same time we all kind of clustered together and she was posting on Facebook saying I have so much extra milk and is taking up all my freezer. How is that possible? If I I was taking cell phone pictures of a vial like this big that I’m able to fill like I am having an amazing day and other people are filling up their freezer. It’s very inequitable, it feels like

 

P: Yeah, yeah, it is like randomly distributed. Yeah, 

 

T: right. Exactly.

 

P: So how old is your daughter now?

 

T: She’s just shy of two and a half. Yeah, she was born in September 2018. So Wow.

 

P: So just before the pandemic,

 

T: she turned six months old when the lockdown started. So we were just you know, at that point where the newborn infant days was ending, and we were going to go into the world. And then everything stopped. So

 

P: wow, you’ve been one of the people who’s been shut in with a runaround baby. How’s that going?

 

T: Yeah, I it’s been very difficult. But at the same time, I am infinitely grateful that she was here. Yeah, it definitely shifted sort of certain priorities. And it shifted different priorities and timelines for our family. So you know, we’re going into six months old and I’m thinking, Oh, we have to start planning your first trip to Disneyland. Oh, we’re going to go to the zoo all the time. You know, all these sorts of social, fun, interactive things. And then all of a sudden, we’re right back into the space we were in, which was a small house that had been purchased. When my husband and I were envisioning a life where it was just the two of us. And it was small. It wasn’t very kid friendly. All these things which wasn’t going to be a huge problem if we were out doing things and having a life out in the world. But then all of a sudden, we were spending all of our time in this small house. So instead of the life I think we were looking at with her for when she was a toddler of doing traveling and doing this class and that group and all these things. We concentrated instead on moving so we’re in a new house or in a bigger house. So that’s been a huge positive change, because there’s so much more room for all of us to move around. Plus, yeah. And we weren’t also not planning for my husband to be working from home for most of two years. 

 

And that’s another silver lining because he’s been able to bond with her in a way that he never would have been able to before the pandemic. She’s really close to her dad and it’s really beautiful, to see that relationship, and also just have that support. I mean, even now when he’s home, it’s nice to just be able to run outside and get the mail or drive out and pick up some curbside groceries without having to necessarily take her with me. It’s just an extra pair of hands and eyes that is super helpful but you know also sometimes you just want to do things yourself and have your time so just the same as anybody. There’s a lot of that give and take with balancing everybody in the same space. 

 

And when I was growing up, my mom was a stay at home mom too. And so, I wasn’t initially planning that for myself or for us. I had a situation with my work where I was going to take an extended maternity leave unpaid so I saved up for all my pregnancy so we’d be able to survive a few extra months, but it was really important to me to be able to be with her for those first six months. Because, I mean, I was very privileged to be able to do that. I think everybody should have that option. 

 

P: Yeah, 

 

T: well, weeks is nothing. 

 

P: Agreed. It doesn’t make sense. Yeah. Yeah. 

 

T: Unfortunately, a few weeks before I gave birth, my company rescinded our agreement. Until me I’d have to be back within 12 weeks. And by that time, I had already made my child’s childcare arrangements with the original timeline in line. And as you know, as any mom or dad knows, finding a daycare and setting up that timeline is not a simple task. Does not magically shift on a dime. You know, I was on waitlists for daycares that I didn’t hear back from until she was talking. So 

 

P: yeah, yeah. 

 

T: So it really kind of forced me to say okay, well, I am going to have to quit this job and stay home with her and that wasn’t my plan, but faced with either I mean, you know, no childcare or

 

so, once I made that decision once our family made that decision, I thought a lot about my childhood growing up and what my mom was able to do with me. And my favorite memories and those are all really simple things. Those are going to the park and splashing around in the pool, the public pool and doing picnics and all of these things that she was able to do when we were able to do together. And that was super important to me to give to my daughter and experience with her. And so not being able to in so many ways. In so much time you know there’s been those patches here. And there where okay, we’ve gone to the zoo, and then we can’t again this not going back and forth. That’s been really for sure painful and just makes me feel like I’m not not giving her what I wanted to Yeah,

 

P: although I totally hear what you’re saying. For every parents of every kid at a different age. There’s something that’s being sacrificed in the pandemic. But yeah, but for all of us who are lucky enough not to get sick or get over the sickness quickly. There’s also something gained for like every single age I have friends whose kids are in college and they say like, oh, the kids had to come home and now we get to spend time with them in a way we never would have gotten before and it sounds like your husband has gotten this amazing gift of it and you have the gift of your husband getting that gift right so there are all these things that kind of no way to manage this easily or beautifully. And this is sort of how it falls so I can see how it’d be a bummer if you had plans for music school or all that stuff to be gone but I’m imagining now your two and a half year old has an amazing vocabulary. I haven’t been around to adults. for them.

 

T: It’s insane. I can’t believe the things she can say and do and you know that’s of course me saying and I haven’t been around enough kids to know but it certainly seems impressive. She knows she has a state puzzle. And she knows almost every single state by sight and can assemble America. I still that’s 

 

P: that’s amazing. That’s amazing. My high school seniors like where’s Illinois? 

 

T: Exactly. 

 

P: Kudos to you. Well done. So does she have any tricks that you want to talk about at two and a half?

 

T: She keeps asking Alexa for her favorite songs. So right now it’s always Alexa, talk about Bruno.

 

P: So funny. Talk about digital natives. Good Lord. 

 

T: I know it’s awesome. 

 

P: Very fun. So here’s a question for you even though she’s pretty young still. If you could go back and give younger Tabitha advice about this process. What do you think you would tell her?



T: I think I would say just to keep trusting your gut and not what not even what other people think. But what you told yourself you were going to be and what you were going to do. You need to stop holding yourself to what you were thinking when you were 10 or 20 or even 30 Because yeah, I needed. I trusted my gut when I had my first pregnancy and changed my mind. I trusted my gut when I thought that I’d have to quit my job. And you know, all these all these times that I made decisions that I never would have thought I would have made and probably wouldn’t have supported. Somebody else making To be honest, but they all turned out to be the right thing. Or the thing that has brought us to the here and now which fortunately, is a really beautiful, wonderful place to be we’re really lucky. So yeah, if I would have kept trying to be the person that I thought it was going to be. It would be a miserable mess for nobody but me.

 

P: What can you say but that a lot of life is experiential…10 or 20 or 30 year old you couldn’t have imagined a lot of the events that happened–getting pregnant despite using birth control correctly? The flip flopping of your work agreement? That sounds like good advice to follow. I wish we had more time to talk about your writing.



I’ve read some of your work. You’re beautiful writer. Where can people find your stuff?

 

T: My website is Tabitha blankenbuehler.com. And I’m the only type of the blank and biller so if you find it, you’re there. That’s good.

 

P: That’s good to know. Excellent. Well, thanks so much for coming on and sharing your story. I certainly appreciate it.

 

T: Of course. Thanks for having me.

 

P: Thanks again to Dr. matityahu for sharing important information about gestational diabetes, and thanks also to Tabitha for sharing her story. I regret that we didn’t talk about her writer, she is a beautiful writer; I will leave links to her website in the show notes, where you can also find links to some of the medical issues that came up. You can find those show notes at war stories from the womb dot com. Thanks for listening. We’ll be back soon with another inspiring story.