Scientists often study extreme cases to learn about the mechanics of a phenomenon. Many women found themselves running this kind of experiment in their own homes. How would the postpartum period–a time marked by isolation–feel when the whole world was isolating?
In today’s episode, author of the Upstairs House Julia Fine, reflects on her experience having her second child in the heart of the pandemic, and how the difference between a pre pandemic postpartum and a pandemic postpartum taught her something important about the period. She shares some advice she wishes she’d received before she had kids and talks about how having language around some of the dramatic challenges we face as caregivers in those early months can change our experience of them. I also include insights from Dr. Patel, a former OB who now focuses on helping women in the postpartum period, on how to combat cultural expectations around motherhood in this period.
Click here to find Julia’s work, including The Upstairs House
To connect with Dr. Patel for postpartum coaching, click here
Audio Transcript
Paulette kamenecka 0:03
Hi, welcome to War Stories from the womb. This is a show that shares true experiences of getting pregnant, being pregnant and giving birth. To help shift the common cultural narrative away from the glossy depictions of this enormous transition, you can find on all kinds of media to a more realistic one. It also celebrates the incredible resilience and strength it takes to create a better person and release that new person from your body into the world. I’m your host, Paulette kamenecka. I’m a writer and an economist and the mother of two girls and boy did I struggle with this transition.
In today’s episode, Julia reflects on her experience having a second child and the heart of the pandemic and how, the difference between postpartum pandemic postpartum or something important about the period. She shares some advice she wishes she’d received. Before she gave kids. And how, having language around some of the dramatic challenges we face as caregivers in those early months can change our experience. I also include insights from Dr. Patel on how to combat cultural expectations around motherhood, the postpartum period. We left off last week with Julia talking about being home with her firstborn just after birth.
Julia 1:15
Then when my husband went back to work, it was really really hard. You know, I had gone from having my own life and my own creative work and teaching to like, you know, the baby was my full time job and it wasn’t sleeping. And my son still doesn’t have a six and it’s still awful. And that has been like from day one, which is a terrible sleeper. We didn’t even get those good. The first few newborn nights that people get with that fool you into thinking that oh, it’s not that bad. We didn’t even get those. It was just it was just exhausting.
Paulette 1:50
Yeah, but that’s super hard. And did you have did you have breastfeeding ambition?
Julia 1:54
I yeah, I breastfed. He latched very easily, but I was not prepared for how much it would hurt to start, just like how painful it would be to have that adjustment. So I remember saying, I’m only going to do this for another week or so. And I said that a year I said, I’m only going to do it for another week. And ultimately, because it was so much less expensive to nurse him if he could nurse we want a full year.
Paulette 2:18
Yeah, yeah, well, good. Well, God worked out, but it sounds like you were not emotionally attached to them.
Julia 2:23
Not really. I don’t know if I would have felt differently had it been hard to nurse but we had a fairly easy time. I did really resent it for a while. Especially I remember it was my first so he was born April 29. And so my first Mother’s Day would have been a week and a half later, maybe everyone should come over. We were gonna go to the farmers market because walking distance, but he just wanted to nurse and so I was just sitting on the couch breastfeeding. And finally it was like I guess all of you our place was pretty small. And it was my husband’s whole family was there so it’s like I guess you guys just go and I remember just sitting there feeling so resentful of the fact that they were there and I was doing this and I don’t know why. You know, it’s I I wouldn’t have wanted them to stay. But you know, there wasn’t there wasn’t a better solution, but I it was very frustrating and I think I felt very frustrated. For a lot of my early motherhood experience.
Paulette 3:23
I took this issue to Dr. Patel. Julia talks about feeling frustrated and resentful in those early days because of you know, the demands put on her exclusively and the pain of breastfeeding and no sleeping and I think there are these strong cultural expectations around motherhood that it’s about selflessness. And so you know, we talk about taking care of mom, but we don’t really want mom to take care of mom is many people’s perception of it. That’s like a false suggestion. So what advice would you give to new moms? How do you navigate that?
Dr. Patel 3:55
It’s a wonderful question and a very tough one because this is actually a lot of what I try to work with because it’s about mindset. And here’s the thing:
4:07
women are made guilty or ashamed of themselves especially in the learning period. to do is to think about where feeling coming from, is it because you are trying to do something that is expected of you but doesn’t feel right to you? Is it expectations you have for yourself? What are those expectations based on? And what exactly are your priorities and what do you really want? So by thinking about what are your internal priorities like whether it say okay, it’s really important to me that I breastfeed my baby. It’s not as important to me when I think about it deep down that my house be perfect for guests or that I look perfect. If that were the case, I would ask mom to really think about the other things that she is being made to feel guilty or selfish for and to just let it go and accept that your priorities are your priorities. And you are doing what you feel is right and that is perfectly fine.
Paulette 5:17
Yeah, I feel like there is no analog to how dependent a baby is so you don’t have any experience of being that necessary and required for someone else.
Julia 5:27
Yeah, and nobody else can do it, especially if you’re breastfeeding because it’s not like like eventually we started I pumped a little bit and my husband would take one shifts. And that felt a little bit better but then you still have to pump. I don’t know it’s a lot.
Paulette 5:44
It is. It is unbelievable. I mean, this is why you live with extended family. Right? This is yeah, it turns out that was a genius idea, which we did not
Julia 5:52
know now. My youngest is now two and a half and we’re only just it’s like they’re only just coming up for air in terms of not being stressed about raising kids. Constantly. Now, we’re only stressed about raising kids like 80% of the time.
Paulette 6:09
Yeah, I want you to the time is required, of course. So it sounds like your husband also didn’t didn’t flag maybe you have depression.
Julia 6:19
He? Yeah, I think we just didn’t know. I mean, he definitely he also was working long hours immediately come back to work and when he was around, he’s a great he’s a very good co parent and especially at this point sort of post pandemic in work from home. Life. He is absolutely it just was night and day with my daughter of how involved he could be in those early days. And that’s something that I think about COVID in the pandemic we wouldn’t have gotten but with my son it was. I was just by myself a lot because he had to work and he was the sole breadwinner at that point because I had left my job because it didn’t make sense to adjunct and pay for childcare and try to work on this novel that I was working on. So it was it was really rough actually. So this is funny too. So when we had the baby, we were living in a two bedroom but it was a lofted two bedroom so the second bedroom only had half of a wall and that wall was shared with the kitchen and I just remember it was fine when the baby was in with us. But we set up that second room we set it all up as a nursery and we were like finally we can put him in his own room and have our time and our space and like get back to our relationship. And then we realized nobody nobody warned us again. This is where I’d maybe if I had had friends with kids that could have been like you can’t put a baby there with that shared wall with the lights gonna get it in the sounds gonna get in and that’s not how it works. So the first time we put them in there and we were like Did we just like hide on our tiny balcony do a pull up in our bedroom. We’re in such a small space. So we ended up breaking our lease and moving because it was just untenable. But yeah, so that’s something we’ve everyone’s like, what advice do you have for your kids? Well, if you’re in an apartment, make sure you have four full walls for the kids room.
Paulette 8:06
Totally, totally. That is totally true. And I asked about your husband in part because in your book, Megan’s husband is pretty quick to accept her suggestion that it’s nothing because yeah, I mean we all want it to be nothing right? That’s that’s like a completely human reaction. But when I was reading it, I found myself yelling at him. I was like Ben, no, dont’ believe him!
Julia 8:31
he’s not great. He’s the he’s not that is not modeled at all. After my experience. I had so much more support the family I had to live my mom read the book too. And she’s like, this is it and as a Tory, these are not my parents. These are not my in laws. This is all fiction. But yeah, I sort of I in order to tell the story I want to tell I needed him to be a little more out of the picture. And I needed him to believe her and it also a lot of the book too is sort of about inauthenticity and relationships almost are about sort of how you know an ideal idealized view of what a relationship should be can sort of ruin what your relationship actually is. So I think in that particular relationship between Megan like she has never especially been herself and open with him and so it’s like, why would she start now, Bear?
Paulette 9:21
On this topic of the difference between what you feel in this process and what you think you should feel? I’m going to read an excerpt from the upstairs house. In this scene. Meghan the main character has just given birth and is in the hospital. Julia writing in the voice of her main character says there’s nothing like the bond you will feel upon first meeting said Mrs. What to expect the Rush of love will be overwhelming. I looked at Clara puffy little larva mouthful sang and I waited for the bond. I waited for the rush of love. There were needles still stuck in my arm. Maybe they were interfering and one more excerpt a few pages later, Megan is still in the hospital and feeling off. And she says to the nurse. Wait, I said I think there’s something the matter. The nurse pressed down on my abdomen. It all feels fine. Totally normal. No, I mean, Ben was coming into the room rolling the bassinet in front of them. It looks so happy so perfectly content. Nevermind I said. I must just be tired. The nurse smiled again parted the curtains and walked out the door. Do you want to hold her for a minute before the family gets here? finessed passing Claire over before I could respond. I wanted to want to hold her. So I nodded even while realizing that I didn’t want to hold her. There she was in my arms.
Paulette: There were a lot of things that you wrote that I thought this is a perfect description of what it is of what it is as opposed to what what we’re imagining it should be or you’ve been told what we’ve been told to expect. So so it sounds like your older son is two when you get pregnant again, because they’re three years.
Julia: Yeah, he was two and change.
Paulette 10:53
And is it easy to get pregnant again? Super easy. Okay, good.
Julia 10:57
We were so lucky. Yeah, we I think it was two months and then I was pregnant and it was difficult. Again, I had I think I had a normal level of national probably about the same as it was but because I also was caring for a toddler. It was harder, but then I was five months pregnant in March of 2020. And that was very, very, very hard, just emotionally and access to my OB. And I mean, it was hard. Sort of the question of like, are you higher risk, what would happen and I was so hormonal, and I think everybody was breaking down and crying. So in that in that respect, it wasn’t that different. But it was, you know, my idea of, oh my gosh, I’ve done this before I’ve got it. It’s going to be so easy this time around and it just, you know, went out the window.
Paulette 11:52
My kids are older so I didn’t face the fears you described as a pregnant woman in COVID. But when COVID hit I thought immediately of pregnant woman I thought oh my god, it’s such a vulnerable place to be as a pregnant woman. It’s so it just makes COVID 1000 times harder, especially with a toddler because
Julia 12:09
It was very hard. You know, the one nice thing like I said, is that my husband was sent home and so at least he was there, you know, physically present even if he was working. I wasn’t alone alone, but it was. Yeah, I feel like I I have a few very strong memories of that time and then the rest I feel like I’m just like, blacked it out.
Paulette kamenecka 12:34
So how imagining you’re going to the doctor by yourself?
Julia 12:36
Yeah. It was I had I think it was about 20 weeks. So I had my 20 week. No, because he wasn’t there it had I think that people were there were like whispers at my 20 week scan. And he personally I think there was some kids meeting or something. So I’d been there by myself. But then after that meeting, I had to go by myself. It was like you went through. You waited in your car. For them to say that it was time to go into the building and take the elevator up and it was like you went through sort of the hazmat and everybody and it was yeah, it was very weird. And then there were a few appointments to that. I think they were like we’ll just do this virtually because if you say you’re feeling fine, then we believe you because nobody knew.
I remember the first time that I went to the OB sort of once we knew what was happening post lockdown and it was just terrifying to be like, am I going to get COVID and kill my child by going to try to get help for my child in utero. It just was a mind trip and I hadn’t left the house in four weeks to it was very weird but yeah, what really was amazing was the fact that the nurses the OB is and the staff at the hospital were going in and coming in there and made it feel like it was weird, but it was i don’t know i They were really just such superheroes. It was really amazing.
Paulette 14:03
It is what healthcare workers did for the pandemic is completely amazing. And, you know, whatever anxiety you might have come with has now been turned up to 11 because
Julia 14:15
the worst part so my daughter was actually four weeks premature. She was right on the cusp of being an official preemie baby. If he had waited a few days, she would not even have technically been a preemie. But she was like four weeks, three days or something. And my inlaws at that point, it was June and my inlaws had started venturing out of the house and we still were just like, we went nowhere. We started nobody. We were just very, very careful. And so my in laws were like going to start quarantining so that if the baby came early, come and be our child care for my older child. And the day they were going to start quarantining. I just started bleeding and they said, come in and they’re like, up, you’re having the baby now and so there was a period there where we weren’t sure the baby, her heart rate was accelerated. And there were some weird complications of like, we don’t know if it’s going to be a C section or what’s going to happen when they weren’t sure because my husband was with my son. We weren’t sure if we were gonna get childcare and he would even be there for the labor and I was waiting on the COVID test. So I didn’t know if I was going to be in the COVID Waiting, in which case my husband couldn’t come regardless, there was all of those things all at the same time, and like this 25 minute period, which is probably the most stressed I’ve ever been in my entire life, and they all ended up falling in our favor. I didn’t need the C section. My dad at 1am picked up his phone and volunteered to stay for a night with my son, and I didn’t have COVID but it was just it was a vastly different experience because I wasn’t having contractions because it was just an early like random bleed, but emotionally it was really wild.
Paulette kamenecka 15:57
Yeah, that sounds super stressful. So was the bleeding and indication that the labor was on?
Julia 16:02
Yeah, so retrospectively my doctors maybe your water started to break or maybe something they don’t really know what it was. But yeah, I had called thinking they’d be like, come in, and then they’d send me right home and so they’re like going over and bidding you if you’re gonna have the baby. That was my that was a shock because especially if we had woken up, my dad just turned green and we can walk him up and put him in the car. It was 830 or something and he had been asleep for like 45 minutes and we woke him up, put them in the car, took them downtown, and he’s like, what is happening? And then we thought I would, I thought I was going to come home. So they just drove around down in downtown Chicago, like they drove around in circles until I called them was like I am staying here. I guess you better take him back and figure out what to do with him because I couldn’t have any visitors. I could just have my one sort of support person, which is my husband. So in previous times, maybe we would have had him come into the hospital with us until someone could pick him up. But it was. Yeah, it was it was weird though, too because the hospital seems so empty compared to the first time around and all the times I have been there before. And then after. I was there for a few days because she was a preemie so I had I think an extra day because I had tests to run and no visitors really quiet very it was actually sort of a soothing and it felt almost like after being at home for such a long time. It was kind of nice to be somewhere else where was waiting on me. But it was very, very surreal.
Paulette 17:31
And did she spend time in the NICU?
Julia 17:34
No, she didn’t. I claim she was fine. They’ll give her some steroids and she was tiny. She was only five pounds but healthy. So she’s just very little. She’s finally caught up. She’s a normal size now but it took a year and a half.
Paulette: So they don’t know what kicked off the birth?
Julia:. No, they don’t know what kicked it off. So it it was a lot harder. And I this is I think you know I had already at this point written upstairs house and it was already off the publication but it sort of confirmed everything that I had read about birthing people needing someone to advocate for them like I find myself during sort of the period where I was by myself in triage and then they admitted me and I was by myself for a while and I remember looking over at one point interesting blood on the floor and I couldn’t it’s so hard when you’re in that state to know what’s going on and to make decisions for yourself or ask the right questions. So yeah, they ended up inducing me because they didn’t know what was going on. But my doctor came in and was like, Well, we know the baby’s gonna be born soon right? Let’s just let the baby like, you know, let her come out. And so it was such a relief when my regular doctor finally got there. But yeah, it’s um, I think I just went into early labor for whatever reason.
Paulette 18:47
And that birth I’m assuming was shorter than your son.
Julia 18:50
Oh, it was so, so quick. She Yeah, they so I was not having contractions or anything until they put me on Pitocin and again, I got the epidural right away, which I’m glad I did. And then I fell asleep and then I woke up to that being like time to push and I pushed four times and then she was here. So she’s so because she was so little, so it’s just like she came and then afterwards that was a little bit scarier because with my son, there was no reason to think that everything wouldn’t be totally normal, but with her it was like okay, well why was she early is her heart rate. Okay, did she pass all of these various, you know, premie tests, and again, she was just so so small. It was really wild. I don’t know if that had been my first kid. I think it would have been just very, very hard to not think I was gonna break her every day.
Paulette 19:40
Yeah, yeah.
I mean, five pounds is a second sugar. Yeah, she was tiny. She was tiny. And so what’s it like when you get home the second time?
Julia 19:48
Oh, man. So in a way it was. It was definitely hard because so my mom who lives on the East Coast didn’t even get to meet my daughter until she was six months old. So that whereas she had flown out when my son was born, and she didn’t say long, she just came to meet him and then left but we had family there and there were people and people bringing by it was just the four of us, but it was nice. There was something really really special about my son meeting his sister for the first time and I think because of he had not been around other kids for a long time. So I think it in a way, made that transition almost easier because he was like, thank God. It’s not just mom and dad in the house. Again, it’s something new, but I also felt like I have learned from my son, we used a pack and play bassinet because I was like, oh, we’ll save money. And I’ll just use the bassinet part of the pack and play and that really didn’t work really well for us. And with my daughter, I had the my sister in law’s nice swivel bassinet. And I knew sort of, I knew what to expect in terms of how much sleep I would be getting and I knew to have a protein bar for the middle of the night and I knew to you know, budget time for this. So in that regard, it was a lot easier even though we didn’t have help. I think that for my husband who was on Oh, and the other part too is my husband who same company you had 10 days of maternity leave the first time and then they changed policy and he now had two months.
Paulette: Oh wow.
Julia: So he was with that three year old and I was with the baby I mean basically did it like that. And then by the time he had to go back to work, back to work just you know work for him still. I sort of had the heart, the heart we were through sort of some of the more difficult parts and I was getting a little bit more sleep than
Paulette 21:44
I was gonna say I hope your daughter is a better sleeper
Julia 21:46
that she is. Yeah, she is. Yeah, and she was right away too. Yeah, it was so it was a very it was very weird because on paper, everything should have been so much harder. But the second kid just the circumstances were so much more difficult. But I think because I was already a parent, it was easier for me than that transition from sort of belonging only to myself to being somebody’s mother.
Paulette 22:15
Yeah, I mean, I’m sure that you’re hoping this too, but I’m hoping that books like yours, the upstairs house will broaden the way we talk about postpartum so people know to expect you know challenge.
Julia 22:27
Yeah, and I think because I think what’s even harder and it so much of what we see is this, you know my perfect nesting cocoon experience. And so you think, Oh, I’m having these particular feelings. And so then not only is it hard to have the feelings but you also feel sort of like guilt or shame about having the feelings and the more we can normalize it. You still might be having the feelings but at least you know, like this is normal. It doesn’t make you a bad parent. It doesn’t mean that you’re not going to have a great relationship with your kid. It doesn’t mean that things are not going to be as good as they are for anybody else. But because we talk about it in such an infantilizing way with term baby blues. just kills me. Would you say that to anybody else about any other illness or disease or diagnosis? It just is so for me personally, I felt very well. Why can’t I just shake it up? It’s just baby blues and then it’s no that’s not how it works.
Paulette 23:21
Julia talks about how what we perceive as quote a perfect cocoon normal and postpartum is based on what we see around us. And if you look on Instagram, you may see pictures of quote, a perfect food. And it really does bring people a disservice because it makes them question their own experience and makes it seem as if this transition is easy, but it’s not for a lot of people.
Dr. Patel 23:40
Exactly. And as soon as babies out of mom mom’s kind of left to herself and all the focus is on baby with at least the rest of the family right and yourself. And she’s dealing with all the physical whatever she went through for childbirth, the mental the hormonal changes and plus the loss of control the loss of her own identity. She’s now just known as mom, you know, she’s not necessarily who she was before and it’s it’s very difficult. And so the one thing that I always say to to new moms is if you feel weepy or upset or irritable, allow yourself to feel what you’re feeling. Right? Just because it’s baby blues doesn’t make it not real or silly or because it’s going to go away in a couple of weeks doesn’t mean you’re not feeling it right now. Talk about it, let it out. Let your feelings show share your feelings with others and get the help and support that you need. And then take care of yourself get the fresh air get the exercise, change the scenery. Try to get as much sleep as you can try to get healthy food and let go of the need for control because nobody’s perfect and nothing is gonna go exactly according to plan and it’s all okay. It’s okay to feel what you’re feeling. I feel like so many women fight that just makes it worse
Paulette 25:03
That’s totally true and a critical thing to highlight accepting that as a lifelong project, right. Your kids will teach you that in 1000 ways in the next 18 years, but the initial indoctrination is so extreme.
Dr. Patel 25:18
It is it’s extreme and it’s sudden, in a way and no one tells you right? So if you’re blindsided
Julia 25:24
and I think if I had had different language for it, I might have just been gentler on myself and less, you know, get over it. You’re fine.
Paulette 25:34
For sure I there’s a lot of language around pregnancy and maternity that really needs to be revoked and renewed, really to the geriatric pregnancies
Julia: oh my gosh,
Paulette:
So there are a lot of terms that need to be both more accurate and more useful, because those terms don’t help. They’re things like the incompetent cervix. How is that helpful, or accurate or useful or you know, there are no very to other things where you use that kind of adjective with a body part in a way that makes you feel like a failure.
Julia 26:13
I know there’s there’s enough to feel bad about that. You shouldn’t have to feel bad about these things that are just biological phenomenon.
Paulette 26:21
Yes, yeah, totally. Agree. Am I leaving something out from your book or your experience that you’d like to highlight?
Julia 26:30
I don’t think so… I think we have touched on all of it. I mean, it really, I think most most importantly is it left me and it feels like you were left with this to after your experiences. I just my own personal experience left me very frustrated with the way that in the US especially we provide or don’t provide for new parents and just ready to do whatever I could to try to change that until I’m writing the book. You know, I hopefully it was like, Look at look at how little support we aren’t giving people how can we change that? And I don’t know that I’ve have had the answer to how can we change it but I hope it shines the light on the experience that something people have.
Paulette 27:11
Yeah, I think calling it the fourth trimester suggesting that you should be done. With that difficulty in three months is insane. And there’s so many other like you mentioned biological processes that take so much longer to recover than three months is just for your uterus to shrink. So that can’t be the whole story. So it is important to enlarge this conversation to include lots of other things.
Julia: Absolutely.
Paulette: Before you go into our talk a little bit about your Yeah, sure.
Julia 27:39
So my my third novel is coming out June 13. From flat iron books and it is it’s funny because it is vastly different superficially, but at heart it’s about a lot of the same things, which are sort of gender roles and the patriarchy and you know, women and girls specifically sort of not being believed or having an opportunity, but what it’s about is it’s a book about so the composer Antonio Vivaldi who wrote The Four Seasons taught and wrote music for this sort of all girls orphan orchestra in Venice in the 1700s. And so the book takes place in 1717 and it is about two girls, one a violinist and violist who are sort of competing to be in this top tier women’s orchestra and they make a deal with this unknown creature in the canals of Venice and sort of has dangerous repercussions. So it’s very much if the if upstairs house was like me writing from a lot of my personal experience, this was what do I wish I was doing instead of being stuck in home with two kids in the pandemic But yeah, comes that it’s called Madalena and the dark.
Paulette 28:53
Thank you so much for coming on and sharing your story.
Julia 28:56
I’m so glad you’re doing this is really wonderful. Thank you for the opportunity.
Paulette kamenecka 28:59
Absolutely. And the book again, upstairs house. I thought it was really good.
Julia 29:04
Thank you.
Paulette 29:06
Thanks again to Julia for sharing her experiences and how they influenced her to take up the often intense challenges of postpartum period as a subject worthy of exploration and a novel. If you think of the weight of the dramatic changes that happen instantaneously after you come home from the hospital or birthing center, it’s astounding. You’re immediately required to mother a newborn and figure out what the job entails how to do it and heal in real time. And oh, by the way, a life depends on it. It makes sense that we all feel like it’s a lot but doesn’t make sense is that we don’t talk about it more. If you’re interested in other stories of how people manage postpartum depression, you can check out episode 60 and 61, where I talk with a psychiatric nurse who experienced postpartum depression. And in Episode 58, I include the insights of a researcher who worked on the trials of the first FDA approved drug needs specifically to address postpartum depression, which was both shockingly because it’s so recent, and not shockingly because Women’s Health rarely gets top billing 2019 in the show notes, you can find links to Julie’s work and to Dr. Patel. Thanks for listening. If you like the show, please share it with friends. We’ll be back next week with another inspiring story.