November 22, 2008,
B.S. asks from Hartsville, SC on November 19, 2008
Sam-e for PPD While Breastfeeding
Hi Moms. I have a 7 month old very active baby girl. She has been crawling since 5.5 months and has been teething for the past month or so. I am a SAHM, and am relatively new to the area. We don't have any family in TX, and since I have a hard time asking for/allowing help from our friends here, I tend to take on pretty much all of the responsibility while my husband works. He also travels every month, leaving me to care for my daughter 24/7. I have breastfed her exclusively, which has been rather exhausting throughout her short life, as she used to eat every 2 hours round the clock. She is sleeping more now at night, but she barely naps. I finally decided that my exhaustion, anxiety, and emotional distress could possibly be more than sleep deprivation related. So, I recently talked to both my OB and a therapist about the possibility of having PPD. While neither one officially diagnosed me during our conversations, my OB gave me a prescription for Zoloft. The therapist didn't seem like a good fit for me, but she did think I had more anxiety than depression (which I agree with). I planned to take the Zoloft, but upon further thought and research, I kind of panicked about the commitment involved with taking an anti-depressant. I also didn't like the thought of the initial dysphoria and the possibility of the side effects. Plus, I don't need anything else to decrease my libido right now.
I had an urgent c-section with my daughter (after planning for a birth center natural childbirth). There were some unusual circumstances that took place during my surgery and I ended up with way more medicine than I needed and it rendered me unable to move from the upper torso down or keep my eyes open when I was in recovery. I guess I'm nervous that taking the anti-depressants could put me in some state of 'lack of control'--and the fact that I would have to go through the step down measures to get off the meds, I just don't feel comfortable taking them. Plus, my issues are manageable much of the time.
I recently visited with a friend who recommended taking Sam-e for anxiety. I currently take a large dose of Omega-3s from fish oil which helps tremendously. I am wondering if Sam-e is safe during breastfeeding. I also am curious about the effectiveness of acupuncture for PPD/anxiety issues. I really would prefer to take a more natural route and would love to hear about any recommendations and good/bad experiences with sam-e or acupuncture. (I do plan to find a new therapist, by the way.) I live in the Euless/Grapevine area and welcome suggestions for holistic docs in the area. Thanks in advance!
So What Happened?™
Thank you to everyone that responded. I am doing much better now, thanks to time, prayer, family support and a new therapist. I ended up passing on the Sam-e, but did find out that it is recommended postpartum, just not necessarily for breastfeeding moms. I am still happily breastfeeding and my daughter is beginning to sleep through the night (as in the from bedtime to morning, not just the 5 hours). We're still working on getting her to fall asleep on her own, which will help my anxiety, I'm sure. But, I have found that working on my own inner peace by getting back to reading the Bible, praying and just relaxing in those moments of potential angst has really helped.
K.C. answers from Dallas on November 21, 2008
A good support network for women depressed after a c section is the International Ceserean Awareness Network -ICAN. There is a chapter here in North Texas that you can join the email group and/or attend the meetings. Go to www.ican-online.org and look up the TExas chapters. I have found them to be such a balm.
Also doing yoga and drinking St. John's Wart tea helped me out tremendously.
P.H. answers from Dallas on November 20, 2008
I haven't tried that but St. Johns Wort works well for me. I believe it interfers with some birth control.
J.S. answers from Dallas on November 20, 2008
I am a health coach. I did check out a couple of websites that contained some really good information on SAM-e. I have included the links for you below:
The second suggests that it has not been proven safe while breast-feeding.
I have another suggestion that I think might be helpful that has worked for a number of my clients. It is called PEA and is a naturally occuring compound in a product I carry. Adults and children alike can consume it.
Current Research has discovered:
*Phenylethylamine (PEA) is known as the "molecule of love." Beside enhancing concentration and attention, PEA is a natural mood elevator and anti-depressant.
Let me know if you would like more information. I wish you all the best.
1 mom found this helpful
R.C. answers from Dallas on November 21, 2008
I'm sorry I don't have any experience with Sam-e or acupuncture, but I wanted to offer another natural alternative. My sister takes Stress Relief Complex from Shaklee, America's #1 Natural Nutritional Company. She has very high anxiety, which affects her ability to sleep and she sometimes has panic attacks. She loves the Stress Relief Complex; its all-natural and safe, and doesn't make you drowsy. She even gives away samples to people she knows who are feeling very stressed!
Here is a link to the product: http://www.shaklee.net/recipeforhealth/product/20656
1 mom found this helpful
K.W. answers from Dallas on November 20, 2008
Omega 3's are very important, but some things I would like you to consider are, what is your protein intake? and how much calcium and vitamin D are you getting. These are all of some very important nutrients that can easily become depleted while nursing. They can all affect our energy and sense of well being. When you add all of your life stressors to this I think you must be an amazing person to hold up to all of this and continue to nurse your daughter. It is really wonderful during the times you get to nurse since it does help you to obtain some nurturing hormones of your own, but every 2 hours during the night is above and beyond some days. There are some tips in the Happiest Baby on the Block that may be of help to you. In the meantime there is a lactose and soy free protein shake available at sams that has 22 gms of protein that would certainly begin helping you today (you need about 65 gms daily for your health) It is called Muscle shake. Also Viactiv with vitamin D taken 3 times daily will help with your calcium and vitamin d levels. (you need about 1200-1500 mg daily and they are now saying we need at least 400iu of vitamin D for minimal health when we are not nursing.
I know this sounds like how much can this really help, but I have given shakes to moms in my clinic and they will tell me they actually feel better in 15minutes.
At any rate, it is certainly a nonmedicated easy avenue to try. I hope this is helpful.
K. @ The Nestingplace
T.C. answers from Dallas on November 20, 2008
Well, I'm with you on taking a holistic, natural approach. I use homeopathy and go to a homeopath in Plano. Her name is Joyce Allenberg and her number is ###-###-####.
Homeopathy helped me with balancing my emotions and anxiety, both after childbirth and the subsequent separation/divorce from my husband. I also did yoga and began studying spirituality. All of it helped and I was finally able to come off of Zoloft (an anti-depressant I had taken for 8 years).
Homeopathy is safe, natural and perfectly fine to take while breast-feeding. As a matter of fact, it would probably help you to have a baby with a healthier disposition and immune system.
Good luck and email me if you have questions. Joyce is very helpful.
D.R. answers from Dallas on November 20, 2008
Hi B. -
I know this may sound out of left field if you are not familiar but researchers have found that 1 hour of yoga releases as much sarotonin as 2 Zoloft’s.
You would of course need to find a competent teacher who is able to work with you and your issues but I have seen miraculous outcomes from a variety of maladies in my years of teaching and as a student of yoga.
I don't know where you live but you could check out the Yoga Alliance web site to find a qualified teacher in your area or I would be happy to recommend someone for you.
A.L. answers from Dallas on November 20, 2008
You should be fine. My Dr put me on Lexapro last November after I had my son. I was really in bad shape. Commercials made me cry... I know how silly. I just now stopped taking them on my own. I have 2 kids and it actually makes you see the difference in a week on how you feel and react to the things tht would stress you out. My husband even noticed a difference in me. Your Dr. wouldn't give you something to make you groggy. As far as the C-section goes that feeling afterwards sucks!!! I had to have it with both kids as I planned on a natural with my daughter and a V-back with my son. I can't remember conversations. It is a major surgery and they have to drug you. Good luck with your decision. Only you can do what you feel is right for you.
A.H. answers from Dallas on November 20, 2008
You have probably received allot of advice by this time, but I thought I would share with you my experience. I did take the Zoloft after having my second son. I was a SAHM and went through a divorce when my youngest was 6 months old. I had already experienced what I thought was PPD. Prior to taking the Zoloft I had always been a holistic, natural mother. I had an easy natural delivery and my son was a good baby. The breast feeding did take up a large amount of time, but I loved it and wanted my second son to have the same experience as my first who I nursed until he was a year and a half. I had the same reservations about the anti depressants you have
expressed, but realized the other herbal remedies I was trying were not working. I took the lowest dose of zoloft and then moved to the next step when the anxiety was still affecting me. I had no side effects and fairly quickly could feel the benefits of the medicine. I soon could realize the difference between any situational anxiety I was experiencing and the hormonal imbalance from the PPD. I had no problem ending the Zoloft after about 5 months and am extremely grateful I decided to take the Zoloft. I wish you all the luck in whatever solution works best for you.
J.S. answers from Dallas on November 20, 2008
I know a good holistic minded physician, but not in your area. If you want to travel, she is in East Dallas. If not, perhaps her office can recommend someone closer to you. Her name is Dr. Margaret Christensen MD, www.christensencenter.com. However, you wouldn't need to go often and good physicians are hard to come by.
There could be lots of reasons for your current situation. Sounds like hormonal imbalance could be a culprit. Question is, what is causing it and how to fix it. Most certainly, anti-depressant drugs won't likely fix it, and could make it worse. Careful here.
Things to look at which can all impact hormone function: adequate nutrition (very little sugar), food intolerances (gluten, dairy, soy, eggs, etc), exercise level, sunlight exposure (vitamin D), thyroid function (conventional "norm" is inadequate - need level around 2.0), early bedtime (cercadian rhythm requires between 9-10pm), high quality vitamin supplements (omega 3s, B-12, vitamin C, multi-vitamin, probiotic, digestive enzymes, calcium, magnesium, blue/green algea like chlorella etc.), detoxing the poisons and drugs out of your body, emotional stress in relationships, etc. It's a lot to sort through. A good health provider would probably help you tremendously.
Not all supplents are quality. If it interests you, these are the brands I use:
Omega 3s - Carlson's fish oil in summer and Carlson's cod liver oil in winter for vitamin D from www.mercola.com or health food stores like Whole Foods
Calcium - liquid with Mag and Vit D from www.herbalhealer.com
Magnesium - Natural Calm powder at bedtime from Whole Foods
B-12 - sublingual spray from www.mercola.com
Chlorella - tablets from www.mercola.com
Multi-Vitamin - www.herbalhealer.com
Digestive Enzymes - www.liverdoctor.com
Probiotic - Zymogen brand from Royal Abrams Pharmacy