Tuesday 6 March 2018

When a woman becomes a mother for the first time




Coping with a new baby
I recently visited a mom with her new-born and listening to her story about the birth reminded me how difficult and traumatic those early weeks of motherhood can be, and how little women are prepared for this ordeal.

Riva Rubin, an American midwife in the 60’s, who worked with hundreds of women in post-natal wards, was the first to recognise and document the behaviour of a new mother. Back then, women used to spend 10 days (at least) in hospital – longer if she had a C-section. During the first week after birth, Rubin identified three distinct phases: Taking-in, Taking-hold and Letting go.

Taking-in: This phase typically lasts the first and second day. During this time, the mother recovers from the birth and is not particularly interested in her baby. This is because she is exhausted, sore and hungry. She only wants to eat and sleep. When the mother is awake, she relives every minute of her labour and birth. It’s the only thing she can think and talk about, comparing her expectations to what actually happened - which are usually poles apart. She may be disappointed about many things – from the labour ward to the bedside manner of her gynaecologist!  

Taking-hold: On the second and third day (incidentally this coincides with her milk ‘coming-in’) the mother is feeling a lot better and can focus on her baby. She feels more in control and wants to learn everything she can about baby-care. She is keen to breast-feed, bath and look after her baby.

Letting-go: This is when a new mother ‘let’s-go’ of who she was and learns to accept her new role as a mother. Her life has changed. Never again will she watch the news of school shootings, drowned refugee toddlers and starving children with the same eyes. Her instincts to protect and nurture her baby surface with the vengeance of a mother-bear. Even her relationship with her baby’s father changes.

It’s not surprising then that women are not ‘elated’ after the birth of her baby. She has so much to deal with – so many things she was not expecting. The pain – sore breasts, sore perineum (the area between the vagina and anus that suffers the most trauma during a natural birth) or her cut after a C-section. She is exhausted adjusting to being ‘on-call’ 24/7 to a squirmy little parasite who only poops, pukes and cries! She feels insecure every time her baby cries – and wonders what she is doing wrong. She wonders if she is doing things right – changing the nappy, burping the baby, feeding! She resents magazines and baby-books for their idyllic pictures of happy mothers with content babies when she feels just the opposite.

In my experience, the letting-go phase is the most difficult to deal with and can last much longer than a few weeks. This is when post-natal stress can become post-natal depression. Superficially, women have to cope – and be ‘super-women’ – preparing gourmet meals, looking glamorous and getting back into their skinny-jeans. The bigger the gap between womanhood (her first period) and motherhood, the longer it takes to adapt. Younger women who have not established a career tend to accept motherhood a lot quicker than company CEO’s – even when she can afford a night-nurse and daytime nanny when she goes back to work. Little do people realise that behind her desk, she’s in never-never land!

Coping tips:
  • Babies are new-born for the first 6 weeks. This is your 'baby-moon' when you learn to be a mother.
  • This is the time to focus on yourself – spend time with your baby and not worry about routine or chores.
  • Mooch around in your slippers and dressing gown in the morning – but have a bath and be dressed by noon.
  • When friends offer to help, ask them to bring you meals, help with the laundry or even sit with the baby while you take a bath or shower.
  • Eat healthy. Drink lots of liquids.
  • Talk to other women who are wearing the T-shirt.
  • Don’t sweat the small-stuff. The world will keep turning without you.

Remember that one day you will wake up and the sun will be shining. Everything will feel ‘right’ – at least for a while!