Understanding Your Moods When You're Expecting: Emotions, Mental Health, and Happiness -- Before, During, and After Pregnancy Book

Acknowledgments     xi
Introduction     1
On the Way to Motherhood     10
I Think I Want to Be Pregnant     11
Working Through Family Relationships     16
Too Much of a Good Thing     25
The First Trimester     29
The Conspiracy of Silence     30
Loss of Separateness     33
Hormones and Their Effects on Your Moods     35
Loss of Control     39
Pregnant While Parenting     42
TIPS: To Tell or Not to Tell; What to Read, Whom to Believe     45
The Second Trimester     49
Not-So-Equal Partners     51
Sex and the Pregnant Parent     56
Losing Control of Your Shape     60
How Can I Do This to Number One?     63
TIPS: There Are Two Parents; Eating for Two; Sex Specifics     68
The Third Trimester     71
When Will This Be Over?     72
I Can Do It Myself, Thank You     74
Birthing Plans     76
Is It My Hormones or Something More Serious?     78
It's a Family Decision     85
TIPS: Putting Your Needs First; The Baby Shower; Your Postpartum Plan     91
The Big Day     95
Bonding     101
Right-Away Emotions     105
The Circle of Life     106
TIPS: Waiting for Baby; Make the Delivery Yours; The First Few Hours     108
Bringing Baby Home     112
Why It's Called the Fourth Trimester     113
Stay in Your Pajamas     118
What About Breastfeeding?     122
Nurturing Yourself     130
TIPS: Visitors; A Bedside Cooler; Diapers Close at Hand; Sleeping Arrangements; Forget Fashion; Sibling Survival     134
The New Normal     139
The Good Enough Mother     140
Ambivalence     143
Your Relationship with Your Partner     150
Returning to Work     156
TIPS: Good Enough; One Night a Week; The Best of Both Worlds     160
When More Help is Needed     164
Baby Blues     165
Postpartum Depression     168
Postpartum Psychosis     179
Postpartum Obsessive-Compulsive Disorder     182
Nonpharmacologic Treatment Options     187
Where Do We go From Here?     191
Support Groups     196
Mother-Infant Units     197
Standards of Care     197
National Changes      198
Conclusion     199
Appendix
My Postpartum Plan     205
FDA Drug Categories for Use in Pregnancy     207
Examples of Medications Used in Pregnancy     208
Potential Adverse Effects: SSRIs     208
Nutritional Supplements and "Natural" Drugs During Pregnancy     210
Edinburgh Postnatal Depression Scale (EPDS)     217
Postpartum Symptoms Checklist     220
Resources     224
Index     227