Antepartum Depression at 35 weeks

It started early for me. Despite the fact that I kept blaming it all on my anxiety and fear of becoming a first time mom, the depression really started much sooner than I would like to admit. I remember early in my first trimester having overwhelming waves of guilt and sadness. There were many days that I spent every work break locked up in our library, sobbing. Trying to catch my breath, I would cry out to my unborn child, "I am so sorry. I'm so sorry I'm your mama. I'm so sorry baby." I felt completely horrible that this poor child would be born to such a miserable failure of a human being. I felt so guilty all of the time and so devastatingly sad. I had frequent panic attacks and was so physically miserable with every pregnancy symptom in the book. Stuck on a liquid diet for two months because I could not keep down solid food. Praying that somehow all of the GI symptoms would eventually clear. Praying that my asthma would somehow come under control again so I could breathe. When one thing would let up another would creep in and I only felt more defeated as time went on.

Then we had our anatomy scan in February and we were told that we were most likely having a child with an intersex disorder. Meaning at the very least he would need surgery after birth and at the very worst our child actually had no defined gender or would be both genders but could also have other abnormalities like infertility and mild retardation. Suddenly the baby boy I had named and grown so very attached to became genderless and lacked any real identity to connect with in my mind. That same week I had been started on Wellbutrin for the depression and one of the black box warnings for this drug is suicidal ideation. Over the two weeks it took to do further testing and wait for a follow up ultrasound I began to spiral out of control. We eventually found out that the anatomy scan tech just had bad images because the umbilical cord was in the way and we were in fact having a very healthy baby boy, but by then the damage had been done. Every day became a battle to simply survive. Life seemed utterly pointless and I began to think about death with fondness. Wishing that somehow I could simply not exist anymore.

I decided to go off the Wellbutrin and with the help of my husband and my OB-Gyn I began seeing a therapist that specialized in pregnancy related issues. Slowly, I began to get better and within a month I felt actually somewhat normal! I even remember telling my OB-Gyn that I thought the third trimester was my magical trimester. I honestly only remember one brief period, maybe a couple of days where I felt those suicidal thoughts creep back in and I remember it being associated with feeling physically really crappy. I had a wonderful baby shower around week 32 that was so happy I felt pure joy that entire week. Excitement even for what was to come.

Then came week 34 and the beast that is antepartum depression crept back in and decided to dig in deep. This child inside of me is growing big and it literally feels as if a 300 pound man is sitting square on my chest. I cannot catch my breath for the life of me and I panic on a daily, sometimes hourly basis. The other day I spent a good portion of my day googling things like "antepartum depression" "suicide during pregnancy" "antepartum depression worsening during second pregnancy" in an attempt to find someone who understood the darkness that has taken hold of my mind. I also have been completely preoccupied lately with the thought that I just cannot imagine ever doing this again. The realization that having another child could possibly be one of the worst ideas is so heart breaking. I want more children. I don't want Bentley to be an only child but the thought of willingly inviting this beast into my life again is down right terrifying. I told Chris through tears yesterday that I was afraid I would get even more depressed and commit suicide if I ever got pregnant again. How awful is that? I even considered writing a letter to myself in order to remind my future self just how horrible and scary this pregnancy was. I am so afraid that the joy of having Bentley will make me forget the beast and it's hold on my mind. I am so afraid that I will decide to be brave and that the next time I won't be so lucky. Next time the depression will be so debilitating that I just won't survive it and my children will be left without a mother. The thought that I just can't have more children is a burden that hurts so deep and I know it hurts Chris too. I don't know what the future entails but it just feels very bleak.

Right now I am desperately clinging to the hope that this will all get better once Bentley gets here. It's hard though because I am told that having antepartum depression predisposes you for postpartum depression. I seem to also only hear the horror stories of taking care of a newborn. The lack of sleep, the torture that is breastfeeding, the pain of recovery, the never ending cries of a colicky, inconsolable baby. It all just feels like I will be jumping from the pan to the fire. I have 5 weeks to go and I feel like each day is a battle to get through. Some are better than others but for now I have to keep fighting to live despite my complete lack of desire to go on at times. Who knows? Maybe tomorrow will be better.