Pregnancy and childbirth can be challenging experiences at any time. But amidst a global pandemic, many of the typical difficulties have been escalated. Many unknowns still linger regarding the potential impact COVID-19 can have during pregnancy as well as the virus’ potential impact on young children, making this an incredibly stressful time for new and expecting mothers in particular.
Unfortunately, one recent finding has demonstrated a worsening of anxiety and depression in new mothers during the COVID-19 pandemic. The study, from the University of Alberta, found that the rate of symptoms of depression in new mothers amid the pandemic was nearly three times the rate of new mothers’ symptoms pre-pandemic.
Concerns about financial security, job stability and overall health weigh far more heavily on new and expecting parents now than ever before. Considering the pandemic’s widespread financial difficulties, the prospect of paying for all the expenses that come with a new baby can be incredibly daunting.
The rate of symptoms of depression in new mothers amid the pandemic was nearly three times the rate of new mothers’ pre-pandemic.
Added stress can also come from the precautionary measures to protect against the spread of COVID-19, especially social distancing. These measures can mean that extended family, grandparents particularly, may not be able to provide the support (such as childcare) for the new parents as they might normally. This can add to the parents’ stress and is also an immensely frustrating and disheartening reality for the grandparents and other family members who may not be able to see the new baby safely. Additionally, concern about potential exposure to the virus in public settings, especially during essential doctor visits for the newborn, aggravates anxiety symptoms.
Though the pandemic has heightened depression and anxiety rates for mothers, postpartum depression has been on the rise for many years. Postpartum depression is a mental health condition following childbirth in which a new mother experiences symptoms of depression that do not go away, as do the traditional “baby blues.” Some symptoms include feeling disconnected from the baby, a lack of motivation, restlessness and overwhelming feelings of sadness.
Statistics point to a notable disparity in the age of the mother. Teenagers face the most risk, with teenage mothers twice as likely to develop postpartum depression. Teenage mothers also suffer from higher suicidal ideation rates and are more likely to suffer from PTSD due to a higher likelihood of exposure to traumatic events.
Racial disparities play a role in both maternal mental health and teenage pregnancy. Researchers have noted that Black mothers suffer from postpartum depression and other perinatal mood disorders at a higher rate than white mothers. Additionally, though rates of teenage pregnancies have been decreasing across races, the pregnancy rate among Hispanic and non-Hispanic Black teenagers is more than twice that of non-Hispanic white teenagers. Given the connection between postpartum depression and teenage pregnancies, intersecting racial disparities can create an incredibly vulnerable new mothers’ population. COVID-19 has only added to this vulnerability, with the virus disproportionately affecting racial and ethnic minority groups.
North Shore Child & Family Guidance Center has two programs that address postpartum depression. One is called Good Beginnings for Babies, which seeks to help pregnant and parenting teens in a variety of areas to combat these vulnerabilities. Dr. Nellie Taylor-Walthrust, director of the program, explains, “The goal is to reduce the isolation of young parents in the early years of their child’s development and increase the community’s sense of responsibility for young families, by building a community of young parents who support one another.” This support is crucial in preventing adverse mental health conditions for teenage mothers.
Good Beginnings for Babies also provides screening for maternal depression and other perinatal mood disorders, as well as treatment or referrals for mental health care.
The other program is the Diane Goldberg Maternal Depression Program. It provides rapid response and diagnosis for mothers of all ages suffering from postpartum depression and other perinatal mood and anxiety disorders
Good Beginnings for Babies is located at Leeds Place – Serving Young People, our office in Westbury. For more information, contact us at info@northshorechildguidance.org or (516) 626-1971.
The Diane Goldberg Maternal Depression Program is located at our Marks Family Right from the Start 0-3+ Center in Manhasset. Call 516) 484-3174, ext. 415.
Two major New York State mental health advocacy organizations—the New York State Council for Community Behavioral Healthcare (the Council) and the Community Health Care Association of New York State (CHCANY)—have made a formal recommendation that New York State permanently removes barriers to the provision of telehealth visits for all New Yorkers after the COVID-19 pandemic disaster declarations have expired.
In their recent press release on the matter, they stated: “Increased use of telehealth has allowed primary care, mental health and substance use disorder care recipients who cannot physically visit a healthcare professional in-person to use their phone or computer to access the services they need.”
At North Shore Child & Family Guidance Center, we support these efforts to ensure a comprehensive, coordinated and integrated continuum of care. I asked members of our mental health staff to share their experiences with telehealth during the pandemic so we could add our voice to the advocacy effort.
One of our staff members, Vanessa McMullan, who is a clinical social worker with special expertise in the area of postpartum depression, shared her thoughts with me. Beyond using her testimony to advocate for continued and permanent use of telehealth, I thought I would take this opportunity to inform you, my readers, about our experience in the transition to remote counseling.
As Vanessa testified: “I feel compelled to show my support in recommending that New York State permanently remove barriers in providing telehealth services for all New Yorkers following the COVID-19 pandemic.
“As a Licensed Social Worker who has been practicing for 15 years, I have seen families face many crises. With the current pandemic, it has been incredibly valuable to remain connected with clients, as well as engage new people in need of help. Without access to telehealth services, there are many families that we would be unable to monitor and help in a safe way. I truly believe that by providing essential care via teletherapy, mental health practitioners have saved lives.
“I am currently the Coordinator of the Diane Goldberg Maternal Depression Program at the Guidance Center’s Marks Family Right from the Start Center in Manhasset. We work with women who are pregnant or in the postpartum period around issues of maternal mental health. For women and families that are struggling with perinatal mood and anxiety disorders, having a baby can be overwhelming, frustrating and in some instances, unsafe. Pregnant women, newborns and young children are a particularly vulnerable population in terms of their health, and there is understandable anxiety and resistance in going anywhere that can potentially expose them to sickness.
“This means that women will defer seeking mental health treatment in order to eliminate the risk of getting themselves and their children sick.
“We have seen this situation before as it relates to reaching these women soon after they give birth, as the recommendation has been not to bring the baby into public areas before they start receiving vaccinations at eight weeks old. This has caused some mothers to delay treatment, since they do not want to risk bringing their baby, but also have no one to leave them home with. Similarly, we have had mothers cancel sessions due to rain or snow, or predicted rain or snow, due to anxiety about bringing the child out in bad weather. They have verbalized it as being ‘selfish’ to bring the baby out to do something for themselves, in case something bad happens while on the road. These women are typically those who need services the most.
“Families have expressed relief in knowing that they are still getting the mental health services they need without bringing their baby to an office or clinic that could have serious implications. We are having ongoing conversations and processing if/when things will be safe again.
I think it’s important to realize that when the declaration expires, it does not mean that the crisis is over. Trauma lingers. We need to ensure that people will still be able to access services, and by allowing telehealth to continue, these efforts will be supported.”
By removing the barriers to the permanent use of telehealth and reimbursing telehealth visits on par with in-person visits, New York will go a long way to advancing a comprehensive, coordinated and integrated continuum of mental health care.
Andrew Malekoff is the Executive Director of North Shore Child & Family Guidance Center, the leading children’s mental health agency on Long Island. The Guidance Center is seeing new and existing clients via telephone and video during the COVID-19 crisis. To make an appointment, call (516) 626-1971. Visit www.northshorechildguidance.org for more information.
A representative from makeup company lilah b. helps a Guidance Center client enjoy a day for self-care.
All moms deserve some pampering, but when you’re a mother who is experiencing postpartum depression, a day out dedicated to your wellbeing is a much-needed healing experience. This fall, the place of healing was Neiman Marcus in Roosevelt Field. The renowned retailer, which is a dedicated partner and supporter of North Shore Child & Family Guidance Center, offered a “Beauty Master Class” for several moms who are clients of our Diane Goldberg Maternal Depression Program.
The mothers were treated to a personalized makeup application from two representatives from lilah b., a natural line of beauty products made in Italy. “The lilah b. reps were just wonderful,” said Vanessa McMullan, supervisor at the Guidance Center’s Marks Family Right from the Start 0-3+ Center in Manhasset. “They talked to the moms and helped them choose the right makeup for their skin.” The mothers also went home with a gift bag of products from lilah b. McMullan also expressed her gratitude to the staff at Neiman Marcus, which has partnered with the Guidance Center for the past four years, offering a variety of beauty events and also a mentoring conference for some of our teen girl clients. “Neiman Marcus had a special room set up just for us, with extra help to care for the babies that came,” said McMullan. “All of the moms loved being together and getting some TLC. It was a perfect day!” “One of the pillars of our company is supporting the communities where Neiman Marcus stores are found,” said Neiman Marcus Roosevelt Field Vice President, General Manager Doris Wilshere. “We are thankful for the relationship that we have built with North Shore Child & Family Guidance Center over the four years since our store opened. We applaud the Guidance Center for the support they provide to the many Long Island families that rely on resources like the Maternal Depression Program to live happier and healthier lives.”Neiman Marcus will be hosting more events for our Guidance Center’s maternal depression clients later this month and for the foreseeable future. To find out more, contact Vanessa McMullan at vmcmullan@northshorechildguidance.org or call (516) 484-3174, ext. 415.
Roslyn Heights, NY, November 19, 2019 — All moms deserve some pampering, but when you’re a mother who is experiencing postpartum depression, a day out dedicated to your wellbeing is a much-needed healing experience.
This fall, the place of healing was Neiman Marcus in Roosevelt Field. The renowned retailer, which is a dedicated partner and supporter of North Shore Child & Family Guidance Center, offered a “Beauty Master Class” for several moms who are clients of our Diane Goldberg Maternal Depression Program. The mothers were treated to a personalized makeup application from two representatives from lilah b., a natural line of beauty products made in Italy.
“The lilah b. reps were just wonderful,” said Vanessa McMullan, Supervisor at the Guidance Center’s Marks Family Right from the Start 0-3+ Center in Manhasset. “They talked to the moms and helped them choose the right makeup for their skin.” The mothers also went home with a gift bag of products from lilah b.
McMullan also expressed her gratitude to the staff at Neiman Marcus, which has partnered with the Guidance Center for the past four years, offering a variety of beauty events and also a mentoring conference for some of our teen girl clients.
“Neiman Marcus had a special room set up just for us, with extra help to care for the babies that came,” said McMullan. “All of the moms loved being together and getting some TLC. It was a perfect day!”
“One of the pillars of our company is supporting the communities where Neiman Marcus stores are found,” said Neiman Marcus Roosevelt Field Vice President, General Manager Doris Wilshere. “We are thankful for the relationship that we have built with North Shore Child & Family Guidance Center over the four years since our store opened. We applaud the Guidance Center for the support they provide to the many Long Island families that rely on resources like the Maternal Depression Program to live happier and healthier lives.”
Neiman Marcus will be hosting more events for our Guidance Center’s maternal depression clients later this month and for the foreseeable future. To find out more, contact Vanessa McMullan at vmcmullan@northshorechildguidance.org or call (516) 484-3174, ext. 415.
A representative from makeup company lilah b. helps a Guidance Center client enjoy a day for self-care.
About Us:
As the preeminent not-for-profit children’s mental health agency on Long Island, North Shore Child & Family Guidance Center is dedicated to restoring and strengthening the emotional well-being of children (from birth – age 24) and their families. Our highly trained staff of psychiatrists, psychologists, social workers, vocational rehabilitation counselors and other mental health professionals lead the way in diagnosis, treatment, prevention, training, parent education, research and advocacy. The Guidance Center helps children and families address issues such as depression and anxiety; developmental delays; bullying; teen pregnancy; sexual abuse; teen drug and alcohol abuse; and family crises stemming from illness, death, trauma and divorce. For more than 65 years, the Guidance Center has been a place of hope and healing, providing innovative and compassionate treatment to all who enter our doors, regardless of their ability to pay. For more information about the Guidance Center, visit www.northshorechildguidance.org or call (516) 626-1971.
If my count is accurate, I was one of just three men (aside from the tech guy) who attended the Maternal Mental Health Conference on Oct. 2, at the Morrelly Conference Center in Bethpage. Yet the message of this conference was as germane for men—fathers, brothers, grandfathers and coworkers—as it was for mothers.
The conference was led by a terrific panel of health professionals, health educators and advocates. In the comments to follow, I will not cite any one in particular but I credit all five—Pauline Walfisch, Dr. Ariela Frieder, Vanessa McMullan, Sonia Murdoch and Phyllis Kaufman—who are all champions for pregnant and parenting moms.
We must begin with understanding the false ideal imposed upon many new moms. The ideal is that when a woman becomes pregnant, delivers a child and becomes a mother who cares for that child, everything is supposed to perfect.
Undoubtedly, some moms are able to acknowledge that being a mother is messy. They can adjust their sights, recognize that the ideal of perfection is a fantasy and adjust to the new reality of their lives. Naturally, it helps enormously to have the consistent support and understanding of their partner, family members and friends.
For some moms, though, messiness is harder to tolerate, especially when they experience what used to be known exclusively as postpartum depression and is now known as perinatal mood or anxiety disorders (PMADs for short). The latter term broadens the focus by recognizing that depression can occur during pregnancy as well as after giving birth, and that anxiety may also be a part of the picture. In other words, postpartum depression, the term most well-known by the lay public, is just one type of PMAD.
It is important here to pause and explain the difference between baby blues and clinical depression. The term baby blues represents the normal and characteristically mild ups and downs that new moms might experience for a few weeks after giving birth. Postpartum depression, on the other hand, can be the result of a confluence of stressors including the shifting of reproductive hormones following the delivery, sleep deprivation, poor nutrition, isolation, inadequate partner support, poverty and health issues of mom or baby, for example.
When you couple all this with the myth of perfect maternal bliss, the result is that many moms living with PMADs suffer in silence. Anything other than 100 percent perfection evokes feelings of stigma and shame.
Some mothers who are clinically depressed live with the belief that they should just “suck it up.” Others are advised to “pray it away.” Moms are very hard on themselves; they can begin to feel hopeless and harbor the feeling that things will never get better.
The good news is that there is help. The better news is that you can help. As one of the panelists advised, just ask the question. In other words, ask how mom is doing. The focus is most often on how the baby is doing, totally disregarding the mom, which just reinforces the idea that moms should be happy, holding their own and thrilled to be a new mother.
Whether you are a partner, parent, friend or colleague—female or male—asking the question is the first step toward eliminating stigma and shame. It can make all the difference in the world for a new mom who is suffering in silence. Ask the question.
Andrew Malekoff is the executive director of North Shore Child & Family Guidance Center. To find out more, including information about the Guidance Center’s Diane Goldberg Maternal Depression Program, call 516-626-1971 or visit www.northshorechildguidance.org.
