"Surrogacy is an important family planning option, but be prepared for a lengthy, expensive and emotional process."
By David Dodge| April 17, 2020
"This guide was originally on October 11th 2019 in NYT Parenting."
"From the time they began dating as teenagers, Rita and Erikson Magsino, now 39 and 43, talked about the family they hoped to have together one day. Almost immediately after marrying in 2005, they tried to make that dream a reality.
But parenthood would have to wait — Magsino learned she had an aggressive form of endometriosis that made it difficult for her to become pregnant. For over a decade, the couple tried everything to conceive — including fertility drugs and advanced treatments like intrauterine insemination and in vitro fertilization. Twice, Magsino became pregnant, only to miscarry late in the second trimester. “After we lost twins at 20 weeks, we decided enough was enough,” she said. A generation ago, the couple’s attempts to have a biological child most likely would have ended there. Instead, thanks to improvements in reproductive medicine, they welcomed a baby boy into their home in May with the help of a gestational surrogate.
Surrogacy has also created an avenue to biological parenthood for thousands of others who can’t conceive or carry children on their own, such as same-sex couples and single men. As a gay, H.I.V.-positive man, Brian Rosenberg, 54, figured biological fatherhood was forever out of reach. But thanks to surrogacy, and a technique known as “sperm washing,” which prevents H.I.V. transmission, he and his husband, Ferd van Gameren, 59, welcomed twins, biologically related to Rosenberg, in 2010. “It’s still hard to believe,” Rosenberg said. “I thought this was a door that was shut to me.”
Still, would-be parents need to be prepared for a process that is far longer, more expensive and emotional than many people expect — it’s called a “surrogacy journey” for a reason. For this guide, I interviewed the types of experts you can expect to encounter during a surrogacy journey, including two fertility specialists, a lawyer, a psychologist and an agency caseworker."
By Anne Miller| April 15, 2020
"When the first pregnancy arrives with little effort, struggling to conceive again can come as a shock."
"The doctor sketched a rough outline of my reproductive organs and nearby anatomy as she talked. The black lines on white paper seemed so sparse, when in reality they represented our hopes for the future. My husband and I had a healthy, smart, sassy, thriving preschooler; but we wanted another child. And with the relative ease of our first pregnancy — three months of trying followed by a clockwork 40 weeks (and three days) of pregnancy — we assumed the second would come easily.
Instead, it took us a little more than two years to conceive. The process hit us like a shock wave, draining our savings and deflating our dreams.
The doctors called it secondary infertility, a sometimes nebulous term that’s often given to women (or couples) who have successfully given birth but are struggling to get or stay pregnant again. As with regular infertility, it’s diagnosed in women who can’t seem to conceive after trying for a year or more (if they’re under 35); or for six months or more (if they’re 35 or older).
For many women, a secondary infertility diagnosis can come as a shock — if you’ve had a baby once, why shouldn’t you be able to have another?
“I had heard that secondary infertility was possible, but I never thought it would happen to us,” said Shannon Stockton, a mom of two girls who are more than eight years apart. “I had gotten pregnant so easily the first time.”
Stockton, who works as an executive assistant for a medical nonprofit, had her first daughter at 28, and hoped to have a second child four or five years later. She and her husband started trying again when she was 33, but she didn’t give birth until she was 37.
“Why couldn’t we figure out the timing? Why wouldn’t our bodies do what they were supposed to do?” they wondered. Their diagnosis: unexplained secondary infertility."
By Karen Kleima| April 28,2020
l"What if I get sick and can't take care of my baby?
What if my baby gets sick?
What if my partner gets sick?
How do I do this all alone?
Being a new mother is hard.
Being a new mother during a pandemic is almost unimaginable. One of the things we have learned-thanks to the increased awareness and circulation of good, accurate information about maternal mental health-is scary, negative intrusive thoughts about harm coming to the baby are a stressful but common expression of normal anxiety. Almost every single new mother and most new fathers experience the presence of scary thoughts that can range from mildly annoying to excruciatingly painful and debilitating.
It may be hard to distinguish between "normal and scary thoughts" and those triggered by the current extraordinary stressors associated with sheltering in, isolation, quarantining, social distancing and all the other mandates that are imposing gut-wrenching restrictions. It stands to reason new mothers today are bombarded on a moment-to-moment basis with negative thoughts that may feel out of control, never-ending and often shame-inducing. After all, we often hear, "How can a good mother think these thoughts?"
But good mothers do have these scary thoughts. Awful thoughts. Terrifying thoughts. Indescribable and unfathomable thoughts. And if these moms do not find the support and validation they need, the thoughts can swirl around in their heads, gaining momentum from fear. Anxiety is at an all time high right now, for good reason. It's scary outside and some new moms understandably feel out of control with anxiety.
When the anxiety emerges within the context of having a new baby, it often manifests as specific thoughts about something horrible happening to the baby. By accident, or by intent. The guilt and worry can be excruciating."
Finland just gave both parents 7 months of parental leave. Here's why it could drastically reduce postpartum depression in the country.
By Allana Akhtar| February 7, 2020
Photo: Finland Prime Minister Sanna Marin just approved 7 months of parental leave for both parents. Reuters.
"Finland may have made a significant move in reducing postpartum depression among new moms.
The country's government, led by 34-year-old Prime Minister Sanna Marin, will give both new parents seven months of parental leave after childbirth. Pregnant women get an additional month of leave before giving birth.
The updates will replace the country's current policy that provides gender-based pay for four months for new mothers and two months for new fathers, according to NPR. The new policy will go into effect in 2021.
Marin says the move will improve gender equality and is part of her government's plan to pass wide-sweeping social reforms. Marin is the youngest female prime minister in the world, and a majority of her cabinet members are women.
Along with giving fathers more time with their newborns, the progressive policy can improve new mothers' physical and mental health, research suggests, and prevent postpartum depression.
Research finds that having both partners at home after childbirth improves a new mom's anxiety and wellbeing.
While everybody is focused on the baby after it's born, mothers are acutely at risk.
Worldwide, 17.7% of new mothers experience postpartum depression.
While the potential causes of maternal distress are many, new research on Sweden suggests that simply having fathers more available to help out with the newborn can lead to huge gains in mental health for mothers. Sweden has Europe's most generous parental leave, NPR reported, at 240 days per parent.
Mothers are 14% less likely to visit a doctor for childbirth-related complications when fathers are present for the first few of a baby's life. They are also 11% less likely to require antibiotic prescriptions, and 26% less likely to need anti-anxiety medication.
The new National Bureau of Economics working paper, authored by Stanford economists Petra Persson and Maya Rossin-Slater, focused on the impact of parental leave policies in the Nordic country, which offers some of the world's most generous parental leave."
By Allison Aubrey| February 4, 2020
Photo: Chelsea Beck, NPR
"Have you ever noticed how tough it is to be present? We spend so much time planning and worrying about the future or dwelling on the past.
"We're in a trance of thinking. We're time traveling," says Tara Brach, a world-renowned psychologist and mindfulness teacher. "We're in the future, we're in the past."
And all this ruminating gets in the way of enjoying life — we can miss out on the good stuff.
If you reflect on your life, Brach asks, how often can you sense that the fear of failing or not being good enough "was in some way dampening or contracting or pulling you away from real intimacy or spontaneity or enjoying a sunset?"
Life Kit host Alison Aubrey spoke with Brach about her latest book, Radical Compassion: Learning to Love Yourself and Your World with the practice of RAIN. The book outlines the mindfulness tool, RAIN, an acronym for a four-step process: recognize, allow, investigate and nurture.
This interview has been edited for length and clarity.
What is mindfulness at its core. Can you describe mindfulness in a sentence or two?
Mindfulness is paying attention to what's happening in the present moment without judgment.
What is the purpose? What is the benefit of paying attention to the present moment?
We step out of our thoughts about the past and the future, and we actually start occupying a space of presence that is bigger than the particular emotions or thoughts that are going on.
Mindfulness gives us more choice as to how we want to experience things, what we want to say, what we want to do. So instead of reacting, we can actually respond from more intelligence, more kindness. It actually lets us inhabit our best selves."
By Kristen Rogers, CNN
April 22, 2020
"(CNN)Becoming a mother is a variable experience, fluctuating in its joys and challenges before, during and after birth.
These phases are of equal importance, but the postnatal period (post-birth) is key to a mother's well-being, her adaptation to changes and the formation of a positive relationship with her baby.
The postnatal period is also an underserved aspect of maternity care, receiving less funding, service and attention from health providers, according to a new review on what matters most to women after giving birth, published Wednesday in the journal PLOS ONE. Add to that a worrisome pandemic, and it becomes even more crucial to prioritize a woman's well-being during this time of adjustment.
"Once the baby's out healthy, then people are kind of less bothered," said co-author Soo Downe, a professor in midwifery studies at the University of Central Lancashire in England. And commercial hospital systems may not see as much profit in keeping up with the wellness of the mother after birth, she added.
"There's all this intense focus on women's health during the three trimesters of pregnancy and then women deliver and there's really very little support after that," said Dr. Denise Jamieson, chair of the Department of Gynecology and Obstetrics at Emory University and chief of gynecology and obstetrics at Emory Healthcare. Jamieson wasn't involved in the study."
By Al Donato| 4/15/2020 6:48pm EDT
"If you’re an exhausted parent at home right now, you have a friend in Elmo’s dad, Louie. In the latest pandemic programming from “Sesame Street,” the children’s series has released a PSA for parents starring the famous Muppet’s father.
In the PSA, Louie reveals that, like many kids cooped up at home, Elmo won’t leave his parents alone.
“It is wonderful to spend so much time with our children, but it can also be a bit ...” the older Muppet pauses, before letting out the world’s most relatable sigh. “Overwhelming.”
By Carmela K Baeza, MD, IBCLC| Art By Ken Tackett
"Some dyads (mother-infant pair) start their breastfeeding relationship in harsh circumstances. Frequently, due to medicalized births and unfavorable hospital routines, there are so many interferences to initiate breastfeeding that by the time mother and baby arrive home they are already using bottles and formula – despite mother having desired to exclusively breastfeed.
These mothers often feel that they do not make enough milk and that their babies prefer the bottle. They will make comments like “my baby doesn't like my breast”, “I cannot make enough milk”, “the more bottles I give my baby, the less she likes me”, and so on. This can become the road into postpartum depression.
Those mothers who are intent on breastfeeding will often look for support, and may find it in a midwife, a lactation consultant or a breastfeeding support group. These health care professionals or counselors may offer the mother to work on her milk production by expressing milk from her breasts (either with her hands or with a pump) and feeding that milk to the baby, as well as putting baby on the breast.
And this is what we call triple breastfeeding.
Imagine: mother puts baby at her breast. Baby suckles for an hour and a half, falling asleep frequently. Mother will tickle him, speak to him, encourage, often to little avail. After an hour and a half, mother will unlatch the baby (he never seems to come off on his own), put him in the crib, set up her breast pump and begin pumping, going for at least 15 minutes on each breast. Halfway through, the baby wakes up and cries – he´s hungry. But he was just on the breast for almost two hours! Mother turns off the pump (and so little milk has come out!) and feeds her baby a bottle of formula. She cries. She feels exhausted, useless, and unable to meet her baby´s needs. She has not left the house for days, because she is immersed in a never-ending cycle of breast-pumping-feeding."