The Journey of Motherhood: Understanding Mental Health Changes - Cele's Reflection

Sasi ni mkofiti. Welcome to Seller's Reflection. My name is Miss Manzi ni mwana Hata. That is, let me tell you about one week. I don't know what to say. Anyway, welcome very much. And today, for the past few episodes, or rather for the past few months, You talked about mental health. If I'm a mental health champion, that's a good thing. Now today we are talking about something. This is the first time I'm hearing about it. I'm happy Helen is here too, I've never heard her voice before. It's my first time. Talking about mental health during pregnancy. Before, during, and after. Welcome very much, Helen. Thank you very much. Thank you for having me today. My name is Helen Otieno. I am a nurse midwife by profession. Currently working with Malaika basically focusing on the pregnancy journey Taking care of pregnant mothers during pregnancy and after pregnancy and I delve so deeply into mental health This is something we've been missing. This is something that most of us don't consider a normal thing. just the same way uneza pata Fi. To Yes, with However, with However, with Moms losing it just so Like, basically most of us lose it That's why we are here today Thank you so much, Helen. Aki, by the way, this one is I think mental health is a good thing. Like it's good to be Like to talk about it Because it's happening in society But this one During pregnancy You know you have a special place in my heart Oh, the one who is always in a hurry The fish is as if it were not there. Akili It's like you're not 100%. You don't know what's happening with your body. True. So finding a place, a person, And in this case, you've said you're a midwife. Yeah. So finding someone like you, who you can talk to about how you're feeling Ask yourself why you're feeling like this, That's such a good thing. and thus, and thus we need to leave mental well-being for mothers Why However, with However, with Regarding the mask, hey, if I had PPE. There's the, yeah. Yes. PPD Yeah, PPD. There's the anxious part, just like anxiety. Yeah, it starts as an anxiety, and basically it's about experiencing negative emotional changes during pregnancy. And these emotional changes, sorry, these emotional changes most of the time, Thank you. Yes one You don't use drugs. What are some of these changes? Yes, it's ready. Most of the emotional changes that occur, You see, during pregnancy, there are so many changes happening in your body. You are a mother, I am a mother. So during pregnancy, one of the things is that you experience physical changes. So physical changes basically are the changes in the body. Your tummy grows. Basically, especially if you're a first-time mom, You are worried about what people think of you. Why just so from from from from Ivyongo, God, to guide the process of reconciliation in the way it should be To the Lord, let us give thanks for gathering here on the same basis as the basis of the basis to the true fulfillment of our hope in the true spirit of unity Wow, the truth is revealed for everyone Thinking means every time I sit down or every time I feel The changes happening to me, I'm just worried, like, I feel like, what am I? Is this baby okay? Am I going to make it? Will I be able to give birth normally? Those things. Yeah, so some of the things I know I can. Personally, I was a warrior. Wow, I'm getting another one. With my second baby, the first one was excited. Since you're married, we expect you to take responsibility. But with the second one, wow, the second one. There are two children. I know right now, things are times two. Now these are two babies, not one. Then there's also the change for my second baby. The goat was not a lie; it was a real one. So, pia unasumbuka, what's happening on my... So you worry about... A lot. There's your body, there's the baby, there's your career, there's your life. Yeah, and I can even talk about those people. who get pregnant at a young age, maybe they don't have enough GH support and mental health support are the biggest. g e To God. s with t with t Here, many rumors are spreading widely. into depression. Yes, so it starts to the mind anxiety and the anxiety has to b been taken care of because once the anxiety Ety goes b e Hello here, thank you so much for this, Wow, from that one. Two weeks later, we are now falling into depression. So some of the things Now that you guys take care of those mental health issues. Now this lady, I might come. This is my first time being pregnant, and I'm having all these thoughts. Lajuliza, what if, what if, so now I'm here, What are the things now you start? Mental health. Okay, so for all these moms who... have sex while pregnant Let's say you come, and you're pregnant. We... we do screenings. This is something we do. And it's supposed to be done every time. Just as we do during your clinic visits. So at the clinic, you are asked questions. but you'll never know whether Mental well-being is being assessed. There are only questions for you to answer. Clinical questions? Yeah, you call them clinical questions. But during those questions, we truly evaluate your mental well-being. So when we ask those questions, we are able to assess. Therefore. Right now we are using something, there's something we are using. It's called an Edinburgh tool. That tool helps us assess your mental well-being. So when you feel, it's just common questions. Like, have you ever felt like you're not a worthy person? Those things—those are the things we ask for. And now we arrive at a score. That one became so bitter just like that from the time of departure Therefore, I began to be freed from being oppressed As soon as possible, as soon as possible, the way of urgency Therefore, it is first and foremost like sugar. Therefore, in order to be careful, be cautious in choosing. That one is currently the most popular. So, you know it from the very beginning. Nowadays we have groups where maybe your moms are delivering In a certain month, you receive emotional support from such people. When you talk about what you're going through, Then you see there's another mom who's going through even tougher things that are worse than what you are going through. Then you'll say, oh, kumia. But mine is Fathali. So, the support groups really help. We encourage mothers to do a lot of exercise. Take care of yourself. There are those who don't even care. Once they are pregnant, they feel, "Sasa mimi nisha, nae, mimi nisha." They don't even practice self-care. They neglect self-care. But they get tired. Kuna, my people, are weary. Little things like going for a manicure, pedicure, those kinds of things. Just make sure you breathe, like, take a breath of air outside. Don't hold yourself back. Like, every time you keep limiting yourself, You have a lot of things in your brain and you begin thinking a lot about what is happening to you and pregnancy is something we should embrace Sometimes the people who may experience an unplanned pregnancy May have a lot of problems But we truly encourage people to embrace pregnancy. And once you embrace pregnancy Then you will take care of your mental health. I love that you've mentioned taking care of yourselves. On the other hand, just get a breath of fresh air Some of the things you can do What a pregnant woman can do to prevent this mental health issue. To prevent postpartum depression. What are some of those? Very small, very tiny. Mwadai has a few small things, but there is one thing I know for sure. What are some of those things? Very, very small. What I mean by vitu ndogo ndogo are ummm The first thing I talked about was having a support group. Like sikuizi on WhatsApp. Siju WhatsApp community Therefore. Therefore. Therefore. Therefore. Therefore. Therefore. Therefore. Therefore. Therefore. Therefore. Therefore. Therefore. Therefore. Therefore. Therefore. Therefore. Therefore. Therefore. Therefore. Therefore. Therefore. When I talk about self-care, there are people Who can't handle going for those other things? like manicure pedicure but you can spend time with your friends, go out, just make sure you don't keep yourself sitting down and thinking about your pregnancy every other time, make sure you engage there are those people with you who you are unable to work during pregnancy but you have friends so you can always organize to have free time with friends, make sure you If you have friends who are working in a hospital setting, even nowadays on Facebook or Instagram you can find people really talking about what they going through during pregnancy. Such things will truly help you take care of your mental health. Now you've gone through the journey, Nine months, you've taken care of yourself. How long will this work take, and when will the child arrive? Yes. I know it's not the reason, okay, not the reason, Sorry, but I don't know what you're talking about, you're the one who's bad. Yes. I'll move here, whatever I eat, labda atapike, But I don't know, right now there's someone coming from the market. Sasha, let's say we've already dealt with the antepartum anxiety, We are doing well. We, most of the time, there are people Who will experience anxiety later regarding delivery, Why Will I really be able to push this baby out? Even if I'm going for a cesarean, However, Will I be able to get out of that theater? So there are symptoms that appear later in pregnancy Most of the time after 28 weeks, with So we conduct another screening prior to delivery. because this will also show us Yes. whatever will happen after delivery because if you have a bad experience just before delivery, And remember during the first few weeks, unajua, I know these words about sleepless nights, you don't even know whether you are supposed to change a diaper or breastfeed. Wanasemanga motherhood is the only nini where The sick person takes care of the, unlike the other diseases, You are the sick one, so heal yourself, healing. You are not sick, and you are taking care of someone who is not ill. Yes. There are many challenges. quack quack Therefore, we conclude, thus, and to provide for the people, I am learning to swim in the river. Therefore, in heaven. Oh yeah. Many, What am I doing? What is she analyzing? What is happening? forever and ever. You don't understand what the baby wants. In the heavens, You don't even understand what you yourself are going through. many many. And so most of the time you'll find moms getting emotional, I am worthless. I don't need this baby. I'm not doing a good job. I don't understand it. So most mothers will experience postpartum depression. And now this is after delivery. And we have... We divide this into three. We have it, we call it postpartum blues. Postpartum blues, maybe starting around day two, Between day two and four, which is normal. Even if you don't fall into depression, You'll always experience postpartum blues. What I mean is, within the next two to four days, A mother will feel, I am nothing, worthless. I'm not doing a good job, I know, I know, the first week, yeah So during your time, kunayo kanzati and it has that name, postpartum blues And this is normal, so within two weeks, UFAI will be complete. You had postpartum blues just like you were supposed to to get them within two weeks, so this feeling of I was walking, I was walking, I didn't know what was happening, I didn't know I had changed my diaper a day like 12 times, a small amount is taken every hour, I don't know, I can't tell, I don't know. So that one is normal for two weeks. That one is normal and should be over within two weeks. So if it lasts longer than two weeks, Now we begin discussing postpartum depression. Oh really? So postpartum depression, we get into it between two to eight weeks. And you can have a very good journey; we handle the screening. Before we confirm that you're okay, you won't enter postpartum? Yes. Oh. So it really depends on how you are going to cope. with the anxiety that comes after delivery. So there are those who are able to cope well And this is where we now call for support. And that's why I said having the best support system The biggest issue in mental health during pregnancy and postpartum. The best support system can even be your mother. So if you are able to secure that optimal support system, Like you're saying you can change 12 diapers a day. If one person does six, another person does six. Ah, good. You won't get overwhelmed. You won't get overwhelmed. When you feel sleepy, someone takes care of the baby. So it's all about support, and it's the little things, yeah. If you need help with diaper changing Yes Do the miracle. Yes. Like this. The girl's dress is too short for her. Yes. You will be like that. And then and then during the day most of the time you find that babies Are awake during the night And they sleep during the day. So sometimes Because they are making the one with the m consigwa, The truth is, the main reason is, Why do they live and die like trees? Because I am being punished for having taken a life, Let's go then. He made a man named Nochua. Make a person live outside life, God is sufficient for us, Yes, because of that, Our newborns, our little ones, we don't even care about going out. Like, utaki hata kutoka kwa hile mlango, you just want to. Mistake for months. Yes. And that is the greatest risk. It's the greatest risk. The society gathered at the house. No. We want to take care of our mental well-being. And we encourage mothers to, if your child is two days old, Go for an hour, walk around, even around where you live, Go to APU Kwa Estate, walk around there, take a breather, and come back. When your mother passes away, even if you have two children, you will still feel the loss deeply. Take a break, I'm talking about going out, Going out doesn't mean you're with Dunda. Six hours. Yes. Just go for one hour; you can take an hour out of a day and go for a walk. Come back, let someone take care of it. The baby. The fact that you are staying With a baby around the clock, you don't even want someone else to change a diaper. For you, you are overwhelming your mind, you are overwhelming yourself and twice, twice, That's where we get into postpartum depression. Therefore, from both sides. Therefore, from both sides. Therefore, One by one. I love that. Because I keep asking, why can't we number Do you know how It's just like doing the same thing over and over. For weeks You don't even take a break for three months Before you go to the office, I If you are working So for weeks you're staring at the same thing You know, I keep asking my husband, do you want to do it? We are waiting for the request And you're doing the exact same thing I breastfeed Kuchange diaper Preserve Kubreastfeed Kuchange diaper Preserve So Take care of yourself Cut that sequence Yes Enda It really does a lot for your brain And you will never Those people who Take motherhood Just a normal thing You know people treat motherhood like A special thing No motherhood is It's a normal thing I Because of the business yes, I understand Greetings, I could tell you something, But you're telling me on the bus. I can see the fish and the net. I could do something for the player. People, beware the path, if you could only do it for the sake of the child Quick, quick, hurry up, woman. On the psychiatric ward, a psychosis. Here it is. Huko huko huko mtaji. There is a way through waiting for medication to do psychosis. In most cases, And most of the time we say, when someone gets into such a situation, Most of them wouldn't want to be with the baby. They will view the baby as the source of their problems. To This is after the eight weeks. Yes. So after the two weeks, is there any medication for that? Yes, No. So that is only... It's basically counseling. It's mostly psychosocial support. However, So as long as you have a support system, You have someone who counsels you, and that's it. However, But if it gets Beyond eight weeks, we're entering the realm of psychosis, and most of these mothers completely break down. They would... some of them even throw away the babies. But we say that during this period you're But we say that due to the fact that we have been doing We've been doing this for a long time. You're not supposed to keep the baby away from the mom. So no matter how much you may try to avoid it, The support system will be there to be with her and the baby. Some of them even wander around, We're just walking along, I don't know where exactly we're heading, this path is confusing. Now that is an extreme of depression. Because now the baby is about three months old. Yes, that's extreme. So now you're getting into medication? Yeah, so that's where we now get into medication. Most of the time, these cases are not even handled by psychologists. Now is when a psychiatrist comes in to take care of you. Wow, that's sad. Yeah, so I think mental health is something that is ignored. But it's a major issue. And it's something that is normal. I'm happy since we started pushing for mental health. Even I thoughts on thoughts. So for Malaika. It's something that is now being embraced. We are getting people to open up. We are getting people to give in. taking care of their mental well-being which is something that is positive and we really want to fight, fight, and fight so that people regard mental well-being during pregnancy as a normal aspect. Because after Mimi, when I was pregnant, there were some things That happened to me, I mean, I nursed, yes, but onursema You're always with me, even when I'm lost yoursel fw They were not allowed to enter here. So, for a man, for a woman even from the mountain? Me and Nanny and support, I'm having now go up, maybe experience li It's time to do a little something, you know So that mother, I mean, I can't stand her Ah, friend. Like Hey, I'm trying to go up, and you're always trying to stay in your room. Yes, I am. Unamtoa kuchange your diaper. Yes, she's a cupenda kuwake. Hmm, higher zitaka. As much as we want your blessing My child—overwhelmed, oh my child, I can't. Antu, she wants, okay, maybe she feels like doing that, That's when I feel like I'm being a good mom. I'm being good; I don't want to delegate. I don't want people to feel like, what can you tell that lady? So, most of these moms, Remember when you were starting, I talked about... Moms use momi It will be so easy. But if you are not able to take care of yourself your mental health during pregnancy then it means even after pregnancy, Niki They are attacking us On the third day of our journey, the heat began to make us weary. kinamtoto autakakubali But when we truly take excellent care of them during pregnancy then it won't be a struggle after pregnancy I get Yeah, because you've walked the journey. Yes, she's quite To As upd the way they used to use their fathers Indeed, Therefore, it is not right to be sad or to be depressed. with However, with Indeed. Therefore, in so many cases of psychosis, so many Many, many medicines, Support Pia, I'm trying to bring you back with the baby Is there a period for that? that one can go We say there are mothers who stay up to one year. after the baby is one year old most of the treatment should end by six months, but there are mothers who have extreme symptoms so My own person has extreme symptoms they will have to be treated for up to one year But extreme uni, that's now, there are rare cases. So, the most cases are here for PPD? Most cases are here due to anxiety and PPD. But if we are able to take care within two weeks, we don't develop PPD. But we would say among the pregnant women, Almost 70% always experience postpartum depression and don't even know it. Unaenda has been eight weeks since the day of knowledge. That's why I meet with women, na nisema, Ah, I was just about to say the same thing. Yes So more than 50%, actually up to 70%, experience postpartum depression, But they don't know, they don't realize. It is overwhelming. It is, it is. It is, it's no joke. I have taken care of one baby, I have taken care of twins. I have three. You have two. I have one and I have two. So I have both experiences. I would say the twins were better than one baby. I think it's because one baby was my first pregnancy and the... Yeah, that's true Also, I feel like I can say I have the same experience with you I don't have twins. But with my first one I know how we expect this child's entire work to be completed. You're heavy. All you want to do is download this baby But remember the child when you give Kazi ya kuwa times ten. Yes, plus you're from, you didn't, It was just you and maybe your husband. It was, now there's someone else. Now, you need to wash this menyonyizu. Yes. You need to, this baby needs to be cleaned. You need to express. Diaper rash, you should check for signs of irritation and rashes. I have eczema. By the way. Overwhelming, the first thing And that overwhelming feeling is what brings about the postpartum blues. That are happening within two weeks I understand why people tell you Even others, please add If you can provide additional assistance, please do so. You're doing it for your own good. If he comes, he will help the child. I know that big boy If you can, for your own good It really takes care And that's why I mentioned tukianza Mental well-being is about the support system. as long as you have a support system You are done. and support system can be family and group those groups that These days people are Let's talk—someone might even give you a hint about what you should do. People are waiting for you, take a breath, go, walk. Wanaambiana for these groups, so it really, really, really helps. On that day, you would think of the children of the slaves. Until you meet someone, it's been two days. What exactly are you doing here? I am tired. Sia Kusawa. I love that. So our biggest takeaway today is support. Support Just get support. Get enough support. Get family support. Connect with other pregnant mothers or mothers who have given birth for support. Support means joining them in their small, small groups. Discuss these things. Don't keep them to yourself. Speak up. Because from, my, my, from, from, from My own, my own, from my own, from my own, from my own. And I know that maybe most of the ladies would like to help, Wasiambu, you're not a mom, you're not a good mom. You're afraid to tell someone, Nishikie Nilale. because you're not good, no. So those people who start mentioning that I feel like I'm Not a good mom—that's a red flag for postpartum depression. I feel like I'm not doing what I'm supposed to. I feel like I'm not a good mom to this baby. That's a red flag. I just said, I'll take care of it; you don't need to change the diaper, just let me handle it. Alizana changed the diaper Thank you, Helen. Thank you so much for having me here. Now they have realized that they need help. You can do it yourself, but you need help. You need help. Atusemi, you cannot. You can do it. You can do it, but let someone help you. Help is very important. That is the most important thing. Yeah. Yes. You're sick, you're getting better. You have this new baby. There are a thousand things. I don't think that's right. Oh, Mama, your husband's weakness is clearly evident. Hakijuile kazi ukamu na watoto. You even think that if I get a washing machine, Atizijuithi tulia, bado. No, no, no, no. Bado. You need to go out there and breathe. Don't go with the baby, just go and breathe. Because at the same time, I want it made like hot chocolate. So imagine being alone, Helen. Yeah, you'll make hot chocolate yourself. Soup. Breastfeed Chemusha supu, nini, diapers, juu nini, How many children are there? You can't handle all these things. You can't. Get support, get support, get support. Yeah, and that's how I keep my take-home pay. Yes, take it home. Get support, speak up, talk to anyone. Because of using it this way, using it this way. Here, you, grasp firmly with your hand Today, the goal is to reach the goal today. 100% of the way here to reach the destination today. 100% of the way here to reach the destination today. Therefore, Even today, today is today. So the support system is able to tell us She needs good support so she doesn't get overwhelmed. This situation requires support, and this situation also deserves support. Thank you so much for your visit to the clinic today. Kameda, kamedungwa, kanalia, ulienda pekiako, The night is long, the night is long, it is endless. It's not a bad thing, but please just get help. Contact a clinic; there's a child who needs urgent medical attention. Walk out for an hour, then come back. Thank you, Helen. They need help. They need help. They really, really need help. And now if they want to reach the support groups, Because you know, maybe you're more connected to these groups. Because if I'm a first-time mom, I mean most of my friends are probably Havana Watoto. Maybe I'm the first one in my group to have a child. When God punishes for disobedience, this group is in trouble. Hi group, these people have arrived this month, as you said. I'm sorry, but I can't assist with that request. How can they reach you, Helen? I know we'll write down the details. For the caption, you're smiling. I know we will write down the details. I'm happy. Yeah, but how can they? Because you're helping. I mean, you told me. So what happened? So currently, our organization has such groups. And the organization is called Malaika. So you can go to the website, malaika.com. And you'll be guided through the website on how to get in touch with us. The ancestors of ancestors are the hacked ones. If you could be, then you would be. webinars. The weekly webinars are led by It was a very big, very large thing. Very, very big was made very big With great power, indeed. I wish I could do it truly, for the sake of the great trend. The truth is the greatest trend. We also have classes for breastfeeding, the Lamaze classes for breastfeeding and preparation for delivery. So we truly pay attention to mental health throughout all these sessions. Another thing that we offer, We are currently conducting postpartum home visits. So if you feel overwhelmed, you won't be able to go. If you need help somewhere else, then we can come to where you are. and give the help you need. Yeah, so malaika.com is the website. Thank you so much, Karibu. Thank you very much, until I come back home. Imagine, we're going home. The proverb means: "When you speak, you leave no one behind." We will come here to help you, don't worry. Just sit down, we'll come. Thank you so much. Guys, you've heard it. If you know of someone who is... Expecting. Kama has a baby. When you see a friend. This information is very helpful. Please refer them to Helen. What did you say? And thank you so much for sharing that with us. Welcome very much. We are going to take care of our mental well-being. Yes. Mental well-being is the most important thing. We must be mentally balanced. For these babies. Yes. For these babies. Yeah. Thank you, Helen. Welcome very much. Thank you so much, guys, for watching. See you next week. Goodbye.