My wife and I are planning to have a 2nd child following 2 previous episodes of PPP. We are looking for any advice on preparation, planning, what to ask for etc....
In June 2013, my wife gave birth to our daughter and then started showing signs of PPP a couple of days after (obv we didn't know it was this at the time!!) . She was admitted to an MHU for 10 days after a week of the medical profession deciding what was happening to her. In this week, I had to get to grips with being a new father pretty quickly as well as trying to keep my wife as calm and as relaxed as possible! Inevitably, it didn't work as the PPP took hold.... She was treated with Sertraline and Sulpiride.
After this initial episode, Jen was never quite herself. She had good days, bad days, mediocre days. My Great Aunt died in Feb 2014, and we were both very close to her and this seemed to be one of the main catalysts for what happened next. It was in late May 2014, that she started to show signs of being unwell again. It was a week of escalations that culminated in Jen calling an ambulance herself and being taken to the local hospital. She was sent home again, with instructions to rest!?!?! However, two days later, with insistence on my part, she was admitted again to an MHU. She was in there for a month this time. Initially treated with Sertraline and Sulpiride again and then her medication was changed to 300mg Sertraline and 5 mg Olazapine.
After this second episode, we have looked into our particular situation at the time and I would like the community's thoughts on this? Just before Jen got bad again, she started her menstrual cycle , the first time since having our child. We strongly believe that our particular situation was exacerbated by the extra hormones in her system. Have you encountered similar examples of this?
Now, for the 2nd child plan... Jenny is still on 50mg of Sertraline and the 5mg of Olazapine. I have read a few posts on similar situations but I am still unsure of the best approach on this...
I believe we need an action plan in place in Jen's notes for all the professionals involved in her care. We are having our initial planning meeting with her Perinatal Team Doctor in two weeks.
What are the sort of questions that we should be asking?
I presume we are likely to continue with her current medication throughout the planned pregnancy? (I have read that Olazapine is safe for this)
Should we plan to have the baby at our v.small local birthing centre like our first (which has no doctor on site, just Midwives) or should we plan to have it in the big city hospital 30 mins down the road? (Where the 'Crisis' team is based should any signs of PPP appear...).
What should we look for? Any advice would be very much appreciated!!
Thank you very much,
Ollie and Jen