01/07/2024
The NYT publish an article on maternal mortality, and the rate postpartum is much higher than anybody expected. I can't figure out how to share the article here, sorry. But the upshot is once you give birth you should be seen by your doctor two to three weeks after the birth, not 6 weeks.
If you have a history of clotting, high blood pressure, or heart issues, or a family history of high blood pressure or heart issues, it is important to continue to monitor for the first year after birth. Strokes and other complications are a possibility.
What to do to prevent issues? Monitor your blood pressure every few days for the first 3 months, and then keep an eye on it once a week for the first year is my recommendation if you have a history of high blood pressure or heart issues.
If you have a history of clotting issues, talk to your doctor about what you can do.
Except:
"The leading causes of maternal mortality among white and Hispanic women are mental health conditions that lead to su***de or fatal overdoses. Among Asian women, the leading cause is hemorrhage.
Among Black women like Ms. Willis-Prater, heart conditions were the leading cause of death. High blood pressure, a predisposing factor, is more common among Black women, and they more often have poor access to health care, a legacy of both poverty and racism.
The risk of later maternal death — from six weeks to a year after delivery — is 3.5 times higher among Black women, compared with that among white women......
Once the baby is born, the uterus shrinks, and blood pressure may rise, which can prompt a stroke.
New mothers also are more likely to experience life-threatening blood clots and infections. At the same time, hormonal changes may lead to mood fluctuations. Some of these are transient, but more severe, longer-lasting postpartum depression may also develop.
Though most women survive pregnancy-related complications after childbirth, prompt medical care is critical....
Among white women, mental health conditions are responsible for 35 percent of pregnancy-related deaths, according to C.D.C. data. Among Hispanic women, the figure is 24 percent. Pre-existing anxiety or depression may leave women vulnerable to postpartum depression, as can a difficult pregnancy or having a sick baby...."
Remember that during pregnancy, your body just did the most difficult and stressful physical thing it will ever do, short of being an Olympic athlete. You also have to recover from the pregnancy, and need to pay attention to your body and needs also. Taking care of the baby is overwhelming, but do not forget yourself in the process.