HCMC offers moms a safety net for when it isn't just 'baby blues'

  • Article by: ALLIE SHAH , Star Tribune
  • Updated: April 15, 2013 - 8:59 AM

A new program to help moms with postpartum depression focuses on building bonds, community.

To look at Emily Beugen cuddling her two small children, it’s difficult to guess that her first pregnancy sent her spiraling into depression.

But nine weeks after Sarah, now 5, was born, the baby got the flu and was hospitalized. Then, Beugen got sick, too. Her milk production decreased. Her tension mounted.

“One morning I woke up … and suddenly I just felt a cold feeling come over me,” she said. “I was laying in the bed and I had Sarah next to me … I looked at her and it was as if she had become an alien. I didn’t know who she was.”

After two attempts to get help, Beugen was diagnosed with postpartum depression and placed in a hospital psychiatric ward.

What happened to Beugen was “a nightmare come true” experienced by many women seeking help for moderate to severe symptoms, said Dr. Helen Kim, a psychiatrist at Hennepin County Medical Center. Treatment options have been limited for the one in 10 women who suffer from postpartum depression in Minnesota and most other states. Many were locked up with the chronically mentally ill and separated from their newborns.

That’s why Kim, a national expert on postpartum depression, spearheaded an effort to establish an innovative treatment center allowing mothers to bring their babies with them. HCMC’s Mother-Baby Program, which opens Monday, is the first of its kind in the state and one of only four in the country.

The short-term, outpatient mental health treatment center focuses on improving the emotional health of mothers and strengthening their bond with their babies.

Modeled after a program at Brown University in Rhode Island, the HCMC program also includes a triage phone line for mothers and their families to call for support and resources.

Housed in a suite on the fourth floor of HCMC’s Parkside Professional Building in downtown Minneapolis, the day hospital is designed to feel more like home than a sterile hospital.

“We were very discouraged by the lack of options for women when they were struggling,” said Kim, the program’s medical director. “The mother-baby approach, [of] really letting women stay with their children and addressing their very unique needs, was very helpful — and often life saving.”

Warning signs

Treating any depression is difficult, but pregnancy-related depression poses special challenges.

Society paints a romanticized view of motherhood as a state of loving bliss and reinforces the notion that mothers are supposed to easily step into a demanding role, said Jesse Kuendig, the Mother-Baby Program’s senior social worker. Postpartum depression disrupts the ability of many women to adapt to the demands, and occurs at even higher rates among low-income women, teenage moms and other high-risk groups.

The symptoms can be difficult to recognize. Moodiness and feeling heightened emotions are common for most women during and after pregnancy, said Kim. A mother’s emotional state becomes a concern, however, when it starts to interfere with her ability to take care of herself and her baby.

In addition, a distressed mother’s thinking can become distorted and her thoughts can quickly morph into feelings of unworthiness.

“She may start to think, ‘Maybe baby is better off without me. Maybe family is better off without me,’ ” Kim said.

That thinking can affect how a mother interacts with her newborn. Depressed mothers make less eye contact and speak less to their babies, which can have a detrimental effect on the child’s health.

“For a baby, their experience is of a mother who’s there, but not fully there,” she said.

  • related content

  • ‘how it should feel’: Emily and Brett Beugen with 5-year-old Sarah and 11-month-old David. In the weeks after Sarah was born, Ellen Beugen struggled with postpartum depression and was admitted to a hospital psychiatric ward.

  • Emily Beugen struggled with postpartum depression after her first child Sarah was born. With no other options available, Beugen spent time in a psych ward that just compounded the issues she was facing. After searching and finding help to deal with her struggle Beugen’s second pregnancy went much better. Here, Emily with her 11-month-old son David at their home in Minneapolis. The first program of its kind in Minnesota to treat mothers struggling with postpartum depression will open on April 15 at Hennepin County Medical Center. The mother-baby program will allow new mothers struggling with depression and other mental...

  • Dr. Helen Kim, director of Hennepin Women’s Mental Health Program, and Jesse Kuendig, coordinator of the Mother-Baby Program. “Part of our thinking was to create a one-stop place,” Kuendig said.

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