Pregnancy and Abuse: Safety During Postpartum
The period immediately following childbirth can be immensely joyful for new parents. It is also often overwhelming to deal with the care of a new baby and adapt your lifestyle to what that entails. For parents with an abusive partner, this time is often a period of escalated stress and danger. Some studies have shown that experiencing abuse is a risk factor for postpartum depression and other postpartum mental health issues, so it may be helpful to share incidents of emotional, verbal and physical abuse with your prenatal healthcare provider so they can help you identify preventive measures for the postpartum period. You may also want to consider researching information on symptoms and support, as well as how to focus on your safety during postpartum. Postpartum Support International has a wealth of information, including a page on pregnancy and postpartum mental health and a local support search.
Your body will also be readjusting physically after pregnancy. After your body goes through childbirth, you will need a period of healing before engaging in sexual activity. Your doctor, nurse or midwife may advise you about this length of time depending on your birth experience. Your abusive partner may try to reassert power and control by dismissing or downplaying these recommendations using guilt, threats or even forcing sex before you are ready. These behaviors are sexual abuse and can create health issues or an extended healing period for you. Contacting your healthcare provider or a domestic violence program about these incidents may allow you to create a safety plan to increase your sexual and physical safety during this period. Examples of strategies you may use could include:
- A support person staying in your home during the length of your healing;
- Staying with your baby at a supportive family member or friend’s home or a shelter while you heal;
- Sleeping in a separate part of the home from the abuser;
- Adjusting your sleep schedule to times when your partner is away from the home;
- If you are concerned that your partner is trying to get you pregnant again, identifying safe and undetectable contraceptive methods that don’t interfere with your child feeding choices.
As always, you know your situation the best, and these suggestions are not recommendations, but ideas for possible exploration if you think they could increase your safety.
As advocates, we use tools called Power and Control Wheels to discuss different types of abuse. There is even a Power and Control Wheel specific to the pregnancy and postpartum period. One of the sections on the original wheel is Using Children, and these tactics during this period can be especially impactful. It’s common for new parents to have to negotiate their preferences for child raising with one another.
In an abusive situation, the abusive partner may ignore, override or sabotage the other parent’s wishes and concerns.
Here's how an abusive partner might exert power and control postpartum:
- How you feed your baby
Some parents may wish to breastfeed, and others may choose to use formula to feed their child. In order to move forward with either of these methods, having your partner’s support is very important to feel successful. Breastfeeding has many benefits and may increase connection with your child and even help lessen the impacts of postpartum mental health disorders. However, it can also be physically and emotionally draining for some parents. If your partner belittles you for challenges that you have with breastfeeding, prevents you from having time to breastfeed or pump or pressures you to breastfeed without providing support, these may be red flags for abuse. Using formula to feed your child also has benefits, and may allow for increased healing and relief for new parents. This feeding method also requires funds to purchase formula and may take time to make bottles to feed your child. If your partner refuses to provide financial assistance for formula, makes you feel guilty for using formula or pressures you to feed your child with formula but will not help with making bottles or feeding your child, these may be red flags for abuse.
- How your baby sleeps
Another area where you may experience this is around your baby’s sleep. There are many methods and theories for helping infants (and their parents!) sleep. You can expect to make decisions around how to respond to your child when they wake, where to make your child’s sleeping area, what makes a safe sleeping atmosphere and who will respond to the baby. If your partner prevents you from creating a consistent sleep routine, purposefully starts fights near the child’s sleeping area, prohibits you from comforting your child or refuses to assist when the child awakens, these may be red flags for abuse.
So how do I seek support?
- I'm not getting as much support from friends or family.
If you are noticing these types of behaviors, it may be helpful to reach out for additional support. While you may have received immediate support from family and friends following your child’s birth, you may begin to feel isolated as visitors thin out. Your partner may behave in ways that make visitors uncomfortable, or you may just be entering a new phase that your friends do not relate to yet. There are many sources of support for new parents, and connecting with them can help get a perspective on your new role and how to best deal with your partner’s concerning words and actions. Your pediatrician or postpartum care physician may have information about support groups for new parents and their children, so it could help to contact their office about finding some resources. Social media and parenting websites like Baby Center, Parenting, The Bump, and What to Expect have forums where you can reach out to other parents and sometimes even find local groups and resources in your area.
- I'd like to find a support group.
You can also find groups that offer support that is specific to your parenting choices. Be mindful when joining any group that there may be parents who view parenting choices in a very concrete way and may not be as understanding of the circumstances you are dealing with in your relationship. Give yourself the space needed to separate from any group that is more about judging and giving advice than about supporting members with diverse life experiences. La Leche League International provides support and resources to breastfeeding parents; on their site you can look up information on local support meetings. The Women, Infants, and Children (WIC) program provides assistance for both breastfeeding and non-breastfeeding postpartum women; you can find agency contacts for their nutrition and breastfeeding support programs on their website. Attachment Parenting International also offers information and resources to connecting with local parents who want to practice attachment parenting principles. Babywearing International is another group that has local support meetings for parents interested in babywearing practices.
- I'd like 1:1 support.
If one-on-one support is more in line with your needs, you may want to consider reaching out to a postpartum doula. A postpartum doula provides assistance to parents acclimating to their new roles. They may provide support and education for breastfeeding and other skills that increase bonding between parents and babies, to grow parents’ self-confidence. You can use this search tool to find local postpartum doulas. If your insurance does not cover the costs of a postpartum doula, you may choose to ask if doulas offer pro bono or sliding scale services.
You can always contact The Hotline to discuss these issues and more. In addition to creating a personal safety plan with you, we can also help you connect with local domestic violence programs which may offer support groups, advocacy services, individual counseling and child care assistance.
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