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We need to fundamentally reexamine how new moms are cared for after childbirth.

We can't keep putting mothers last.

We need to fundamentally reexamine how new moms are cared for after childbirth.

You've just been through the most physically demanding and life-altering event you'll ever experience. You have been stretched, pushed, pulled, and ravaged in seemingly superhuman ways to bring your baby into the world. Your altered body prepares to feed and slowly begins to heal, causing your hormones to ricochet through you like pinballs.

And on top of all of that, you are suddenly thrust into an entirely new role, a tiny life placed in your full-time care—a life that doesn't sleep regularly and requires specific methods of feeding every few hours around the clock.


In a viral Facebook post, blogger Anneliese Lawton described her own experiences with postpartum care—or the lack thereof:

"After my boys were born, there were appointments.
To check their latch.
To check their weight.
To check their hearing.
To check the colour of their skin for signs of jaundice.
There were appointments.
There were regular pokes and prods.
Their well-being was front and centre.
I'd say, when it comes to our health-care system, they were well taken care of.
Then there was me.
A first-time mom without a clue.
Engorged, bleeding, and stitched up.
Sent home with some painkillers and stool softeners.
Thrown into motherhood with the expectation my instincts would kick in.
That I would know how to handle colic and late night feedings.
That breastfeeding would come as nature intended.
That my husband would sense my spiral into depression.
That I would know how to live in my new and very foreign body.
That this stomach wouldn't make me feel hideous.
And my mind wouldn't make me feel less than they deserved.
No one poked me.
No one prodded.
No one checked my stitches, my healing, or my sanity until eight weeks postpartum.
And even then, it was a pat on the back and I was sent on my way.
Our world forgets about mothers.
We slip through the cracks.
We become background noise.
And in that, we learn our role... our place in our family unit... to always come last.
Folks, we can't put mothers last.
Our babies need us.
To be healthy.
To know that we are worthy.
To know that Motherhood, while natural, can sometimes feel like the least natural role in our life
And that deserves attention.
Mothers deserve attention.
We need our world to fuss over us the way they fuss over ten fresh fingers and ten fresh toes.
We need to be seen.
We need to be heard.
We need someone to not only ask if we're okay but to check time and time again, just to be sure.
We're not just a uterus.
We're not just a lifeline to a new and precious soul.
We're mothers.
And we need someone to make sure we're ok, too."

And Lawton's experience was in Canada, whose policies towards new moms, at least when it comes to maternity leave, are generally more supportive than in the U.S.

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In an ideal world, mothers would be flooded with care and support following childbirth. Instead, most American women are sent home with their babies and not checked on again for six to eight weeks.

Those first six to eight weeks are a make-or-break period for breastfeeding, a prime time for postpartum depression or psychosis to start setting in, and when sleep deprivation begins to take its toll. In different times and places, the "village" of fellow mothers and elders would care for new moms during this period. But in the U.S., most moms have been left to figure things out and fend for themselves.

Thankfully, the American College of Obstetricians and Gynecologists now recommends that all who give birth "have contact with their obstetrician–gynecologists or other obstetric care providers within the first three weeks postpartum."

"This initial assessment should be followed up with ongoing care as needed, concluding with a comprehensive postpartum visit no later than 12 weeks after birth," the ACOG says.

"The comprehensive postpartum visit should include a full assessment of physical, social and psychological well-being, including the following domains: mood and emotional well-being; infant care and feeding; sexuality, contraception and birth spacing; sleep and fatigue; physical recovery from birth; chronic disease management and health maintenance."

In addition, the "fourth trimester" period should be marked by "individualized and woman centered" care.

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Dr. Alison Stuebe, who co-authored the revised ACOG guidelines that came out in May 2018, told Parents.com that the advice came "in response to the fact that maternal mortality is rising in the U.S., and women are more likely to die of pregnancy-related causes after the day of delivery than during pregnancy or birth."

"We also know that problems like postpartum depression and breastfeeding difficulties are more likely to get better if mothers get support in the first few weeks after birth, rather than muddling through until six weeks postpartum," Dr. Stuebe said.

It hasn't always been this way. Traditionally, women received 30 to 40 days of rest after giving birth—a period during which other mothers helped her recover. But our modern world doesn't provide that kind of "village" support, and many women face financial pressures to return to work too soon. The U.S. is one of just a handful of countries that doesn't mandate paid maternity leave, adding insult to the injury of the lack of support for new moms.

We have a long way to go in understanding and providing the care that new moms really need. Creating an earlier postpartum checkup is a start, but it's time for a larger societal conversation about how we can make sure support for new moms is a priority, not an afterthought.

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Three women, three MS journeys: How multiple sclerosis looks different for everyone

Gina, Nathalie and Helga share their reactions to being diagnosed with MS and how they stay informed and positive in the face of ever-changing symptoms.

Courtesy of Sanofi

Helga, Nathalie and Gina all have MS, and their experiences show how differently the disease can manifest.

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It’s been 155 years since neurologist Jean-Martin Charcot gave the first lecture on a mysterious progressive illness he called “multiple sclerosis.” Since then, we’ve learned a lot. We know MS causes the immune system to attack healthy tissue, including damaging the brain and spinal cord. Resulting symptoms can be debilitating and include fatigue, blurred vision, memory problems and weakness. Huge advancements in our understanding of MS and its underlying causes, as well as treatment advances, have been made in the past few decades, but MS remains a complex and unpredictable reality for the 2.8 million+ people diagnosed around the world.

Ironically, the only real constant for people living with MS is change. There’s no set pattern or standard progression of the disease, so each person’s experience is unique. Some people with MS have mild symptoms that worsen slowly but sometimes improve, while others can have severe symptoms that drastically alter their daily lives.

All people with MS share some things in common, however, such as the need to stay informed on the ever-evolving research, find various lines of support and try to remain hopeful as they continue living with the disease.

To better understand what navigating life with MS really looks like, three women shared their MS stories with us. Their journeys demonstrate how MS can look different for different people and interestingly, how the language used to talk about the disease can greatly impact how people understand their realities.

woman with horse, woman riding horseGina loves riding her horse, Benita.Courtesy of Sanofi

Gina—Hamburg, Germany (diagnosed with relapsing multiple sclerosis in 2017)

When her youngest son was 4 months old, Gina started having problems with her eye. She’d soon learn she was experiencing optic neuritis—her first symptom of MS.

“Immediately after the diagnosis, I looked up facts on MS because I didn’t know anything about it,” Gina says. “And as soon as I knew what could really happen with this disease, I actually got scared.”

As her family’s primary income provider, she worried about how MS would impact her ability to work as a writer and editor. Her family was afraid she was going to end up in a wheelchair. However, for now, Gina’s MS is managed well enough that she still works full-time and is able to be active.

“When I tell somebody that I have MS, they often don't believe me the first time because I don't fulfill any stereotypes,” she says.

Overwhelmed by negative perspectives on living with MS, Gina sought support in the online MS community, which she found to be much more positive.

“I think it’s important to use as many positive words as you can when talking about MS.” It’s important to be realistic while also conveying hope, she says. “MS is an insidious disease that can cause many bad symptoms…that can be frightening, and you can't gloss over it, either.”

To give back to the online community that helped her so much, Gina started a blog to share her story and help others trying to learn about their diagnosis.

Though she deals with fatigue and cognitive dysfunction sometimes, Gina stays active swimming, biking, riding horses and playing with her sons, who are now 11 and 6.

Cognitive dysfunction is common in MS, with over half of people affected. It can impact memory, attention, planning, and word-finding. As with many aspects of MS, some people experience mild changes, while others face more challenges.

Gina says that while there’s still a lot of education about MS needed, she feels positive about the future of MS because there’s so much research being done.

woman in wheelchair holding medal, woman rowingNathalie is an award-winning rower with multiple international titles.Courtesy of Sanofi

Nathalie — Pennes Mirabeau, France (diagnosed with relapsing-remitting multiple sclerosis in 2002)

Nathalie was a teenager and a competitive athlete when she noticed her first symptoms of MS, but it would take four years of “limbo” before she was diagnosed.

“Ultimately, the diagnosis was more of a relief, than a shock,” she says. “Because when you have signs and you don’t know why, it’s worse than knowing, in the end, what you have.”

However, learning more about the disease—and the realities of disease progression—scared her.

“That glimpse of the future was direct and traumatic,” she says. Her neurologist explained that the disease evolves differently for everyone, and her situation might end up being serious or very mild. So, she decided to stop comparing herself to others with MS.

She said to herself, “We’ll see what happens, and you’ll manage it bit by bit.”

By 2005, Nathalie’s MS had progressed to the point of needing a wheelchair. However, that has not dampened her competitive spirit.

Nathalie began her international rowing career in 2009 and has won multiple world titles, including two Paralympic medals—silver in London and bronze in Tokyo. Now, at 42, she still trains 11 times a week. Fatigue can be a problem, and sometimes hard workouts leave her with muscle stiffness and shaking, but she credits her ongoing sports career for helping her feel in tune with her body’s signals.

“Over the years, I’ve learned to listen to my body, letting my body guide when I need to stop and take breaks,” she says.

Nathalie explains that she used to only look backwards because of the initial shock of her diagnosis. In time, she stopped thinking about what she couldn’t do anymore and focused on her future. She now lives in the following mindset: “Even when doors close, don’t miss out on those that open.” Instead of focusing on what she can’t do, she focuses on the opportunities she still has. Right now, this includes her training for the 2024 Paralympic Games in Paris, where she will compete for another rowing medal.

“I only go forward,” she says. “Well, I try, anyway…It’s easy to say, it’s not always easy to do. But that’s what I try to do.”

woman exiting water after swimming, woman with great daneHelga's Great Dane has become a helpful and beloved companion.Courtesy of Sanofi

Helga—Johannesburg, South Africa (diagnosed with relapsing multiple sclerosis in 2010)

When Helga first started having balance issues and numbness in her feet, she chalked it up to her training as a runner. But when the numbness moved to her face, she knew something was wrong. She never guessed it was MS.

“When I was diagnosed, I felt completely overwhelmed and clueless,” Helga says. “I felt that I had nowhere near enough information. I did not know anything about the disease…I had no idea that it was going to be a process of continually monitoring and adjusting your lifestyle.”

In the beginning, Helga’s symptoms developed slowly, and she didn’t appear ill to others. She was even able to run for a few years after her diagnosis, but she couldn’t do marathons anymore, and she began to fall frequently due to balance issues and right-foot dragging. Then her cognition issues became more problematic, especially in her job as a trainer in a printing company.

“My executive function, decision-making and short-term memory were affected to the point that I was eventually medically unfit for work,” she says. She stopped working in 2017.

However, she didn’t stop living life. Even though she could no longer run, she continued to swim competitively. She got a Great Dane puppy and trained him as a service dog to help her walk. She also serves as vice chair of the patient support organization Multiple Sclerosis South Africa, and she advises others who have been diagnosed to join a patient advocacy group as soon as possible to get reliable information and meet others with MS.

Helga says she is “hopeful” about the future of MS. “I must say that I am so grateful that we have all the new medications available, because my life would not be the same if it wasn't for that,” she adds.

Part of how she manages her MS is by looking at the positives.

“If I could tell the world one thing about MS, it would be that MS is an incurable disease of the nervous system, but it's also the greatest teacher of valuing your health, family, friends, and managing change in your life,” she says. “My life is diversified in a way that I never, ever thought it would, and MS has been honestly the greatest teacher.”

Each MS journey is unique – with each person impacted experiencing different struggles, successes, and feelings as they manage this unpredictable disease. But the common thread is clear – there is a critical need for information, support, and hope. We are proud to participate in World MS Day and share these incredible stories of living life while living with MS. To learn more about MS, go to https://www.sanofi.com/why-words-really-matter-when-it-comes-to-multiple-sclerosis.

MAT-GLB-2301642-v1.0-05/2023

This article was sponsored by Sanofi. Participants were compensated when applicable.

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