Elizabeth Ehrke (33 - she/her), Maeve (4), Ellis (21 months)
Franklin, WI
How has parenthood impacted your body image?
It is hard to describe in words exactly how pregnancy, birth and motherhood have impacted my body image. I feel both empowered and powerless. I feel more comfortable in my skin, and sometimes I want to crawl out of it. Throughout the past 5 years of a continuous rotation of pregnancy, birth and breastfeeding there has been a substantial shift in my acceptance and love for my body as it is in the present moment. I have always had a larger body and it was made clear to me over and over again at a young age that this was something to be ashamed of. I learned to appreciate my body through building physical strength and excelling in athletics. A lot of my self worth was tied up in being an athlete for most of my life. The transition from athletic achievement to the exhausting and often thankless work of caring for a tiny human was difficult. It took time to prioritize my physical needs. After my first was born, I felt like my body failed both her and me. I know that my body is not to blame for what happened, but occasionally it felt that way. The near constant fear for my baby’s life during the end of my first pregnancy and the early days in the NICU helped me see my true priorities in life. I am now substantially more comfortable with my body in its natural state. Most of the time, I do not feel a need to conform to expectations of how I should look. This shift has been freeing.
As a young toddler, Maeve helped me see that squishy soft bellies are so lovely to hug and snuggle. There is nothing quite like a young child looking at your soft belly as if it is the love of their life. It helped me see the wonderful magic in my body. I have been able to see the added pounds and softness as just part of my body and not something to hate or wish away. The love both my kids lavish upon me and my body has been so healing. Seeing my body through their eyes has helped me love on myself as well. My desire to demonstrate a healthy body image to my kids helps me talk about my body in positive or neutral terms, which helps me truly believe these words. I’m glad to say that my body image continues to adjust as I work to unlearn and let go of the concept of an ideal body. I’m trying to remember to care for, accept and enjoy the body I have in this moment.
What was your postpartum experience?
Both of my postpartum experiences were heavily influenced by my baby’s births. During my first pregnancy, my membranes ruptured at 28 weeks. Then I spent nearly 3 weeks in the hospital trying to stay pregnant without contracting a dangerous infection. I spontaneously went into labor, which very quickly resulted in a placental abruption and crash cesarean under general anesthesia. It was another extremely long 7 hours before I would meet my baby for the first time. Maeve spent the next 5 weeks in the NICU. This whole experience was so traumatic that I was in survival mode. I could often only think about the current day, because thinking ahead to the next day was too difficult. While Maeve was in the NICU, I would wake up every 3 hours throughout the night to pump breast milk. The loneliness and sorrow of waking up without my baby, night after night, was so difficult.
I did not find the hospital personnel very supportive as a whole. I learned relatively quickly that I needed to advocate for what we both needed. For both my own hospital stay and the NICU stay, it felt like I did not matter as a person, and the doctors could make whatever decision they wanted without even talking to me about it. A doctor even told my husband not to show me a picture of my baby while I was waiting to meet them for the first time. I was not informed of a few things that were done to my body while I was unconscious. I learned about them more than a year later when reading my hospital notes as part of the healing process. I lost nearly all control over my body and my baby’s healthcare and that felt incredibly violating.
I worked so incredibly hard to figure out breastfeeding. We worked through a period of exclusive pumping, non-nutritive nursing, a poor latch, muscle weakness, nipple shields, a severe lip-tie, oversupply, reflux, dairy intolerance, and bottle-feeding struggles. A thoughtful home healthcare nurse realized a couple of days after we got home that we needed more support after the NICU failed to identify many of these issues. An amazing team of a nurse, an occupational therapist, and a physical therapist helped Maeve to thrive through the first 4 months of life. It was a triumphant accomplishment to breastfeed Maeve until she was 2 after thinking numerous times we would not be able to make it work.
I went back to work full time as an engineer about a week after Maeve’s original due date because I exhausted my paid leave. I was in no way ready to return to work and was in a fog for some time. I worked with nearly all men, so they mainly left me alone and either didn’t notice or didn’t say anything. It probably took an entire year to fully come out of survival mode and then the reality of the trauma hit. I hadn’t realized I was struggling with my experiences. I just thought it was reasonable to think about the events over and over and to cry, sob, or become anxious at any mention or reminder of pregnancy, birth, newborns, or hospitals. After the difficulty of the one-year anniversary, I went to get help. I was quickly diagnosed with PTSD. I spent about a year working on healing and processing these experiences through therapy, group meetings, and journaling. I wanted a second baby, so I knew I needed to heal and process before I would be ready to get pregnant again.
My second birth started at an out-of-hospital birth center and after 5 hours of hard pushing, it eventually ended with a drive to the hospital and another cesarean. Due to the many hours of pushing, my uterus tore while they were lifting my baby out. This resulted in shooting pains every time my bladder filled for several days after delivery and dull pain for much longer. The physical recovery after the second cesarean was much harder. Several months of frequent twinges of pain were an unwelcome reminder of a birth I did not want. However, this time I was in control and maintained autonomy throughout the birthing and postpartum period. That was so helpful for my mental health. I delighted in the pure joy of all the newborn and young infant experiences that I had missed the first time around.
What is your truth that you'd pass along to your former self, or a new parent?
The transition into parenthood can easily demand all of your time, energy, and mental capacity, but you don’t have to loose yourself in order to be a good parent. It is frequently necessary to prioritize your own needs, so you can be the parent and person that you want to be.
There is no shame in struggling with your mental health, which is common during the postpartum period. Mental health struggles are very prevalent in parents with babies that have spent time in the NICU or PICU. Strength can look like asking for help. Strength can look like leaning into all those difficult emotions and truly experiencing them. Mental fortitude can look like sobbing while you type out your story on your laptop.
My trauma was not necessary for my growth. Neither you nor I need to find a purpose for this trauma. Neither you nor I can do things perfect enough, be healthy enough or work hard enough to be exempt from a possible bad outcome in our lives. There is no way for you to completely insulate yourself from misfortune. It is not your fault.
How has your (pregnancy/birth/postpartum/parenting) been affected by COVID-19?
It is hard to sum up this question with a neat answer, but in short, it has affected everything. My partner and I have been extremely fortunate to be able to continue working as full-time engineers during the pandemic. This also meant that both of us were working from home with a baby and preschooler for a long period of time after the initial lockdown, as well as numerous quarantine/isolation periods after returning to in-person work. Juggling everything has been very stressful and exhausting. Trying to effectively perform my obligations for work while still providing adequate care to very young children is extremely challenging. One positive has been that I got to spend more time with my kids than I ever thought would be possible. I strive to enjoy the extra time with my kids despite the exhaustion and existential dread. I have been grateful for their joy in such hard times.
Eventually, our kids had to be in childcare to be able to perform our jobs, so we returned to our daycare center after lockdown ended. This was an incredibly hard decision. Rather predictably, one or both of the kids would come down with a virus symptom every few weeks, so we would isolate. My youngest was exposed to COVID-19 twice in her daycare class. I don’t remember how many times we have been through this quarantine/isolation/testing and back to daycare cycle, but it has been far too many times. This cycle has been mentally exhausting and difficult for all of us to handle. The added worry and stress of possibly spreading this virus has made every sniffle anxiety-producing. The pandemic coupled with our ever-changing isolation status has made even the smallest attempts at virtual or physically distanced human connection outside our household difficult or unsafe. It has been incredibly isolating.
Although a small disappointment, it was hard to celebrate Ellis’s first birthday over Zoom. My friends and family have missed a lot of these precious early years. I also miss the support of my friends and being able to watch their kids grow and develop.
Why did you choose to participate in this movement and share your story?
I wish I had the stories, activism, and positive body representation before I became a parent. I found this project, and I instantly resonated with it. I was self-conscious about my body for my entire childhood, and I was teased for my larger size on numerous occasions. It is clear that the lack of positive or at least neutral representation of all kinds of bodies is at least partly to blame for that experience. I want a different experience for my kids and for everyone else. It is an incredible accomplishment to reach the point that I am comfortable with participating in a project like this.
I am also participating to tell my story. I struggled for a long time with my mental health, and I wish I had known what to look for and how common struggles like mine were. I wish birthing parents were not so conditioned to blame themselves for unwanted birth outcomes. I have talked to numerous birthing parents in online support groups, and an overwhelming number of people blame themselves for their birth outcomes and mental health struggles. I want everyone to know and believe the fact that struggling with your mental health is not a personal failing of any kind.