Postpartum Doula

Are My Twins Too Old For Postpartum Doula Care?

Are My Twins Too Old For Postpartum Doula Care?

The Doulas of Orange County office phone rings.


I pick up. “Hello! Doulas of Orange County. Lauren speaking.”

A strained voice sounds relieved to hear me, and it sounds like she has been crying. She’s an exhausted new mom of 12-week old twins and a 20-month-old toddler (who won’t let her out of his sight). She’s drained from her twin pregnancy, a difficult birth, and breastfeeding challenges. She struggles to keep up with laundry and wash enough dishes to have plates for the next meal. Her partner has been trying to feed the baby at night, but she’s still waking up to pump for multiples and can’t help but feel guilty about how tired her partner will be at work the next day. She really needs a postpartum doula in Irvine, CA.

“Can you help me, even though my babies are so old?” She asks.

5 Steps to Creating Your Postpartum Dream Team - FREE PRINTABLE

Pregnancy is anything if not a crash-course in decision making and preparing to hire a postpartum doula is no different! There are a variety of things to consider when hiring a postpartum doula - your budget, how many days or nights a week you want support, how many weeks or months you want your doula providing care or if you want to add on herbal or nutritional support, just to name a few!

Here at Doulas of Orange County it is our mission to help you find the best doula to support you as you welcome your baby home. But before we can match you with some incredible doulas, it’s important that you know what matters most to you for your postpartum journey…that’s why we’re sharing this free printable to help you create your postpartum dream team!

Your Virtual Birth Doula - ways she can help even when she's not in the room!

With everything going on in the world, it’s easy to get overwhelmed and begin wondering how exactly your doula will be able to provide support, especially if your hospital is restricting support people. While physical support is a big perk to having a doula, it’s definitely not the only way your doula can help. So, here are a 10 profound ways a doula can help you, without ever stepping into the room!

A Morning with Your Postpartum Doula

This is the week you became parents, that you became a family. After welcoming your little one, you and your baby had two days of round the clock care from your loving nurses.  The food may have been sub par, but the sleep… oh the sleep was wonderful.  

Then comes the day… the day you are discharged. The joy surges through you. You’re going home with your newborn! In the car ride home you ask each other “Did they really just let us leave?” The drive is surreal as you look back at your baby, asleep in the car seat.

“I got this!”, you say to yourself.  You know you will be incredible parents. You bought the best gear, signed up for the baby care basics class and mastered the diaper change.  Yes, you got this.

That night was simultaneously the best and most challenging night you can recall. The love for your baby was overflowing, yet you felt like you were up all - night - long. Between nursing, countless diapers, burping, rocking and holding this tiny new creature; you wake up utterly exhausted. 

You sit up in bed to nurse for what feels like the 100th time. Your postpartum haze subsides for a moment as you remember: the Postpartum Doula is coming today!!! You relax as you realize that support and reassurance is on the way.

Postpartum Mood Disorders: What New Moms Need to Know

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Your baby has finally arrived! Your family and friends are elated and yet you don’t have any sense of joy and delight because all you feel is anxiety and fear. It is important to understand that this is perfectly normal and that every new mom goes through the same process. Throughout your pregnancy, there were fluctuations in your hormone levels but now that your baby is born, they are starting to return to normal. The impact of these hormonal changes varies from one woman to the next and so it is important to understand the different types of postpartum mood disorders. 

Types of Postpartum Mood Disorders 

No matter what precautions you take, you cannot avoid postpartum stress and mood changes. However, it is important understand the differences between normal mood changes and more severe mood disorders. 

Postpartum Blues 

Postpartum blues is the most common type of postpartum mood disorders. According to experts, up to 80% of all new mothers get the “baby blues”. Postpartum blues generally set in when your baby is 2-3 days old and lasts for 1-2 weeks. Most new moms with the baby blues tend to feel sad and weepy and may break down in tears for no apparent reason. Postpartum blues are also associated with mood changes which means that you are likely to go from weepy to irritable and impatient in the blink of an eye. You are likely to feel restless and have problems sleeping which in turn causes fatigue and lethargy. Some new mums with the baby blues experience a loss of appetite and so they ignore their food intake. You may also experience a lack of mental focus and have trouble making decisions. You need to keep reminding yourself that what you are feeling and thinking is perfectly normal and that you just need a little time to rest and recover. 

Postpartum Depression 

Postpartum depression is a more serious postpartum mood disorder as it is linked to negative short-term and long-term effects on child development. Studies show that postpartum depression is not as common as the baby blues and affects up to 15% of mothers. Postpartum depression generally occurs about 1-3 weeks after childbirth but it can take longer – in rare cases, it can take up to 1 year! Postpartum depression is triggered by the sudden and drastic decrease of estrogen and progesterone after childbirth. New moms might think that their baby blues are simply lasting longer than usual, when in fact, they are suffering from postpartum depression. Women who have postpartum depression experience a change in their overall mood. Their overall mood is low and they have frequent crying spells. If you are constantly consumed by feelings of guilt and unhappy as a mum, you might have postpartum depression. Women with a history of depression are more likely to develop postpartum depression. 

Postpartum Psychosis 

Postpartum psychosis is the least common type of postpartum mood disorder but it is also the worst. According to researchers, postpartum psychosis affects less than 0.3% of all new mothers. Postpartum psychosis begins within 4 weeks of childbirth and generally requires hospitalization. Women with postpartum psychosis often exhibit extreme paranoia and suspicion. They suffer from hallucinations and delusions and may even have difficulty communicating. New moms with postpartum psychosis are often unable to sleep and display common signs of hyperactivity. A woman experiencing postpartum psychosis faces a break from reality where her delusions make perfect sense to her. Early diagnosis and treatment is imperative as the condition is linked to an increased risk of suicide and infanticide. 

Treatment options for Postpartum Mood Disorders 

The treatment for postpartum mood disorders varies according to the type of disorder and the severity. Most cases of postpartum blues do not require any treatment but new moms can benefit from counseling and support groups. Postpartum depression generally requires a short course of antidepressants along with cognitive behavioral therapy sessions. Postpartum psychosis requires stronger medication – antipsychotics to reduce hallucinations and mood stabilizers to reduce manic episodes. There is no surefire way to prevent postpartum mood disorders but getting adequate sleep and plenty of social support does help to reduce the risk.  

Most new moms don’t realize that they are suffering from a postpartum mood disorder and instead it is brought to their attention by those closest to them. Experienced doulas can often make out when a new mom’s anxiety symptoms are severe and may require medical attention - she can also help you connect to a therapist or other treatment resources in your area. A Postpartum Doula can also help new moms adjust to their role as a mother and help to provide constant emotional support. 

To find a therapist in the OC area that specializes in perinatal or postpartum mood disorders, please visit our resource page. For more help you can also contact Postpartum Support International’s hotline at 1-800-944-4773

To get connected with Postpartum Doula in Orange County, please reach out!


Author Bio: Anita Fernandes has been writing extensively on health and wellness for over a decade. She has expertise in nutrition, fitness, public health, and has contributed content to a variety of leading digital health publishers. Anita has a unique perspective on healthy living and lifestyle,as she has battled and overcome chronic pain. She shares her experiences in an effort to help others overcome the physical and mental health problems that can sometimes seem insurmountable.