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Body Image and Motherhood

Body Image and motherhood

By Dr Sam Margis (Consultant Perinatal Psychiatrist)

It doesn’t have to be perfect, it doesn’t have to be flawless. Perhaps it is the flaws that makes it perfect.

 

In my work as a Perinatal Psychiatrist helping women find their way as new mothers, I sadly spend considerable time in therapy discussing the way women feel about their appearance. It is such a shame.

 

Body image disturbance in a mother has its beginnings decades before she realizes she has never swum with her teenage daughter for fear of putting on a bathing suit. It often starts when she herself was a teenager and, amongst other factors, felt the pressure of society to perpetuate some ideal “look”. There is an undeniable link between body image disturbance and the unattainable – under healthy nutritional conditions – appearance that the popular press portrays and idealizes. It is a well-known fact that so much photo-shopping and airbrushing takes place that even “the girl in the magazine” doesn’t look like “the girl in the magazine”.

 

For mothers of today, little has changed in the printed media, just more hypocrisy. Now, healthy body image is espoused by all. No popular magazine journalist in their right mind would condone women saying, “I’m fat…I’m going on a diet”. However, this sentiment is at odds with the message that the images in these magazines send. Until the printed media industry no longer profits from glorifying dangerously unhealthy body types, the industry will continue in its ambivalence about tackling the issue properly.

 

Perhaps magazines should come with health warnings like boxes of cigarettes. A photo of a woman wasting away with a terminal eating disorder adorning the masthead of the magazine might be enough to help an impressionable reader appreciate the seriousness of disturbed body image. Just the other day a patient of mine made the valid point that if the magazines were really serious about avoiding damaging messages about body image, they could consider showing “before” shots of models that adorn their pages prior to being gifted a “thigh gap” by computerized manipulation.

 

We should applaud the new laws passed in France, the world’s fashion capital, decreeing that models will now have to provide doctor’s certificates attesting to satisfactory physical health. Furthermore from October this year digitally altered photos appearing in their popular press will need to be labeled on the image, “retouched photo”.

 

Social media also has a role to play in the tragic perpetuation of unrealistic expectations of one’s appearance especially in the motherhood era. New mums spend considerable time on social media getting sucked into the “comparison game” between one another. Of course, the photos their friend puts on their “feed” is subject to careful scrutiny, selection and possibly even a “filter” or two. The comparison is hardly fair. Bedraggled sleep deprived mums are also drawn to compare themselves to antenatal and postnatal Mother-celebs on social media parading around looking as if they have barely eaten a grain of rice in the previous week. That is not real motherhood!

 

So shamefully it seems, that sectors of the medical fraternity also have to shoulder some of the responsibility for this crazy perpetuation of unrealistic body image. With advances in medical procedures and cosmetic products, the profession profits handsomely from appealing to the insecurities of mothers with a “post-baby body”. Surely, in the first instance the antidote for low confidence in any sphere should be rebuilding of confidence. So, why on earth, if a mum is insecure about her body, do we first go for a tummy tuck, a replacement set of breasts or skin cosmesis with “injectables”.

 

Most importantly, we need to celebrate the accomplishments of the mother’s body. It is so amazing, not only in what it endures, but also in what it existentially contributes, from conceiving (with some help from sperm), to growing a baby, delivering it and then if possible nourishing it. None of these functions is compatible with “thigh gap”. And if a mother plans on also raising her own child she will inevitably, have bags under her eyes, lines on her face, and perhaps even grey in her hair.

 

So what can a mother do? With help she can learn to develop a healthy body image both for herself and for her children. She can model for her daughters that women are so much more than an object to be ogled and she can model for her sons that women are to be respected for all the same attributes as men. She can remember that the most intoxicatingly attractive part of a woman is not her eyes, or hair, or bum, or legs. It is her self-confidence and the way she exudes the positivity she feels about herself. 

 

But this is not a “women’s issue”. Men too play a critical role. They need to ensure that their daughters feel valued by them for everything - their sense of humour, their cleverness, their courage, their inner strength, their kindness, and all their other personality qualities. And they must raise their sons to witness healthy priorities in appreciating women. Boys must see their dads love their mothers for all their qualities and observe grown men embracing body diversity in women.

 

I owe it to my daughter AND my two sons to take this stance.

 

I hope you do too.

By Clare Chisholm 09 Mar, 2023
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Is it normal for a toddler to be a fussy eater? By Melbourne Dietitian, Nicole Bando
15 Dec, 2019
Bringing your kids for an immunisation can be daunting...... For your child and yourself! Rest assured that our practice nurses are very experienced and they have some tips to help you prepare. Bring your child’s health and development book (green book) to every appointment. Although most records are now online sometimes these records need to be double checked. Having your child’s vaccines documented in their green book provides a consistent record. Preparation is key, it is important to talk with your nurse or doctor about your concerns about vaccines. Before administering any vaccine, the nurse will talk you through the process and develop an effective plan to ensure it is smooth and easy. If you have any requests from the nurse on how to approach yourself or your child, it is important to discuss these further. Bring along your child’s favourite toy or a treat for afterwards. Distraction, relaxation, and other measures reduce distress and pain after vaccination in young children. Topical anaesthetics, such as EMLA or Angel cream, are not routinely recommended. They could be considered in a child with excessive fear. For older children relaxation techniques can often be helpful. Vaccines are administered in the legs for children under the age of 12 months and in the arms for children over the age of 12 months. Therefore, we would recommend suitable clothing depending on your child’s age. The Royal Children’s Hospital provide some further resources about providing comfort for kids https://www.rch.org.au/comfortkids/for_kids/
15 Nov, 2019
UPDATE JULY 2021 Extraordinary times require extraordinary changes. This could not be more relevant during a worldwide pandemic. Just like you and your family, NEST has had to implement many changes to adapt to the current situation. Our services are all still operational, albeit in a slightly different way to normal. Please read below for the most current update. Health care is an essential service and now more than ever, it is important to take care of your physical and mental health! We continue to enforce strict screening and infection control measures (in line with the latest government health advice) to ensure that our patients have access to the care they need whilst reducing the risk to our staff and other patients. NEST continues to provide excellent health care to your family. Our staff have been working harder than ever during the COVID pandemic. The government has extended the telehealth options and we are pleased to provide flexible and convenient ways to continue to care for your families during the current health crisis by offering the choice of telehealth and face to face appointments. MASKS: Masks are still required when inside NEST Family Clinic. Please ensure you have one with you when you arrive for your appointment. COVID VACCINE: NEST is not stocking the COVID vaccine (AZ or Pfizer). For information on where and how to book this in, please visit https://www.coronavirus.vic.gov.au/book-your-vaccine-appointment NEST General Practice: Telehealth and face to face appointments can be booked online (via HotDoc) or by calling reception (1300 637 832). Please ensure you answer questions truthfully when booking in, so that our staff and other patients are not put at risk. Please wait in your car or outside the clinic and your GP will call you and go through our screening questions before bringing you into the clinic. Please note that patients with symptoms such as cough, sore throat, runny nose, fever, shortness of breath and/or loss of taste or smell and patients who have been in close contact with a positive COVID case or are waiting on a COVID test result or patients who have returned form interstate or overseas travel in the past 14 days or been to any recent 'hot spots' will need to begin with a telehealth consultation or be seen in our 'Respiratory Clinic' times. If the GP feels that they are unable to see you face to face owing to their screening criteria, they will discuss this with you. **If attending the clinic for a face to face appointment, please do not bring any additional family members so as to reduce the number of people in the clinic. Repeat scripts & referrals: Repeat scripts or referrals for regular medications or referrals that have been previously done at NEST, can be requested via HotDoc - https://repeats.hotdoc.com.au/#/clinic/282/prescription-request Please note the term and conditions. NEST Nursing & Immunisation: Our Practice Nurses are available for consultations and immunisations as normal. It is especially important at this time to keep up to date with scheduled vaccinations. We ask that patients remain in the car when they arrive for their vaccination and we will advise you when the nurse is ready to see you. That way, you are reducing the amount of time spent in the clinic. **For safety reasons, patients must remain at the clinic for 15 minutes after any vaccination. Should you wish to wait outside, this is fine but you must be visible to NEST staff. NEST Psychology & Psychiatry This is an incredibly challenging time for everyone and can lead to an increase of anxiety and depression. Our team of psychiatrists and psychologists are still here for you and encourage you to continue your therapy with them (either face to face or via telehealth) as now more than ever it is important to keep a check on our mental health. Some of our clinicians have moved solely to a telehealth system and our reception team will be in touch with you to advise you of this. Otherwise please continue to attend your appointments in the clinic. And if you have a loved one in need of additional support at this time, please call us to discuss appointments with our team. Nutrition & Dietetics: NEST’s Family and Paediatric Dietitian and Lactation Consultant, Nicole Bando, is still available for face to face consultations, home consultations or telehealth consultations. Nicole has some great ideas about how to keep up healthy eating habits for you and the kids whilst staying at home. Please call NEST reception to make appointments with Nicole. Physiotherapy: NEST’s Physiotherapist Genia Barmakov, is still available for face to face consultations. However, if you are self-isolating at home, Genia can offer telehealth consultations too! Rest assured there is still plenty that can be achieved over the phone or a video chat with your physio. Genia is an expert musculoskeletal and pelvic floor physio and can offer you advice, exercises and products to men and women through this time. If you are pregnant or post-natal and want or need guidance on how to manage or return to exercise, pelvic instability and/or pain, pelvic floor concerns pre or post-natally, please call reception to make an appointment with Genia. Lactation consultations: Nicole Bando, APD and Lactation Consultant and Dr Maryallan Girolami are available for face to face consultations, home consultations or telehealth consultations. Please reach out if you need help with breast feeding or bottle feeding your baby. Being isolated from friends and family with a small baby can be very hard but rest assured that Nicole is here for you if you need guidance or assistance with any feeding problem or query. Paediatrics: During this time, many normal routines have dramatically changed, including regular check ups with Maternal & Child Health Nurses. This can often be stressful and anxiety provoking for many parents. NEST's, Dr Danielle Freeman is a neonatal paediatrician treating bubs (from 0 to 12 months of age) and mums to be (prenatally) to treat and look after many different concerns/conditions. Dani is available for face to face and telehealth appointments (when preferred or needed) at NEST Elsternwick. COVID-19 INFORMATION: If you have any further queries please contact the Coronavirus Hotline number (provided by nurse-on-call) - 1800 675 398. And refer to the latest information at - https://www.dhhs.vic.gov.au/coronavirus The COVID testing centres are located here: https://www.coronavirus.vic.gov.au/getting-tested A reminder, that: • All patients are screened thoroughly prior to entering the clinic, • All patients attending the practice must wear a mask (children under the age of 12 years old are exempt from this), • The consultation rooms are regularly cleaned in between patients and the premises are cleaned regularly with hospital grade disinfectant, • Hand Sanitiser is readily available and • PPE (Protective personal equipment) is worn by all clinicians when required Lastly, we are experiencing higher than normal call volumes, email requests and general enquiries so please be patient as we attend to your queries and requests as soon as we can.
By Nathan Grech 30 Oct, 2019
The Coronavirus pandemic has dramatically disrupted the way we live and work. Remember you are not alone. AT NEST we are noticing many families concerned about their children’s mental health during this time and moving forward. It is important to acknowledge our children may also be experiencing feelings of anxiety and depression during this time. Communicate with your children and have open conversations about the pandemic. Ensure you expectations are not too high and be kind to yourself. This situation is completely new and whilst trying to maintain a sense of normality it brings many challenges. Do not put too much pressure on yourselves as parents, on your children or as a family. The COVID pandemic has had a significant impact on the way we live our lives. This means it is extremely important to look after your mental health. Tips to help maintain good health during the COVID Pandemic: • Keep to a routine. We are used to having routines to guide our days and give us a sense of achievement. When so much seems out of our control, establishing some structure in our days will help to provide stability and a ‘new normal’. This is particularly challenging for families adjusting to home learning. Try to create new routines as a family to help separate ‘work and school time’ and ‘family time’. • Make sure your children still go to sleep and wake up at a reasonable time. Sleep is extremely important for routine as well as maintaining good physical and mental health. • Stay hydrated. • Find a new hobby you can do with your children or start a long-term project you have always wanted to do. • Stay connected. Maintaining social connections is important to feeling safe and well. • Encourage your children to stop to breathe. An easy way to stop and reset is to use the 4-7-8 breathing technique. Breath through your nose for 4 seconds, hold your breath for 7 seconds and exhale for 8 seconds. • Be kind to yourself and take time just for you, even if it is just a few minutes to take some deep breaths and step outside into the fresh air. • Reach out to others and seek support. It is normal to have ups and downs, and it is important to talk about how you are feeling with family and friends. In times like these, they are likely experiencing similar feelings. The Australian Government has provided 10 additional Medicare-subsidised psychological therapy sessions for Australians affected by the second wave of the COVID-19 pandemic. People will have to have a Mental Health Treatment Plan and a review with their GP to access the additional sessions. This will allow them to continue to receive mental health care from their psychologist, psychiatrist, GP or other eligible allied health worker. NESTs highly experience team of GPs and Psychologists can help. Please contact us to make an appointment.
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