Why is it that babies of Mexican immigrants in the US have lower infant mortality in the first few weeks of life than average American women? In rural Mexico, Hispanic mothers also avoid postpartum depression, compared to 15 percent of US mothers. What are they doing differently? One reason is the “cuarentena” — 40 days of completely compulsory nurturing for the new Mom. For the first six weeks, family and neighbors come together to ensure the mother eats, sleeps and bonds with the new baby. There’s no cleaning, cooking, or errands. The outcome? A happy mother and a happy baby.
New mothers we see using our agency are typically sucessful professionals between 30 to 40, independent, with successful careers, used to being in control of their lives and overcoming challenges. Bringing home a new baby is overwhelming, and nothing can prepare her for that first one. Hospitals are not designed for sleeping, so by the time she arrives home with baby, she’s utterly spent. Not used to asking for help, her whole identity has radically morphed into how successful she feels she is at mothering. When I had my

firstborn, I’d never changed a diaper! How did that happen? In our culture, we live far from parents and extended family, and we think we should be able to do it all.
When my second baby was born, I had the blues. I wasn’t feeling any emotion towards my baby, and I’d run out of diapers. I stared out the window at the clean ones fluttering on the line. This was 1968 and dryers had yet to be invented. I was so emotionally spent, I couldn’t go get one. I finally got up to get a diaper, and a few months later, my emotions returned, but that experience has given me an inkling of understanding of what others go through.
Three causes of non-medical postpartum depression are a lack of sleep, poor diet, and clutter or disorganization. People used to a perfect environment are now unable to keep up with housework and making balanced meals.
Sleep is crucial now, but hard to get. Be sure the new mom naps during the baby’s nap. Get someone to take the baby at least a couple of hours a day so she can rest. The tiredness is intense.
Get some help. Being a new mom can be lonely and isolating if dad is back to work and family isn’t close by. A friend who can come over and fold some laundry or spend time with the new baby so Mom can get a nap or a shower, is invaluable. This isn’t so crucial for new moms, because they can sleep when the baby sleeps day and night, but after a second child, it’s helpful for a friend to come and take the older child on an outing. It’s pretty rough being dethroned by a new baby, and the older child needs some special attention.
Supplying meals for a new mom is so helpful. New moms need lots of veggies, foods rich in Omega 3 fatty acids and B vitamins such as Riboflavin to bolster against postpartun depression. Friends can send a gift certificate for your favorite resturant, or bring a home cooked meal that can be warmed up or frozen for later. Mealbaby.com is the perfect way to organize meals! It’s free and easy!
If Grandma can’t help or if you need space from family, hire a mother’s helper, a newborn specialist  or baby nurse for help at night, or a doula. A newborn specialist can be 24 hours 7 days per week, or just nights. A doula is there more for the mom, preparing meals, taking over baby care for a period, preparing meals, doing housework, or a full night shift. Both are helpful for answering questions, hands on education, and reassuring the new mom that she’s doing a good job.
If there’s someone doing housework, mom will feel free to rest, since naps are her only time to get caught up.
Listen. Care. Validate her feelings. She may break down and cry, feeling inadequate. What she needs now is understanding, listening, caring. Let her vent. Ask questions. Be curious. Don’t try to solve the immediate problem but aks more about how she’s feeling, giving her your time, and lelt her know you care. Most of all, she needs to know  she’s doing a wonderful job with her newborn.
Help her connect with a mom’s group or friends she can go on play dates with.
Offer to run errands for her or babysit so she can get out of the house by herself, or offer to run errands with her. Go with her for her six week check-up. Or offer to babysit she she can go out with her husband for a few hours.

Beth

There was a loving, matronly family friend named Amy, who came over to babysit us six children. She read to us, made sure we brushed our teeth and put us to bed, so my hardworking Mom could get her one night a week out for choir practice.

 BETH AND BROTHERS
One night, she put my younger brother and sister to bed, and the rest of us were playing tag and hide ‘n seek in the front yard. When it got dark, she called us in. We were surprised at first that she couldn’t see us in the deepening shadows of our Tucson lawn, but when we realized that, we all instantly and mischievously crouched down in the dark, and then we were even more surprised that she gave up and went inside, probably to call my parents. Without a second thought, we just instantly took off running. The four of us ran through the neighborhood for quite a while. We weren’t bad kids, it was just a group impulse. I don’t recall what punishment we had, I’m sure we had to apologize to Amy, but I still recall the thrill of the moment.
Now I can imagine what Amy went through, since I’ve raised my own five children and babysat for my eight grandchildren.
What would we do without our nannies and babysitters and baby nurses and helpers!

 It’s National Nanny Recognition Week and a great time to let your nanny or babysitter know how much you appreciate their invaluable partnership in raising your children. I interview nannies every week in the office, and I love hearing their passion for children like the one today: “I have a passion for children. I just love children. I’m interested in what they’re learning. I love teaching them new things.”
 They are teachers, singers, rockers, chauffeurs, band aid and comfort dispensers, cooks, potty trainers, laundresses, toy safety inspectors, playmates, mentors, role models,  mediators, counselors, and so much more!
 Tell the nanny in your life or the ones in your past how grateful you are for them loving you or your children! It’s great to give them a card or gift, but even more important is to let them know just how much they mean to you. Thank them for their dedication, patience, insight, understanding and flexibility, developmental know-how, and interaction. Tell them how much you appreciate their ongoing commitment to you and your own relationship with them.
  You could give her a card signed by every member of your family, or if you’d like, give flowers, a weekend at your vacation home with her family, or a spa day.