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Spoiler alert: This is about the entire movie, not just the trailer. Additionally, this article contains information and opinion about maternal mental health and may be upsetting for some individuals.


When the trailer for Tully first came out, I was beside myself. Finally, a movie about what motherhood is really like. I couldn't wait to see it.

In Tully, Charlize Theron plays Marlo, a mom of three who hesitantly accepts the help of a night nanny to get through the famously rough fourth trimester, after her youngest daughter is born. The movie is named for the night nanny, Tully, who is played by Mackenzie Davis.

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Tully depicts an image of motherhood never before seen in a movie like this. Marlo has leaking breasts, a postpartum belly and a messy house—definitely not the glamorized version of motherhood we are used to seeing. We also see a lot of very familiar scenes, such as when Marlo accidentally spills a bag of freshly pumped breast milk, and the pure heartache that ensues from that.

Marlo's husband, played by Ron Livingston, is a fine husband and dad—definitely present and "trying" but certainly not as engaged or aware as we'd like him to be.

So far, I was on board with the plot.

Enter the night nanny, who comes into Marlo's life and starts making everything better. She connects with the baby right away, helps Marlo get her house organized and eventually becomes her confidant and friend.

Things take a turn for the huh? though, when Tully sleeps with Marlo's husband—while Marlo is watching and "telling her what he likes."

The climax of the movie comes when Tully and Marlo go out for a night and find themselves drunk in a bar in Brooklyn. Tully tells Marlo she can't work for her anymore, which greatly upsets Marlo. They end up driving back home together, but Marlo is drunk and falls asleep at the wheel—and they get into an awful car accident.

When Marlo regains consciousness, she is in the hospital, with her husband by her side. We learn from a doctor that Marlo has been suffering from postpartum depression.

We also learn that Tully is not real. Tully is actually Marlo's younger-self, who Marlo has imagined into an actual walking-talking person. The movie ends with Marlo's husband stepping up and helping around the house a bit more, and it is unclear if Marlo receives treatment—the movie definitely does not show her doing so.

I am not a movie critic, so I can't speak to the cinematography and acting—though from a non-expert POV I thought that was all really good. The actors all did tremendous work, and I was really impressed.

I am, however, a midwife. And as a maternal health provider, I have some very real concerns about Tully.

Postpartum depression is mentioned in the movie (once when we find out Marlo had it after her first baby was born, and once at the end when the emergency room doctor asks her husband if she's had a history of mental health issues).

The problem is that Marlo does not have postpartum depression—she has postpartum psychosis.

Postpartum psychosis (PPP) is rare, impacting about one or two out of 1000 women. Symptoms include:

  • Delusions
  • Hallucinations
  • Periods of extreme activity
  • Anger
  • Paranoia
  • Trouble communicating

As with all mental illness, it's essential that we do not make any blanket statements about women with PPP because everyone's story is different. That said, postpartum psychosis "can lead to devastating consequences in which the safety and well-being of the affected mother and her offspring are jeopardized," according to Dr. Dorothy Sit and colleagues.

From hallucinating a personified version of her younger self (including "helping" her have sex with her own husband), to nights filled with frantic cleaning and cupcake baking, to a spontaneous night out where she ends up driving home drunk, Marlo exhibits many of the signs of PPP.

I am not sure if this was intentional, or if the film-makers did not realize that the character they created had PPP. Since they acknowledge that she has postpartum depression, though, I am surprised that they seem not to have consulted with a therapist to ensure that the topic was handled appropriately, whatever their intention was.

My issue with the movie is not that it is about a woman with postpartum mental illness—indeed we need many, many more movie about postpartum mental illness.

My issue is that in not addressing the fact that Marlo has a postpartum psychosis, the rampant problem of unaddressed maternal mental health concerns is perpetuated.

The reason that people are so excited about Tully is because they feel like it is the first time that true motherhood is being portrayed on the big screen—but this is not true motherhood. Motherhood is hard, yes, but it is not this. This is mental illness. Brushing aside her mental illness again refuses to give it the attention it deserves.

Marlo needs immediate mental health treatment, and there is no direct acknowledgment in the film that she is getting it. Yes, a doctor tells her husband that she has PPD. Perhaps we can assume that means she's getting help?

Here's the thing though—all too often in mental health we assume that someone is fine and getting the care they need. So we don't do anything or say anything.

We need to create a culture that is done assuming and starts ensuring.

My strong concern here is that this movie which presents itself as validating the experience of motherhood is sending the message that these symptoms are normal. They are common yes. But they deserve to be respected and attended to, not dismissed.

Twice in the movie, Marlo talks about suicide. Once in the beginning when she says (to her entire family), "I want to kill myself," and her husband tells the kids that she's only joking, "like a clown." And then later Tully jokes that Marlo wants to murder her—since Tully is really Marlo, murdering her means killing herself.

In neither of these instances does anyone do anything to help her. Yes, this is a movie—but real women are suffering from this very real problem. Normalizing suicidal ideation is simply not okay.

Carolyn Wagner, a maternal mental health therapist based in Chicago told us: "The reality of postpartum psychosis is that it is extremely serious and presents a grave danger to mom and infant. It does not involve fantastical imagined friend and caregiver, and it is certainly nothing to be made into a plot twist.

"Additionally, I am concerned about the impact the storyline will have on postpartum mood disorder survivors who are not aware before going into the movie what they are going to see. The promos do not even hint at the twist, so moms are likely to be caught totally unaware which can be really upsetting and potentially damaging."

I find myself wondering about responsibility. Does the film industry have a responsibility to address mental illness appropriately? I'm not sure that they do.

But I see such a missed opportunity in Tully. Had the movie been just a bit longer, perhaps they could have shown Marlo receiving help—how amazing would it have been to see Hollywood take on the stigma of maternal mental health and turn it on its head? Instead, we leave with the notion that this is just "how it is" for moms.

So for what it's worth, to anyone out there suffering, please know it doesn't have to be like this. You have done absolutely nothing wrong, and you are not alone. There is very real help available to you.

You are so worth it.

If you're experiencing feelings or thoughts that concern you, contact your medical provider or a therapist who can help you find the right treatment plan. If you want to hurt yourself or your child, please call 911 or go to the emergency room where they can help you. For a description of postpartum mental illness symptoms, please visit Postpartum Progress.

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[Editor's note: While Motherly loves seeing and sharing photos of baby Archie and other adorable babies when the images are shared with their parents' consent, we do not publish pictures taken without a parent's consent. Since these pictures were taken without Markle's permission while she was walking her dogs, we're not reposting them.]

Meghan Markle is a trendsetter for sure. When she wears something the world notices, and this week she was photographed wearing her son Archie in a baby carrier. The important thing to know about the photos is that they show the Duchess out for a walk with her two dogs while wearing Archie in a blue Ergo. She's not hands-free baby wearing, but rather wearing an Ergo while also supporting Archie with her arm, as the carrier isn't completely tight.

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When British tabloids published the pictures many babywearing devotees and internet commenters offered opinions on how Markle is holding her son in the photo, but as baby gear guru Jamie Grayson notes, "it is none of our business."

In a post to his Facebook page, Grayson (noted NYC baby gear expert) explained that in the last day or so he has been inundated with hundreds of messages about how Markle is wearing the carrier, and that while he's sure many who messaged with concerns had good intentions he hopes to inject some empathy into the conversation.

As Grayson points out, these are paparazzi photos, so it was a private moment not meant for world-wide consumption. "This woman has the entire world watching her every move and action, especially now that she and Harry are leaving the umbrella of the royal family, and I honestly hope they are able to find some privacy and peace. So let's give her space," he explains, adding that "while those pictures show something that is less than ideal, it's going to be okay. I promise. It's not like she's wearing the baby upside down."

He's right, Archie was safe and not in danger and who knows why the straps on Markle's carrier were loose (maybe she realized people were about to take pictures and so she switched Archie from forward-facing, or maybe the strap just slipped.)

Grayson continues: "When you are bringing up how a parent is misusing a product (either in-person or online) please consider your words. Because tone of voice is missing in text, it is important to choose your words carefully because ANYTHING can be misconstrued. Your good intentions can easily be considered as shaming someone."

Grayson's suggestions injected some much-needed empathy into this discourse and reminded many that new parents are human beings who are just trying to do their best with responsibilities (and baby gear) that isn't familiar to them.

Babywearing has a ton of benefits for parents and the baby, but it can take some getting used to. New parents can research safety recommendations so they feel confident. In Canada, where the pictures in question were snapped, the government recommends parents follow these safety guidelines when wearing infants in carriers:

  • Choose a product that fits you and your baby properly.
  • Be very careful putting a baby into—or pulling them out of—a carrier or sling. Ask for help if you need it.
  • When wearing a carrier or sling, do not zip up your coat around the baby because it increases the risk of overheating and suffocation.
  • Be particularly careful when using a sling or carrier with babies under 4 months because their airways are still developing.
  • Do not use a carrier or sling during activities that could lead to injury such as cooking, running, cycling, or drinking hot beverages.

Health Canada also recommends parents "remember to keep your baby visible and kissable at all times" and offers the following tips to ensure kissability.

"Keep the baby's face in view. Keep the baby in an upright position. Make sure the baby's face is not pressed into the fabric of the carrier or sling, your body, or clothing. Make sure the baby's chin is not pressed into their chest. Make sure the baby's legs are not bunched up against their stomach, as this can also restrict breathing. Wear the baby snug enough to support their back and hold onto the baby when bending over so they don't fall out of the carrier or sling. Check your baby often."

Meghan Markle is a new mom who was caught off guard during a moment she didn't expect her baby to be photographed. Every parent (no matter how famous) has a right to privacy for their child and the right to compassion from other parents. If we want people to learn how to safely babywear we can't shame them for trying.

Mama, if you've been shamed for wearing your baby "wrong" don't feel like you need to stop. Follow the tips above or check in with local baby-wearing groups to get advice and help. You've got this.

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At one of the most important nights of their career, celebrities made sure their hairstyles stayed put at the 26th Screen Actors Guild (SAG) Awards. As a collective, the hairstyles were beautiful—french twists, bobs, pin curls and killer cuts filled the red carpet on the night to remember.

And surprisingly, the secret wasn't just the stylist team, mama. For many of the celebs, much of the look can be attributed to a $5 hairspray—yes, you read that correctly.

Dove style+care micro mist extra hold hairspray was one of the top stylist picks for celebs for a lightweight, flexible finishing spray, leaving tons of body and bounce. Unlike most hairsprays that can take several minutes (even a half hour) to set the look, this extra-hold one contains a fast-drying, water-free formula that helps protect your hair from frizz in minutes. As a result, celebrities were able to hold the shape of their styles with mega volume.

"Dove hairspray works well by holding curls in place with maximum hold and ultra shine, while still maintaining soft, touchable texture that is easy to brush out," says Dennis Gots for Dove Hair, who styled Phoebe Waller-Bridge for the SAG Awards. Translation: It's great for on-the-go mamas who want a shiny hold that lasts, but doesn't feel sticky.

Here are a few awesome hairstyles that were finished with the drugstore Dove style+care micro mist extra hold hairspray at the SAG awards:

Lili Reinhart's French twist

"I sprayed Dove style+care micro mist extra hold hairspray all over Lili's hair to lock in the shape and boost the shine factor, making the whole look really sleek," says stylist Renato Campora who was inspired to create the look by Reinhart's romantic gown. "Lili's look is sleek and sharp with a romantic twist."

Cynthia Erivo's finger waves

"This look is classic Cynthia! I knew I wanted to keep it simple, but it's actually quite detailed and intricate up close," says stylist Coree Moreno. "While the hair was still wet (yes—I needed to work fast!) I generously spritzed on the hairspray for all night hold without flaking. The hair continued to air dry perfectly while she finished up makeup."

Nathalie Emmanuel's curly high pony

"Nathalie wanted a retro Hollywood glam for the SAG Awards, so I used her natural texture and created a high pony with loose tendrils framing her face and neckline," says stylist, Neeko. "I finessed the look with the hairspray to lock in the style while keeping her hair looking and feeling touchable."

Phoebe Waller-Bridge's slicked back bob

"I used duckbill clips on different areas of her hair to keep the shape and curl while the hair air dried. Air drying the hair allowed for maximum shine and then I sprayed lots of hairspray all over to truly lock in the sleek shape and enhance the shine," says stylist Dennis Gots, who was inspired by a 90s vibe for Waller-Bridge's look.

Dove Style+Care Micro Mist Extra Hold Hairspray

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Who doesn't want a hairspray that makes your hair feel as good as it looks? Dove Style+Care Extra Hold Hairspray holds body, volume and enhances shine. It gives your hair touchable hold while fighting frizz, even in damp or humid conditions.

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We independently select and share the products we love—and may receive a commission if you choose to buy. You've got this.

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We often think of the unequal gender division of unpaid labor as a personal issue, but a new report by Oxfam proves that it is a global issue—and that a handful of men are becoming incredibly wealthy while women and girls bear the burden of unpaid work and poverty.

According to Oxfam, the unpaid care work done by women and girls has an economic value of $10.8 trillion per year and benefits the global economy three times more than the entire technology industry.

"Women are supporting the market economy with cheap and free labor and they are also supporting the state by providing care that should be provided by the public sector," the report notes.

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The unpaid work of hundreds of millions of women is generating massive wealth for a couple of thousand (predominantly male) billionaires. "What is clear is that this unpaid work is fueling a sexist economic system that takes from the many and puts money in the pockets of the few," the report states.

Max Lawson is Oxfam International's Head of Inequality Policy. In an interview with Vatican News, he explained that "the foundation of unpaid work done by the poorest women generates enormous wealth for the economy," and that women do billions of hours of unpaid care work (caring for children, the sick, the elderly and cooking, cleaning) for which they see no financial reward but which creates financial rewards for billionaires.

Indeed, the report finds that globally 42% of women can't work for money because of their unpaid care responsibilities.

In the United States, women spend 37% more time doing unpaid care work than men, Oxfam America notes in a second report released in cooperation with the Institute for Women's Policy Research.

"It's an economy that is built on the backs of women and of poor women and their labour, whether it's poorly paid labour or even unpaid labour, it is a sexist economy and it's a broken economy, and you can only fix the gap between the rich and the poor if at the same time you fix the gap between women and men," Lawson explains.

According to Lawson, you can't fight economic inequality without fighting gender equality, and he says 2020 is the year to do both. Now is a great time to start, because as Motherly has previously reported, no country in the world is on track to eliminate gender inequality by 2030 (one of the Sustainable Development Goals adopted by 193 United Nations member countries back in 2015) and no country will until the unpaid labor of women and girls is addressed.

"Governments around the world can, and must, build a human economy that is feminist and benefits the 99%, not only the 1%," the Oxfam report concludes.

The research suggests that paid leave, investments in childcare and the care of older adults and people with disabilities as well as utilizing technology to make working more flexible would help America close the gap.

(For more information on how you can fight for paid leave, affordable childcare and more this year check out yearofthemother.org.)

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It's been more than a decade since federal guidelines were implemented to ensure nursing mothers have the time and space to pump at work, but as Motherly has previously reported, many mothers still find it extremely challenging to maintain a pumping schedule in the workplace.

This week a new study out of the University of Georgia showed that while most women report having access to private spaces and break times for pumping there are still significant "gaps in access to workplace breastfeeding resources" and the researchers recommend employers take action to reduce breastfeeding disparities.

"We know that there are benefits of breastfeeding for both the mother and the infant, and we know that returning to work is a significant challenge for breastfeeding continuation," says Rachel McCardel, a doctoral student at UGA's College of Public Health and lead study author. "There is a collective experience that we wanted to explore and learn how can we make this better."

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The challenges of breastfeeding in 2020

There is a lot of pressure on mothers to exclusively breastfeed, but nearly half of mothers feel like they must make a choice between breastfeeding and keeping their job. A baby's mother is the best person to decide whether the infant should be breastfed, formula-fed or both, but it should be her choice. When workplace supports for breastfeeding are not in place many mothers feel like they don't have a choice at all.

Public health campaigns and social norms reinforce breastfeeding as the best choice, but a recent survey from Areoflow found that 1 in 3 people (31%) "do not believe employers should be required to provide a lactation room" but at the same time, 90% of those surveyed stated that they believe women should be allowed to pump at work.

For too many women, those contradicting messages mean that pumping at work is an uncomfortable experience, something they need to do nearly in secret. It's an example of the many ways in which mothers are supposed to parent as though they don't work but pretend they aren't parents when at work.

Calling for change in 2020

Half the states in America explicitly protect the rights of nursing parents in the workplace, according to the National Conference of State Legislatures, and federal law also provides protections to nursing workers under the Affordable Care Act. Section 7 of the Fair Labor Standards Act—but millions of working mothers are not covered by those protections, and the new research out of the University of Georgia's College of Public Health suggests that even mothers who are need more support from their employers.

Heather Padilla is an assistant professor at UGA's College of Public Health and the co-author of the study. She recommends employers "designate a person who is responsible for making sure that women who are preparing for the birth of their baby understand what resources they have available to them when they return to work," she said.

Supervisors or HR directors could fill this role, and would fill a gap between company policy and personal experience. Padilla and McCardel found that many women "said they hadn't expected to get much help from their employers, and there was a general lack of communication about the resources available to them."

The work Padilla and McCardel have done reinforces the work we at Motherly are doing: In 2020 we are calling for change, and demanding support for mothers feeding their babies.

Mamas need to work + babies need to eat

For many American mothers work is not a choice, it is a necessity. Mothers are increasingly the breadwinners for their families and it is very hard for mothers, even those with working partners, to be a stay-at-home parent in 2020.

We need paid family leave and protection from breastfeeding discrimination. We need employers to support working mothers who choose to pump, and we need to reduce the stigmatization of formula feeding.

Mama, we see you pumping in your office and mixing formula bottles to take to day care. We see how hard it is and we support you. Know that no matter what your baby is eating—bottled breast milk, formula, or some combination (because breastfeeding doesn't have to be all or nothing)—we know you are working so hard to provide it.

We have declared 2020 the #yearofthemother. Join us, and call for change because McCardel is right—this is a collective experience and it is one we can make better for the mothers who come after us.

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