Title : Breastfeeding and postpartum depression
Abstract:
Postpartum depression (PPD) affects thousands of women a year. However, there are many cases which go undetected. PPD not only affects the mom but the entire family dynamics. PPD is a serious public health issue and for that reason early identification is crucial for the well-being of the mother and child. Recent studies have found a bidirectional correlation between breastfeeding and postpartum depression. This is of importance because in an effort to decrease the incidence of PPD identifying which factor occurs first; PPD or cessation of breastfeeding can aide in identifying those at risk and secure prompt intervention. The Nurse Practitioner amongst other providers is in the position to identify and screen women for PPD. By screening all women in the postpartum period and/or perinatal period women at increased risk can be identified earlier and be provide the services needed to prevent or treat PPD. Numerous women base their decision to breastfeed on past experiences, the mothers understanding of benefits, and social support. During prenatal visits the provider can explore moms feeding choices and address issues they may had in the past or advise them on potential issues they might come across. By providing moms with anticipatory guidance regarding breastfeeding they can set realistic goals to achieve which they will be satisfied with.
Audience Take Away:
- Factors affecting breastfeeding
- Early screening of mothers at risk can help ensure timely identification and treatment process
- Prevalence of PPD is high, discussing the prevalence with patients can aide in minimizing the stigma attached to mental health disorders
- Lactation consultants, brief motivational interventions, and improved self-efficacy can improve breastfeeding practices
