Breastfeeding and perinatal mental health is something we’re often consulted about. Here’s a new article from BMC with some interesting insights. “Positive breastfeeding experiences of mothers with perinatal mental health conditions can mediate positive outcomes such as enhanced mother/infant bonding, increased self-esteem, and a perceived potential for healing. “Alternatively, a lack of consistent support and advice from healthcare professionals, particularly around health concerns and medication safety, can lead to feelings of confusion, negatively impact breastfeeding choices, and potentially aggravate perinatal mental health symptoms. “Appropriate support, adequate breastfeeding education, and clear advice, particularly around medication safety, are required to improve breastfeeding experiences for women with varied perinatal mental health conditions.” https://lnkd.in/gG_FZzJH
COPE: Centre of Perinatal Excellence’s Post
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This latest JAMA Network Health Systems & Recruitment study has us thinking. One of the study's takeaways: the prevalence of PPD increased with higher pre pregnancy body mass index, highlighting the importance of considering maternal health factors in PPD risk assessment. Our takeaway: It's time to rethink not just how frequently we perform mental health screenings on patients during the pregnancy and postpartum period, but HOW we screen them as well. It's true the number of screenings that increase during this period could account for the increase in cases, but we've not yet accounted for rising comorbidities and their effects on maternal mental health. That's why we're changing the model. Read the study below and let us know what you think! https://lnkd.in/gVAbF6tF
Postpartum Depression by Race, Ethnicity, and Prepregnancy Body Mass Index
jamanetwork.com
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Women affected by premenstrual disorders have a higher risk of perinatal depression compared with those who do not, according to research published March 28 in the open access journal PLOS Medicine. The relationship works both ways: those with perinatal depression are also more likely to develop premenstrual disorders after pregnancy and childbirth. This study suggests that a common mechanism might contribute to the two conditions. Between a fifth and a third of women are reportedly affected by premenstrual disorders and 11% of mothers suffer perinatal depression — depressive symptoms during pregnancy and up to 12 months after delivery. Among women with perinatal depression, almost 3% had premenstrual disorders before pregnancy compared with 0.6% of matched unaffected women. Women with perinatal depression were also twice as likely to report premenstrual disorders when the menstruation resumed after childbirth, compared to those unaffected by perinatal depression. Rachna Chhachhi RachnaRestores®️ Kindness Practice Foundation To read the complete article, click on the link below. https://lnkd.in/dFjanmFQ For more such articles on mental health and well-being, don’t forget to follow us. #unhurry #mentalhealth #mentalhealthawareness #mentalhealthmatters #mentalhealthsupport #women #pregnantwomen #premenstrualhealth #pregnancy #perinataldepression #newmom #momtobe
Positive associations between premenstrual disorders and perinatal depression - Unhurry®
http://unhurry.in
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Understanding Mental Health During Pregnancy: Risks and Benefits of Treatment ***Suic!de is a leading cause of death in the perinatal period!*** Pregnancy is a time of immense change, and mental health is a crucial aspect often overlooked. Treating mental illness during pregnancy carries both risks and benefits that should be carefully considered. Benefits: 1. Maternal Well-being: Untreated mental illness can worsen, affecting a mother’s ability to care for herself and her baby (National Institute of Mental Health, 2019). 2. Healthy Pregnancy: Effective treatment can lead to healthier pregnancies and reduce the risk of preterm birth and low birth weight (Wisner et al., 2009). 3. Child Development: Proper mental health care can positively influence the child’s cognitive and emotional development (Stein et al., 2014). Risks: 1. Medication Concerns:Certain medications might pose risks to the fetus. However, many antidepressants and therapies have been shown to be relatively safe (Yonkers et al., 2014). 2. Untreated Illness: Avoiding treatment can lead to severe consequences, including increased risk of postpartum depression and negative outcomes for both mother and child (Grote et al., 2010). Balancing treatment options is key. Always consult with healthcare providers to tailor the safest and most effective plan. #MentalHealth #Pregnancy #WellBeing #MaternalHealth #HealthyMomHealthyBaby References: - National Institute of Mental Health. (2019). Perinatal Depression. - Wisner, K. L., et al. (2009). Major depression and antidepressant treatment: Impact on pregnancy and neonatal outcomes. American Journal of Psychiatry. - Stein, A., et al. (2014). Effects of perinatal mental disorders on the fetus and child. Lancet. - Yonkers, K. A., et al. (2014). The management of depression during pregnancy: a report from the American Psychiatric Association and the American College of Obstetricians and Gynecologists. Obstetrics & Gynecology. - Grote, N. K., et al. (2010). A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Archives of General Psychiatry.
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Wonderful to see this new review of digital screening during pregnancy and postpartum - the first of its kind. In its conclusions, the authors note: “Digital screening provides an innovative, acceptable, feasible and effective method to screen women for mental health concerns such as depression and anxiety in the pregnancy and postpartum period. It is effective and acceptable to women and HCPs and feasible to implement in clinical care.” Our iCOPE digital screening tool is currenty being rolled out in all public hospitals and maternal child health clinics across the country as part of the Commonwealth Government-funded National Perinatal Mental Health Check Initiative. It’s currently available in 25 languages and contains questions pertaining to: - Psychosocial risk factors – using the Antenatal Risk Questionnaire (ANRQ) - Symptoms of depression and anxiety – using the Edinburgh Postnatal Depression Scale (EPDS). Find out more about iCOPE here: https://lnkd.in/gmhcju2
Digital screening for mental health in pregnancy and postpartum: A systematic review - Archives of Women's Mental Health
link.springer.com
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Emerging research underscores the significant impact of maternal stress during pregnancy on children's long-term health. Elevated maternal stress levels are linked to increased concentrations of interleukin-6 (IL-6), an inflammation marker, in children by age 9. This heightened inflammation correlates with more severe symptoms of depression and anxiety during adolescence. These findings highlight the critical importance of providing comprehensive support to expectant mothers to mitigate stress, thereby promoting better mental health outcomes for future generations. #PrenatalHealth #MaternalWellbeing #ChildDevelopment #MentalHealth #Inflammation
Study links prenatal stress to inflammation and mental health issues in offspring
psypost.org
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Emerging research underscores the significant impact of maternal stress during pregnancy on children's long-term health. Elevated maternal stress levels are linked to increased concentrations of interleukin-6 (IL-6), an inflammation marker, in children by age 9. This heightened inflammation correlates with more severe symptoms of depression and anxiety during adolescence. These findings highlight the critical importance of providing comprehensive support to expectant mothers to mitigate stress, thereby promoting better mental health outcomes for future generations. #PrenatalHealth #MaternalWellbeing #ChildDevelopment #MentalHealth #Inflammation
Study links prenatal stress to inflammation and mental health issues in offspring
psypost.org
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Another recent publication involving CHeCR colleauges: When is the best time to screen for perinatal anxiety? A longitudinal cohort study: https://lnkd.in/eczeeH9W Highlights •We evaluated the best time to screen for anxiety during pregnancy or postpartum. • Screening in early pregnancy was optimal to identify women with anxiety disorders. •Screening in early pregnancy was optimal to identify women who wanted treatment. •Screening in early pregnancy was optimal for all five screening tools evaluated. •Findings can inform clinical guidelines on when to screen for perinatal anxiety.
When is the best time to screen for perinatal anxiety? A longitudinal cohort study
sciencedirect.com
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10 October is World Mental Health Day – Perinatal Mood & Anxiety Disorders (PMADs)/ Perinatal Depression is the number one “complication” of pregnancy & childbirth Good news is breastfeeding provides psycho-neuro-immunological benefits to mothers that reduce anxiety (likely associated with the hormone prolactin) There is also a strong correlation between lactation & reduced stress responses, specifically that of cortisol. Basal norepinephrine levels were also reduced in lactating women, indicating that the hormones involved in the stress response are diminished in breastfeeding mothers Maternal self-efficacy is improved in mothers who breastfeed, & self-efficacy is inversely associated with postpartum depression Research also shows that breastfeeding improves psychological processes that protect mothers from postpartum depression. The relationship between breastfeeding & postpartum depression is bidirectional; while breastfeeding appears to reduce the incidence of postpartum depression, researchers have also discovered that depression may cause early cessation of breastfeeding. Parents should not suffer in silence! Help is available. See www.sadag.org Tucker Z, O'Malley C. Mental Health Benefits of Breastfeeding: A Literature Review. Cureus. 2022 Sep 15;14(9):e29199. doi: 10.7759/cureus.29199. PMID: 36258949; PMCID: PMC9572809 #WorldMentalHealthDay #Breastfeeding #Mother
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Zuranolone is a novel short-course treatment for adult patients with postpartum depression. This phase 1 study assessed the extent of zuranolone transfer into breast milk. https://lnkd.in/e5wPRn63 #psychopharmacology #zuranolone #zurzuvae #pharmacokinetics #postpartum #depression #PPD #breastfeeding #breastmilk #lactation https://lnkd.in/gk4QYe3n
The first pill for postpartum depression is finally getting to patients. Doctors say it’s working.
nbcnews.com
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Supporting Mothers' Mental Health Postpartum Let’s address mothers’ postpartum psychological wellbeing. In a recent article, Billings et al. (2024) point out the extent to which breastfeeding is compromised by perinatal mental illness. Breastfeeding can be particularly difficult during pregnancy due to hormone changes, medication side effects, and loneliness – in addition to postnatal depression, PTSD, anxiety, and more. Mindfulness is one solution to these problems. Mothers can practice mindfulness, like breathing exercises and meditation, to ease stress and regain emotional control. This promotes physical health for mothers and emotional and spiritual wellbeing for new mothers (Billings et al, 2024). We can create a holistic model of maternal health that combines mindfulness with Jean Watson’s transpersonal model of care. If we create a positive and open medical culture, we can make the transition to postpartum for mothers more comfortable. This can enhance breastfeeding success and be beneficial for health. Nurses and physicians can intervene with mindfulness-based interventions and create a space for mothers to be supported (Billings et al., 2024). The link between mental health and breastfeeding is critical. If we encourage whole-body care, which includes mindfulness and transpersonal practice, we can help mothers heal and thrive. This will allow for a more successful postpartum period, leading to healthier connections and bonds between mom and baby. Let us keep pushing for more interventions that will help mothers and babies be happier and healthier. Let’s all do our part to ensure every mom is heard and treated in a way that helps her flourish after birth. References Billings, H., Horsman, J., Soltani, H., & Spencer, R. L. (2024). Breastfeeding experiences of women with perinatal mental health problems: a systematic review and thematic synthesis. BMC Pregnancy and Childbirth, 24(1). https://lnkd.in/ew7z5c-n Watson. (2024, April 4). Watson’s Caring Science & Theory - Watson Caring Science Institute. Watson Caring Science Institute. https://lnkd.in/etZ6wtHt
Breastfeeding experiences of women with perinatal mental health problems: a systematic review and thematic synthesis - BMC Pregnancy and Childbirth
bmcpregnancychildbirth.biomedcentral.com
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