Maternal Depression and Breastfeeding

   I recently wrote a piece for HealthComU about postpartum depression. I did a topical overview, but wished I had said more about breastfeeding and maternal depression. I have found that women who are being treated for depression and other mood disorders often stop taking their medications during pregnancy or in the postpartum period, when breastfeeding. Mothers are understandably concerned about their baby's health and don't want to do anything to cause harm, but may need these medications in order to function well, especially with the stressors of a new baby. Many medications are compatible with breastfeeding, but physicians and/or pharmacists are not always informed with the latest research. I often use Lactmed or Dr.Hale's Infant Risk site or latest book. It is also possible that breastfeeding can prevent or forestall postpartum depression, as the mother's hormones are not undergoing such a big shift from pregnancy to the postpartum period. The hormone Prolactin, secreted during nursing, can have a calming effect, both on mom and baby.

              Finally, there are those times when maternal medication is incompatible with breastfeeding (Lithium, e.g) but the benefit to mom is greater than the risk of not breastfeeding. One of my catch-phrases is: "Happy Mom, Happy Baby". Mothers who deny themselves needed medication may be putting both themselves and their baby at risk. Every situation is different and must be evaluated carefully, often with the coordination of a lactation consultant, psychiatrist, and pediatrician. A team approach can be a good way to ensure a positive outcome and there are many options for treatment. Ask for help - you and your baby deserve it!