Perinatal Mental Health: Research and Practical Applications Lecture Pack
Mental health in the postpartum period is a growing concern these days and impacts not just the mother but her child and the family unit as a whole. These add-on package presentations provide a wonderful opportunity to immerse yourself in the latest research on postpartum mood and anxiety disorders in order to better screen and serve the mothers in your care.
Cynthia Good Mojab, MS Clinical Psychology, is a Clinical Counselor, International Board Certified Lactation Consultant, author, researcher, and internationally recognized speaker. She is also Certified in Acute Traumatic Stress Management. As one of a small group of mental health care providers in the world who are also IBCLCs, she has a strong interest in lactational psychology. She is the Director of LifeCircle Counseling and Consulting, LLC where she focuses on perinatal mental health care. She formerly served as Research Associate in the Publications Department of La Leche League International and was on the faculty of Parkland College. She has authored, contributed to, and provided editorial review of numerous publications related to breastfeeding, culture, and psychology. She brings the evidence and insights of psychology and lactation consulting to her presentations to help participants better understand and more effectively respond to the complex psychosocial realities of breastfeeding families living in diverse contexts.
Topic: Cultural Competence or Cultural Humility? A Roadmap for Lactation Specialists - [View Abstract]
Topic: Heartbroken: Loss and Grief in the Perinatal Time Period - [View Abstract]
Topic: It Wasn’t Supposed to be Like This: Traumatic Birth, Traumatic Stress, and Breastfeeding - [View Abstract]
Topic: My Brain is Doing What? Bias, Ethics, and the Lactation Specialist - [View Abstract]
Topic: Perinatal Mental Health Screening: A Primer for Lactation Specialists - [View Abstract]
Topic: Ready, Set, Listen! Preparing to Hear the Missing Voices of the Lactation Consultant Profession - [View Abstract]
Topic: The Rug Pulled Out from Underneath Me: Depression During Pregnancy and After Birth - [View Abstract]
Topic: Unpacking the Invisible Diaper Bag of White Privilege: An Overview of Racial Inequities in Breastfeeding Support - [View Abstract]
Objective 1: Define grief, bereavement, and mourning. Objective 2: Compare and contrast grief and depression. Objective 3: Describe companioning.
A variety of losses and types of grief are common in the perinatal time period. Some of these losses are specifically related to the reproductive and perinatal experience and some just happen to occur during pregnancy or after birth. Perinatal care providers who understand the diverse experience of loss and grief are better able to provide compassionate and effective care for the families they seek to serve. This presentation provides an overview of loss and grief, including the difference between bereavement, grief, and mourning; ambiguous loss; disenfranchised grief; prolonged grief; chronic sorrow; and depression. It also describes skills—such as companioning, screening, and referral—that are part of providing grief-sensitive care to expectant and new parents who are coping with loss and grief.
Dr. Beck is a Distinguished Professor at the University of Connecticut, School of Nursing. Her Bachelor of Science degree in Nursing is from Western Connecticut State University. She received her Master’s degree in maternal-newborn nursing and became a certified nurse-midwife at Yale University. Her Doctor of Nursing Science degree is from Boston University. She is a fellow in the American Academy of Nursing. She has received numerous awards such as the Association of Women’s Health, Obstetric, and Neonatal Nursing’s Distinguished Professional Service Award and the Distinguished Alumna Award from Yale University. Over the past 30 years Cheryl has focused her research efforts on developing a research program on postpartum mood and anxiety disorders. She developed the Postpartum Depression Screening Scale (PDSS) which is published by Western Psychological Services. She is a prolific writer who has published over 140 journal articles. Cheryl’s textbook, Nursing Research: Generating and Assessing Evidence for Nursing Practice, received both the 2007 and the 2011 American Journal of Nursing Book of the Year Award. Her book entitled Postpartum Mood and Anxiety Disorders: A Clinician’s Guide received the 2006 American Journal of Nursing Book of the Year Award. She recently published another book, Traumatic Childbirth.
Objective 1: Describe the essential components of a traumatic birth Objective 2: Identify risk factors for developing PTSD due to childbirth Objective 3: Discuss the impact of traumatic childbirth on women’s breastfeeding experiences Objective 4:Recognize symptoms of secondary traumatic stress in obstetrical caregivers
This presentation brings visibility to the often invisible experience of traumatic childbirth and its ever widening ripple effect. Prevalence of birth trauma and its resulting PTSD are covered along with the essential components of a traumatic birth. Risk factors for mothers developing PTSD due to childbirth are identified. The following chronic effects of traumatic childbirth are described: its impact on breastfeeding, anniversary of the birth trauma, and subsequent childbirth. The impact of traumatic childbirth extends beyond the mother herself to her infant, partner, and clinicians who were present during the birth trauma. Also addressed in this presentation is secondary traumatic stress which is an occupational hazard for clinicians who care for traumatized patients. This stress results from helping or wanting to help traumatized or suffering patients, in this case, women during childbirth. Symptoms of secondary traumatic stress which parallel PTSD are described as well as prevalence rates of secondary traumatic stress in obstetrical clinicians’ experiences of attending traumatic births. The presentation concludes with implications for clinical practice.
Dr. Kimberly Thompson is a licensed psychologist in Texas. She works with people across the life span, but the majority of her clinical work centers around the special concerns of women and children.
Dr. Thompson is a published researcher, author, and teacher. She teaches in the Infant & Early Childhood Development Ph.D. program, Fielding Graduate University, and has recently authored “Perfect Mothers Get Depressed,” a book on the cognitive and relational roots of postpartum depression.
Dr. Thompson has been married to Dr. Charles D. Thompson, an obstetrician-gynecologist, since 1985. The two Drs. Thompson have four children and one grandchild.
Objective 1: Identify some common beliefs about others and relationships, known to be associated with depression throughout life, that are also commonly present in depressed postpartum women Objective 2: Describe how depressive beliefs may be carried forward into a woman’s expectations about her relationship with her baby Objective 3: Identify some therapeutic methods aimed at helping depressed postpartum women build relationship skills and helping them develop more adaptive beliefs about close relationships. Objective 4:Describe how depressive beliefs impact a woman’s methods of coping in interpersonal relationships, and how those coping methods may precipitate depressive symptoms.
We will explore how dysfunctional thought patterns and habitual ways of being in relationships, based on life experiences, contribute to a woman’s approach to motherhood and the development of postpartum depression.
Dr. Kendall-Tackett is a health psychologist, International Board Certified Lactation Consultant, and Owner and Editor-in-Chief of Praeclarus Press, a small press specializing in women's health. She is a Fellow of the American Psychological Association in the Divisions of Health and Trauma Psychology, Clinical Associate Professor of Pediatrics at the Texas Tech University School of Medicine in Amarillo, Texas, and Research Associate at the Crimes against Children Research Center at the University of New Hampshire. She is Editor-in-Chief of Clinical Lactation,and a founding Associate Editor of Psychological Trauma. She received (with Tom Hale) the 2011 John Kennell and Marshall Klaus Award for Excellence in Research from DONA International.
Topic: Burnout, Compassion Fatigue and Self-Care for Members of the Perinatal Team - [View Abstract]
Topic: Burnout, Compassion Fatigue and Self-Care for Members of the Perinatal Team - [View Abstract]
Topic: Mother-Infant Sleep Location: It’s Not as Simple as it Seems - [View Abstract]
Topic: What’s New in Postpartum Depression? A Summary of Current Findings - [View Abstract]
Objective 1: Understand the link between inflammation and depression. Objective 2: Describe the complex relationship between depression and breastfeeding cessation. Objective 3: Describe the role of birth interventions in breastfeeding and depression. Objective 4: Understand that depression, PTSD, and preterm. Objective 5: Understand the importance of reducing stress and inflammation in reducing the risk of depression
A number of recent studies have raised questions about the way we understand depression in new mothers. For example, what is the role of depression in breastfeeding cessation and does mothers’ prenatal intention to breastfeed make a difference? Researchers have also found that epidurals lower the risk of depression, but the sample sizes are often small. Finally, a concerning trend has emerged regarding the link between depression, PTSD, and preterm birth. Women with depression or PTSD are at increased risk for preterm birth. The World Health Organization has recently identified preterm birth as the single greatest cause of infant mortality worldwide. These findings also have important implications for racial/ethnic disparities in both preterm birth and infant mortality. This presentation will summarize and synthesize these recent studies and present new findings from the Survey of Mothers’ Sleep and Fatigue that address the link between birth interventions and depression in mothers.
Dr. Barnes is an internationally recognized expert on women’s reproductive mental health. A past president of Postpartum Support International, she currently sits on their President’s Advisory Board and is also a member of the Los Angeles County Perinatal Mental Health Task Force and the statewide Maternal Mental Health Collaborative. Her work has been published in a number of academic journals. She wrote the assessment and treatment guidelines for perinatal illness for the Perinatal Advisory Council of Los Angeles County. In addition to private practice, she is often retained by legal counsel on cases of infanticide, neonaticide and pregnancy denial. The 2009 recipient of a Lifetime Achievement Award presented by the Eli Lilly Foundation, Dr. Barnes is the co-author of The journey to parenthood: Myths, reality and what really matters (Radcliffe, 2007) and editor and contributing author to a reference text on Women’s reproductive mental health across the lifespan (Springer, 2014).
Objective 1: List 4 distinguishing symptoms of perinatal depression Objective 2: Describe the developmental impact on the fetus when a pregnant woman is depressed. Objective 3: Identify 6 factors that elevate risk to perinatal depression and anxiety.
Cultural ideology promotes the idea that pregnancy and childbirth are the happiest time in women’s lives; yet, there are more psychiatric admissions around the child-bearing years than at any other time in the female life cycle. Perinatal depression looks different in terms of its symptom presentation than other types of major depressive episodes and the psychological issues that determine treatment are unique to this phase of life, not only for the new mother, but for the entire family. This presentation focuses on symptom recognition, risk factors and treatment options looking at the impact of maternal depression on the developing mother-infant attachment.
Laurel Wilson, IBCLC, CLE, CCCE, CLD is Executive Director of Lactation Programs for CAPPA,the Childbirth and Postpartum Professional Association. She owns MotherJourney, focusing on training perinatal professionals on integrative and holistic information regarding pregnancy, childbirth, and breastfeeding. She has her degree in Maternal Child Health: Lactation Consulting and is an internationally board certified lactation consultant. Wilson is the co-author of two books, The Attachment Pregnancy and The Greatest Pregnancy Ever. She loves to blend today’s recent scientific findings with the mind/body/spirit wisdom. Laurel has been joyfully married to her husband for more than two decades and has two wonderful grown sons, whose difficult births led her on a path towards helping emerging families create positive experiences. She believes that the journey into motherhood is a life-changing rite of passage that should be deeply honored and celebrated.
Topic: Natural, Toxic or Who Knows? The implications of breastfeeding and marijuana use - [View Abstract]
Topic: Postpartum Mood Disorders, Breastfeeding and the Epigenetic Links from Past Into Future - [View Abstract]
Topic: Science of the motherbaby bond: How attachment impacts epigenetics, brain development and stress - [View Abstract]
Topic: The Milk Sharing Conundrum - The Grey Area Between Scope and Need - [View Abstract]
Objective 1: Student will be able to define genome and epigenome. Objective 2: Student will identify at least 2 reasons breastmilk itself can have an epigenetic impact on the baby’s future mental health. Objective 3: Student will identify at least one way that the mother’s behavior while breastfeeding can have an epigenetic effect.
The relationship between breastfeeding and postpartum mood disorders has long been challenging for healthcare providers to completely understand. While the mental and sometimes physical challenges, as well as PMAD medications, can affect the breastfeeding relationship, the importance of continuing breastfeeding for the long-term genetic physical and mental health of the child is only now just beginning to be fully understood. Epigenetics, the environmental influence and expression of the genome, can be impacted by the breastmilk, the physical act of breastfeeding, and physical interaction between mother and child. During this presentation, you will develop an understanding of epigenetics, the role of breastmilk and breastfeeding behavior and our genes, and the epigenetic link that the past and future has to our mothering behaviors in the present.
This program has been approved for 6 CERPs (1L, 5 R)). GOLD Learning is an approved Long Term Provider of CERPs by the International Board of Lactation Consultant Examiners (IBLCE). Approval #CLT114-07. If you have already participated in this program, you are not eligible to receive credits for this program a second time. Please sent us an email to firstname.lastname@example.org if you have any questions.
Viewing Time: 4 Weeks
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