
When Sadness Is Not the Symptom: Clinical Approaches for Breastfeeding Mothers with Postpartum Depression
During the postpartum period, mothers experience a neuroendocrine and behavioural transition considered to be complicated. Any disruptions that occur during this transition may lead to postpartum disorder. This condition impairs maternal sensitivity, which may have additional effects on the development of the infant's emotional regulation and attachment and is associated with earlier cessation of breastfeeding.
Many people mistake depression for simple sadness. Postpartum depression goes far beyond this common perception. In its correct context, it can appear as an entirely different set of complex behavioural patterns and clinical complaints, such as manic or hypomanic episodes or even a trace of psychosis. Many mothers may not share their feelings with their doctors and instead choose to ignore or deny the onset of symptoms. It is crucial to recognise these symptoms promptly and precisely while providing practical support for breastfeeding families. When assessing perinatal mental health challenges, health care providers must consider both the condition itself and its potential effects on breastfeeding. In order to support breastfeeding dyads and their families, thoughtful clinical consideration is essential.
This lecture was originally offered as part of the GOLD Lactation Conference 2024.


Dr. Dyah Febriyanti, MD, IBCLC, FABM is a medical doctor and lactation consultant/ breastfeeding counselor, and a mother living in Jakarta, Indonesia. She has been working in hospitals since she graduated in 2012. She was facing many struggles to succeed breastfeeding her daughter for two years. She has been an IBCLC since 2017. She works with breastfeeding dyads in a lactation team consisting of all lady doctors in outpatient and inpatient care units. Concerning breastfeeding and nutrition in early life, she has published a semi-cookbook about complementary foods for breastfed babies and cooking videos to educate and help mothers feed their babies. She also has been working on scientific writing. She is a member of International Lactation Consultant Association, and a trainer of the Indonesian Society of Perinatology. She also is a Fellow of the Academy of Breastfeeding Medicine (FABM).
Topic: Pitfalls in Infant Feeding Practices After Starting Solids - [View Abstract]
Topic: When Sadness Is Not the Symptom: Clinical Approaches for Breastfeeding Mothers with Postpartum Depression - [View Abstract]
1. Describe recent updates in research about postpartum depression
2. Explain the tools available for screening for postpartum depression in the breastfeeding mother
3. Describe how to support breastfeeding dyads who are experiencing, or at risk for, postpartum depression
During the postpartum period, mothers experience a neuroendocrine and behavioural transition considered to be complicated. Any disruptions that occur during this transition may lead to postpartum disorder. This condition impairs maternal sensitivity, which may have additional effects on the development of the infant's emotional regulation and attachment and is associated with earlier cessation of breastfeeding.
Many people mistake depression for simple sadness. Postpartum depression goes far beyond this common perception. In its correct context, it can appear as an entirely different set of complex behavioural patterns and clinical complaints, such as manic or hypomanic episodes or even a trace of psychosis. Many mothers may not share their feelings with their doctors and instead choose to ignore or deny the onset of symptoms. It is crucial to recognise these symptoms promptly and precisely while providing practical support for breastfeeding families. When assessing perinatal mental health challenges, health care providers must consider both the condition itself and its potential effects on breastfeeding. In order to support breastfeeding dyads and their families, thoughtful clinical consideration is essential.
Accreditation
CERPs - Continuing Education Recognition Points
Applicable to International Board Certified Lactation Consultants (IBCLCs), Certified Lactation Counselors (CLCs), Certified Lactation Educators (CLEs), Childbirth Educators (CBEs) and Doulas. GOLD Conferences has been designated as a Long Term Provider of CERPs by IBLCE--Approval #CLT114-07. This program is approved for 1 L-CERP.
AAFP CME Credits for Physicians & Nurses
The American Academy of Family Physicians has reviewed this activity and deemed it acceptable for AAFP credit. Term of approval is from 04/01/2025 to 04/01/2026. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is approved for 1 AAFP Elective CME credit.
Dietetic CPEUs - Continuing Professional Education Units
Applicable to Dieticians & Nutritionists, this program is approved for 1 Dietetic CPEU by the Commission on Dietetic Registration - the credentialing agency for the Academy of Nutrition and Dietetics.
Midwifery CEUs - MEAC / NARM Contact Hours
This program is accredited through the Midwifery Education & Accreditation Council (MEAC) for 1 Contact Hour (0.1 MEAC CEU).
It is also recognized by the North American Registry of Midwives (NARM) for 1 CEU/Contact Hour. Please note that 0.1 MEAC CEU is equivalent to 1.0 NARM CEU/Contact Hour.
Nurse Contact Hours
This nursing continuing professional development activity was approved by the American Nurses Association Massachusetts, an accredited approver by the American Nurses Credentialing Center's Commission (ANCC) on Accreditation for 1 Nursing Contact Hour.
Nurse Contact Hours are valid until 04/02/2026.
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If you have already participated in this program, you are not eligible to receive additional credits for viewing it again. Please send us an email to [email protected] if you have any questions.
Additional Details
Viewing Time: 2 Weeks
Tags / Categories
(IBCLC) Psychology, Sociology, and Anthropology, Perinatal Mood and Anxiety Disorders
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