Perinatal mood disorders (PMDs) such as postpartum depression and anxiety are significant concerns for many new mothers. According to the National Institute of Mental Health, the overall mean rate of depression during the perinatal period (which includes pregnancy and postpartum) is approximately 11.5%.  That is for depression only.  With other perinatal mood disorders such as anxiety and PTSD (Post Traumatic Stress Disorder) about 1 in 7 pregnant people are affected by PMDs.

Understanding Perinatal Mood Disorders

Perinatal mood disorders encompass a range of emotional and mental health issues that occur during pregnancy and the postpartum period. These can include depression, anxiety, obsessive-compulsive disorder, and post-traumatic stress disorder. The prevalence of PMDs highlights the need for comprehensive support systems for new mothers. Breastfeeding/Chestfeeding, while beneficial for both mother and baby, can sometimes exacerbate feelings of anxiety and depression if not adequately supported.

The Role of Lactation Consultants

Lactation consultants are healthcare professionals trained to assist mothers in breastfeeding/chestfeeding. They provide guidance on latching techniques, managing milk supply, and addressing breastfeeding/chestfeeding challenges. For mothers with PMDs, having a lactation consultant who is knowledgeable about these conditions and offers an affirming and supportive approach is critical.

Lactation consultants who are inclusive providers are equipped to recognize the signs of PMDs and tailor their support accordingly. They can help create a breastfeeding/chestfeeding plan that considers the mother's mental health, offering practical and emotional support. This personalized approach not only promotes breastfeeding/chestfeeding success but also enhances the mother's overall well-being.

What to Look for in a Lactation Consultant

1. Experience and Certification: Ensure the lactation consultant is certified by a recognized organization, such as the International Board of Lactation Consultant Examiners (IBLCE). Experience in working with mothers with PMDs is a significant plus.

2. Inclusivity and Affirmation: The lactation consultant should be inclusive, meaning they are affirming of various mental health conditions and supportive of diverse family structures. Look for consultants who advertise their inclusivity and have training in mental health support, you can find many of them here in the Inclusive Provider Directory.

3. Personalized Care: Seek out a lactation consultant who offers personalized care plans. They should be willing to listen to your concerns and tailor their advice to your unique situation, considering your mental health needs.

4. Availability and Accessibility: It's important to have a lactation consultant who is readily available, especially in the early days postpartum. Check if they offer home visits, virtual consultations, and support that will range from 2-3 hours in length.

5. Communication Style: A good lactation consultant should have a compassionate and non-judgmental communication style. They should make you feel comfortable and supported, not pressured or criticized.

The Importance of Inclusive Providers

Inclusive providers play a pivotal role in ensuring that all mothers receive the support they need. By recognizing and affirming the unique challenges faced by mothers with perinatal mood disorders, lactation consultants can make a significant positive impact. They provide a safe space for mothers to express their concerns and receive the help they need without judgment.

Moreover, inclusive providers understand that mental health is an integral part of overall health. They are committed to offering comprehensive care that addresses both the physical and emotional aspects of breastfeeding/chestfeeding. This holistic approach is crucial for the well-being of both mother and baby.

For pregnant and new moms experiencing perinatal mood disorders, finding the right lactation consultant can be a game-changer. An inclusive provider who is knowledgeable, affirming, and supportive can make the breastfeeding/chestfeeding journey much smoother and more enjoyable. By choosing a lactation consultant who understands and caters to the unique needs of mothers with PMDs, you are setting yourself up for success in both breastfeeding/chestfeeding and your overall mental health.

Remember, you are not alone, and support is available. An inclusive provider is there to help you navigate the challenges and celebrate the triumphs of motherhood.

Here are a few suggestions from the Inclusive Provider Directory that we hope you will look into. If you don’t find someone here, be sure to search the directory as we are frequently adding new providers.

• Sunayana Weber, IBCLC

• Katie Prezas IBCLC PMH-C

• Like A Sister, LLC