by Debbi Donovan, IBCLC (see more from this expert)

Q

I experienced mild depression after the birth of my first two babies. It seemed to resolve as breastfeeding became established, around six to eight weeks postpartum. I had a severe clinical postpartum depression after my third baby. I tried to endure the panic, sleeplessness and tears until around nine weeks when I finally asked for help. It came in the form of medication and talk therapy. I am beyond the depression now, as my youngest approaches 16 months, but it has been a tough five years. Can breastfeeding actually help prevent postpartum depression, or at least lessen its impact?



A

Postpartum depression (PPD) is quite common after a baby's birth. It can range from the mild(er) "baby blues" which affect between 50 and 80 percent of all mothers, to psychosis. In general, over 10 percent of mothers experience some level of postpartum adjustment problems. When these problems begin to interfere with a mother's ability to take care of her baby and her daily tasks, it is time to seek professional help. The entire family is affected when a mother is depressed. It takes a toll on everyone, especially the baby, who may also begin to show signs of depression, keeping his chin down on his chest and avoiding eye contact.

Breastfeeding may decrease the rate of PPD, or lessen its impact. A 1994 study by Astbury, published in an Australian medical journal found the rates of PPD to be lower in women who had nursed their babies.

It is known that abrupt weaning (or not nursing following a baby's birth) can cause drastic changes in a mother's hormone levels, which may bring on sadness and even depression. It is recommended that weaning be done gradually, especially in mothers who are prone to PPD.

The breastfeeding relationship can be especially important for a mother experiencing PPD. She may feel that it is the one thing she is able to do right. It is very important to help preserve this special relationship between the mother and baby. Counseling and medication, if needed, can help a mother effectively deal with her depression. Many mothers also find support from Depression after Delivery (1-800-944-4PPD). This organization provides support, education, information, and referral for women and families coping with mental health issues through pregnancy and the postpartum period.

Thank you for sharing your story. Postpartum depression is a serious issue and should not be ignored. Very best wishes!