Time-frame: 60-90
CERP: yes


Postpartum depression is just the tip of a Titanic-sized iceberg

This presentation will assist the IBCLC in supporting mothers with perinatal mood and anxiety disorders (PMADs.)  PMADs include a spectrum of commonly-occuring mental health disorders.  About 20% of postpartum mothers experience depression, with rates climbing to 60% in some low social-economic status women and adolescent mothers.

However, lesser-known PMADs include perinatal panic disorder (up to 11% prevalence), perinatal obsessive-compulsive disorder (OCD) (also up to 11% prevalence), and perinatal post-traumatic stress disorder (PTSD) (up to 9% prevalence).  These often include very distressing intrusive or bizarre thoughts, behaviors, or flashbacks.

Perinatal bipolar disorder and postpartum psychosis are particularly dangerous due to severe depression, and reckless or bizarre behavior that can endanger mother and baby.  Women with bipolar disorder may have stopped medications during pregnancy and are experiencing mood instability.  They may also not realize they have bipolar disorder and require careful diagnosis, since twenty-two percent of depressed women postpartum have bipolar depression.   Postpartum psychosis is an emergency and occurs in 1 to 2 of every 1,000 deliveries.  This requires immediate hospitalization for safety, due to a 5% suicide rate and 4% infanticide rate.

The lactation consultant can be part of the safety net for postpartum mothers.  Although the IBCLC is not expected to diagnose psychiatric disorders, s/he can screen mothers, refer for services and act as an expert resource for the mother’s lactation journey.

Marie Zahorick, MS, APRN, FNP-C, IBCLC

Country: United States
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CBD Oil (Cannabidiol): Overview and Issues

Co-presenter on medical staff continuing education program.  Discussed background on manufacturing, economics and biochemistry of CBD . Also discussed legality, problems with THC content and loss of licensure and arrest when unwitting consumers test positive for THC.  Talking with patients about use of CBD reviewed in great detail.

Nine Months of Uncertainty: Vulnerabilities in pregnant Hispanic women

A video presentation for my Family Nurse Practitioner degree on culturally-consistent and effective healthcare for expectant Hispanic mothers.

Increasing Nursing Staff Support for Breastfeeding Mothers with NICU Infants

Quality improvement project involving six months of chart audits, which revealed a monthly average gap of 5.5-10.9 hours between the first and second breastpumping sessions immediately after birth.  Examined different levels of research identifying importance of staff support for pumping and what mothers find helpful in their endeavors.  Discussed changing pumping logs, working on improved tracking/charting by RN staff, and improving communication between Mother-Baby RNs and NICU RNs.

Bridging the Gap: Multidisciplinary Support for NICU Mothers

Co-author of quality improvement project focusing on supporting mothers with NICU babies to establish early, optimal and long-lasting breastmilk supply.  Audited electronic charts of all mother’s with babies admitted directly to NICU from L&D from September 2014-February 2015 in a suburban Chicago Level III NICU to see how much time elapsed from time of delivery to time of first breastpumping session.   Focused on improving hand-off communication between L&D RN and Mother-Baby RN.  Also focused on shortening interval between first pumping session in L&D and second pumping session, usually in Mother-Baby.