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Recorded Webinar: The Effects of Depression and PTSD on Mother-Infant Sleep by Kathleen Kendall-Tackett

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Product Description

*This course has been approved for 1.5 R-CERPs by the IBLCE

Approval number: C2002008

Length: 1 hour, 11 mins

 

This product is a recording of a session made January 7th 2020. Direct questions and concerns to ken@praeclaruspress.com

 

The Effect of Depression and PTSD on Mother-Infant Sleep

Kathleen Kendall-Tackett, PhD, IBCLC, FAPA

Can mothers’ mental state affect how mothers and babies sleep? This seminar examines the impact of maternal depression and PTSD on mother-infant sleep. If mothers have depression or PTSD during pregnancy, if affects their babies’ sleep, but other factors moderate those effects. Breastfeeding also affects mother-infant sleep, but there are substantial differences in these effects between exclusive and partial breastfeeding. Infant sleep location adds one more factor that outcomes for both mothers and babies. The message of this presentation is this: maternal mental health does impact both mothers’ and babies’ sleep and it can make breastfeeding more difficult. However, mothers can overcome these effects and breastfeeding is one important way to modify the physiological effects of depression and trauma.

 

Objectives

1.     Describe the bidirectional and intergenerational effects of mothers’ mental health on mother-infant sleep.

2.     Describe the specific effects of depression on mother-infant sleep and the factors that modify those effects.

3.     Describe the effects of maternal PTSD on mother-infant sleep and the role of breastfeeding in      downregulating those effects.

4.     Understand that mother-baby separation will likely not be effective in helping both mothers and babies to sleep.

Outline

A.     The relationship between mothers’ mental health and mother-infant sleep.   

a.     Bidirectional relationship
b.     Relationship to intergenerational transmission of trauma

B.     The impact of maternal depression

a.     The effect of depression on maternal sleep
b.     In utero effects on infant sleep
c.     Modifying effects of breastfeeding on sleep and depression
d.     The role of infant sleep location

C.     The impact of maternal PTSD

a.     The impact on sleep
b.     In utero effects on infant sleep and inflammation
c.     The impact of breastfeeding on trauma symptoms for mother and baby

D.    Should mother and baby be separated in order to get more sleep?
a.     The importance of downregulation

 

References

 

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Dekel, S., Stuebe, C., & Dishy, G. (2017). Childbirth induced posttraumatic stress syndrome: A systematic review of prevalence and risk factors. Frontiers in Psychology, 8. Retrieved from

Dikmen-Yildiz, P., Ayers, S., & Phillips, L. (2017). Factors associated with posttraumatic stress symptoms (PTSS) 4-6 weeks and 6 months after birth: A longitudinal population-based study. Journal of Affective Disorders, 221, 238-245.

Dorheim, S. K., Bondevik, G. T., Eberhard-Gran, M., & Bjorvatn, B. (2009). Sleep and depression in postpartum women: A population-based study. Sleep, 32(7), 847-855.

Field, T., Diego, M., Hernandez-Reif, M., Figueiredo, B., Schanberg, S., & Kuhn, C. (2007). Sleep disturbance in depressed pregnant women and their newborns. Infant Behavior & Development, 30, 127-133.

Galbally, M., Watson, S. J., Teti, D., & Lewis, A. J. (2018). Perinatal maternal depression, antidepressant use, and infant sleep outcomes: Exploring cross-lagged associations in a pregnancy cohort study. Journal of Affective Disorders, 238, 218-225.

Garthus-Niegel, S., Horsch, A., Bickle Graz, M., Martini, J., von Soest, T., Weidner, K., & Eberhard-Gran, M. (2018). The prospective relationship between postpartum PTSD and child sleep: A 2-year follow-up. Journal of Affective Disorders, 241, 71-79.

Goyal, D., Gay, C. L., & Lee, K. A. (2009). Fragmented maternal sleepis more strongly correlated wtih depressive symptoms than infant temperament at three months postpartum. Archives of Women’s Mental Health, 12, 229-237.

Hairston, I. S., Waxler, E., Seng, J. S., Fezzey, A. G., Rosenblum, K. L., & Muzik, M. (2011). The role of infant sleep in intergenerational transmission of trauma. Sleep, 34(10), 1373-1383.

Huang, C.-M., Carter, P. A., & Guo, J.-L. (2004). A comparison of sleep and daytime sleepiness in depressed and non-depressed mothers during the early postpartum period. Journal of Nursing Research, 12(4), 287-295.

Kendall-Tackett, K. A., Cong, Z., & Hale, T. W. (2011). The effect of feeding method on sleep duration, maternal well-being, and postpartum depression. Clinical Lactation, 2(2), 22-26.

Kendall-Tackett, K. A., Cong, Z., & Hale, T. W. (2013). Depression, sleep quality, and maternal well-being in postpartum women with a history of sexual assault: A comparison of breastfeeding, mixed-feeding, and formula-feeding mothers          Breastfeeding Medicine, 8             (1), 16-22.

Kendall-Tackett, K. A., Cong, Z., & Hale, T. W. (2018). The impact of feeding method and infant sleep location on mother and infant sleep, maternal depression, and mothers' well-being. Clinical Lactation, 9(3). doi:10.1891/2158-0782.9.3

Lee, S.-Y., Lee, K. A., Rankin, S. H., Weiss, S. J., & Alkon, A. (2007). Sleep disturbance, fatigue, and stress among Chinese-American parents with ICU hospitalized infants. Issues in Mental Health Nursing, 28, 593-605.

Netsi, E., Van Ijzendoorn, M., Bakermans-Kranenburg, M. J., Wulff, K., Jansen, P. W., Jaddoe, V. W., . . . Ramchandani, P. G. (2015). Does infant reactivity moderate the association between antenatal maternal depression and infant sleep? Journal of Developmental & Behavioral Pediatrics, 36(6), 440-449.

Newland, R. P., Parade, S. H., Dickstein, S., & Seifer, R. (2016). Goodness of fit between prenatal maternal sleep and infant sleep: Associations with maternal depression and attachment security. Infant Behavior & Development, 44, 179-188.

Posmontier, B. (2008). Sleep quality in women with and without postpartum depression. Journal of Obstetric, Gynecologic and Neonatal Nursing, 37(6), 722-737.

Rich-Edwards, J. W., James-Todd, T., Mohllajee, A., Kleinman, K., Burke, A., Gillman, M. W., & Wright, R. J. (2011). Lifetime maternal experiences of abuse and risk of pre-natal depression in two demographically distinct populations in Boston. International Journal of Epidemiology, 40(2), 375-384.

Ross, L. E., Murray, B. J., & Steiner, M. (2005). Sleep and perinatal mood disorders: A critical review. Journal of Psychiatry & Neuroscience, 30, 247-256.

Slopen, N., Loucks, E. B., Appleton, A. A., Kawachi, I., Kubzansky, L. D., Non, A. L., . . . Gilman, S. E. (2015). Early origins of inflammation: An examination of prenatal and childhood social adversity in a prospective cohort study. Psychoneuroendocrinology, 51, 403-413. 


 

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