Can I breastfeed with medication?
As already described in the previous paragraph, there is the problem that many antidepressants partially pass into breast milk and thus prohibit breastfeeding. So there are two possibilities: Either the mother stops breastfeeding or therapy is started with an antidepressant under which breastfeeding of the child is possible to a proven degree. The possible active substances belong to the SSRI group, for example.
These are currently the antidepressants of first choice. However, the tricyclic antidepressants also contain active ingredients that can be taken during breastfeeding. Other drugs can also enter breast milk. Therefore, before taking a new drug, nursing mothers should consult their family doctor to find out whether breastfeeding is possible under this drug.
Prophylaxis
The most important method for the prevention of postpartum depression is the early detection of all mood lows after delivery. Thus, timely discussions about fears and worries can lead to the mother feeling understood and supported from the very beginning and developing enough confidence to seek help early enough in stressful situations. In this way, the development of severe postpartum depression requiring treatment is prevented. In addition, stable support from the partner, family or friends is indispensable to be able to get through difficult moments in the new phase of life.
Prognosis
The prognosis of postpartum depression is usually very good. If a baby blues is present, the symptoms usually disappear completely after 1-2 weeks without treatment. Women with somewhat more severe forms of postpartum depression should be treated in time to prevent serious long-term consequences, but in most cases they also recover completely.
All articles in this series: