FINAL PROJECT:Structures and Arguments > Supporting New Mothers against Influence by Social Expectations and Identifying Signs of Postpartum Depression: A Health Practitioner Guide

Beginning: Hook audience with testimony of mother whose baby lost a significant amount of weight after lactation consultants pressured mother to only breastfeed even though it was not enough to sustain the baby. Background will comprise a large portion of the document: First preview the scope of the problem (including prevalence of postpartum depression in mothers (CDC statistic is 1/10) and introduce the different social pressures which contribute to the “breast is best” motto and mothers believing that anything else is a failure.

Middle: Introduce how public health policy (lactation consultants, some physicians) pressure mothers to exclusively breastfeed and how this guidance may be motivated by financial benefits for these consultants. Talk about the importance of health practitioners communicating with new mothers as opposed to only completing clinical duties. Introduce testimony of new mothers who have faced social pressures to breastfeed only and how not meeting these expectations has affected their motherhood experience.

End: Use information from paper which outlines the maternal treatment interventions in agreement with reviewed maternal preferences. Introduce role-play type scenarios to give health practitioners an idea of how they should identify signs of postpartum depression and support the new mothers in the face of social pressures on breastfeeding.

LOGOS: Study associating unmet breastfeeding expectations and postpartum depression, clinical research on health practitioner’s views of screening for postpartum depression as it exists now.

PATHOS: Testimony of mothers facing pressure to fulfill this template of motherhood

ETHOS: Credibility of researchers published in peer reviewed journals, of mothers who have faced the social pressure described in the document themselves.

STRUCTURE: I will use the following structure: 1. Describe scope of problem 2. Provide Testimony 3. Role that Health Practitioners hold 4. Scenario to improve maternal treatment

GOAL: Goal is to guide health practitioners on better identifying signs of postpartum depression as it is underdiagnosed and on best methods to provide appropriate maternal treatment/support during and after interaction with patient.
May 7, 2018 | Unregistered CommenterVK
V, really nice medical school seminar paper for a maternity rotation. You found a statistic on this incidence of serious breast feeding stumbling blocks.

I would look at the idea of wrap-around care, which a doctor can order or prescribe or suggest: post birth support by nurses, visiting nurses, lactation consultants, and perhaps social worker. These health professionals are more likely to spend time with patients looking at ways to help. Another way to approach is the team way. Does the literature suggest this?
May 7, 2018 | Unregistered CommenterMbS