Moms At Risk for PPD Helped By Peer Support

WebMD reported yesterday on a PPD study published in BMJ concluding that phone calls from volunteer mothers who overcame postpartum depression prevent depressive symptoms in at-risk mothers. This is such an amazing testament to the power of speaking up, and to thevolunteers all over the world who create and maintain support groups and answer warm lines.

From WebMD: “Mothers who received this support were at half the risk of depressive symptoms 12 weeks after delivery,” says study leader Cindy-Lee Dennis, PhD, Canada research chair in perinatal community health at the University of Toronto …

The study included 701 women at risk of PPD. Half got standard postnatal care and half got peer support. With standard care, 25% of the mothers had significant depressive symptoms 12 weeks after delivery. About half as many women who got peer support — 14% — had such symptoms.

After an extensive review of existing research, Dennis saw that efforts to prevent postpartum depression were most effective if begun soon after a woman gives birth — and if they were home based.

But that’s a problem: In Canada, as in the U.S., it’s uncommon for health care workers to routinely visit families at home once they and their babies leave the hospital.

Dennis’ solution: Recruit women who overcame PPD, give them very brief training, and have them make regular telephone calls to at-risk women from two to 12 weeks after they gave birth.

“So we recruited mothers from the community who felt they had themselves experienced postpartum depression, so they know what it is like,” Dennis tells WebMD. “Mothers are more willing to disclose their feelings to another mother who knows what it is like than to a doctor or nurse.”

Training of the peers was intentionally brief.

“You don’t want to overtrain them and make them paraprofessionals — that would change the dynamics of the relationship,” Dennis says. “We mostly talked with them about how to establish a relationship over the telephone and how to provide support. And we taught them how to identify depression so they could refer depressed women to professional care.”

The peer support was intended not to replace professional help, but to serve as a link between communities and the health system.

I think it’s just fantastic that a free and non-medical intervention can be of such help. If you’re looking for asupport group, you cango to the PSIResources page or stop by the PPD support group list here at Postpartum Progress. PSI’s warm line is 1-800-944-4PPD.

About Katherine Stone

is the founder of Postpartum Progress. She has been named a WebMD Health Hero, one of the fiercest women in America by More magazine, and one of the top 20 Social Media Moms by Working Mother magazine. She is a survivor of postpartum OCD.

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  1. I love this idea.
    I live in British Columbia, Canada, and I'm happy to report that it is routine for a public health nurse to visit mom and babe at home at least once shortly after they leave the hospital, and to follow up again if there are any indications that it would be needed. Post partum mood disorders are one of the things they screen for.
    Public health nurses also routinely screen for PPD when moms take their children into the public health unit for regular immunizations.
    I am currently on medication to help with the symptoms of post partum depression and anxiety after the birth of my son, now 8 months old, and I recently started attending a weekly support group. I also had a quite different experience of depression after my daughter, now two and a half.