I'm wondering if anyone is familiar with an article in the Sept 2002 Journal 
of Midwifery & Women's Health on post partum depression by Kennedy, Beck and 
Driscoll?  I am not able to access more than the abstract which doesn't give me 
the information I need.  In this article there is, according to a midwife 
colleague, the recommendation for women predisposed to depression to have six hr 
of uninterrupted sleep on two non-consecutive nights per week, starting around 
the second week postpartum for several weeks.  Pumping is evidently suggested 
so Dad can give a bottle during this 6 hr stretch.

This approach would seem to likely interfere with the establishment of 
breastfeeding on several levels and I'd like to know if anyone has seen this used 
and what the outcome was in regard to breastfeeding.  I understand the link 
between sleep deprivation and depression, but think there are other ways of 
prevention less likely to interfere with breastfeeding.  Comments?  ( Am planning to 
get the article next week)

Barbara Latterner, BSN, RN, IBCLC


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