The "Mothers Act"
Currently, there is a bill before the U.S. Senate, calling for new laws that are supposedly designed to help new mothers who suffer from Postpartum Depression (PPD). But a closer look at the bill raises some very disturbing prospects.
Both those who favor and those who oppose the bill agree on some points:
- Postpartum depression (PPD) is real
- A mother suffering from it might be less
responsive to the needs of her infant or other children
- Some mothers have harmed their child as a result of PDD
- Many women don't have anyone they can consult for help when they feel overwhelmed
The appeal of the Mothers Act
The bill has a long list of senators and organizations that have signed on as supporters. There is an enormous appeal to find a way to help new mothers who are struggling with depression, and the disclosures from celebrity moms who have suffered from PPD have brought public awareness to the issue.
But critics of the Mothers Act say that passage of the bill will have serious unforeseen consequences.
Problems with the legislation
New Jersey passed similar legislation in 2006, but it has led to disturbing reports from mothers who have been affected. Women have described confiding in a professional, only to be taken away by police and forced to go to a hospital emergency room. Others have called the hotline only to find they are speaking with someone who has no training or expertise.
Problems with "treatment"
For many mental health professionals and lawmakers the term "treatment" means antidepressants and other anti-psychotic drugs. But while psychotropic drugs appear to be useful for severe depression, they have been found to be of little value for moderate depression. (For details, see Myth of Depression as Disease by Leventhal et al.)
What's more, they have serious side effects, including depression, suicidal thoughts, and psychotic behaviors -- the very symptoms the drugs are supposed to relieve.
The prospect of mandatory screening raises some very disturbing scenarios.
There have been earlier programs that, like this bill, sound good until you take a closer look. Several years ago a program called "teen screen" claimed it would prevent teen suicides, and another was the Bush administration's "New Freedom Commission." They called for mandatory screening of all school age children to determine their mental health status and to provide "appropriate services." Critics say these are thinly veiled marketing techniques, promoted by the pharmaceutical industry, to increase the sale of drugs.
A Texas program was the model for the teen screen initiative. According to an article in the British Medical Journal in 2005, the Texas project mandated the use of the newer and more expensive antipsychotic drugs. This was to be expanded to develop "a comprehensive national policy to treat mental illness with expensive, patented medications of questionable benefit and deadly side effects…"
Putting babies at risk.
There's a good reason so many products, including prescription and non-prescription drugs, carry cautions that they should not be taken by pregnant or lactating mothers.
Among the potential effects of antidepressants for the unborn baby are birth defects, heart disease, abortion, and premature birth.
The current bill (S. 324)
Last year Mothers Act (bill S. 1375) was introduced to the Senate and defeated. It has been edited (cleaned up) to remove many of the disturbing references to "treatment." The scope of the bill has been expanded and there is more lip service given to research, but it would be a mistake to believe that the final outcome of this edited version will differ from the previous one. See the text of Bill S.324.
A valuable use of taxpayer dollars in addressing PPD would be to collect the information on the many non-drug approaches that are being used to help new mothers, and to design research to test the effectiveness of each. Some of the treatments which appear to have been successful include:
- Counseling with a trained professional
- Visiting nurses trained to provide support
- Support groups of other moms
- Addition of omega-3 essential fatty acids
- Adding nutrients including: folic acid, iron, B vitamins, various micronutrients
- Removal of food allergens
- Treatment for hypoglycemia or diabetes
- Various herbs
- Increased intake of zinc and calcium
Another approach would be to find help so the new mother can get more sleep. Part-time assistance from a qualified baby sitter would be more desirable and far less costly than drug treatment, hospitalization or institutionalization. The December 2008 issue of the Journal of Obstetric, Gynecologic & Neonatal Nursing published a study that will come as no surprise to exhausted new moms. It is titled, "Postpartum Depression and Poor Sleep Quality Linked."
Pregnancy and childbirth bring about dramatic changes in a woman's levels of hormones, and may use up her body's store of certain nutrients. Depletion of minerals, vitamins, and essential fatty acids can have a direct effect on a new mother's emotional health and ability to cope with the demands of motherhood. If she was poorly nourished before or during the pregnancy, or if she is genetically vulnerable, these factors can bring on depression. A mother who is deficient in trace minerals needs supplementation, not sedation. And her nursing baby needs nourishment, not a meal that includes Prozac, Zoloft and Paxil.