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New guidelines from the U.S. Preventive Services Task Force could help prevent perinatal depression

They call on health care providers to identify at-risk women and connect them with cognitive behavioral therapy and interpersonal therapy. 👏

New guidelines from the U.S. Preventive Services Task Force could help prevent perinatal depression

Perinatal depression (defined as depression during pregnancy and the immediate postpartum period) happens to so many mothers, 1 in 7 of us, in fact. It can make pregnancy and early motherhood even harder than it needs to be and rob new mothers of a joyful time they were looking forward to.

And now, the U.S. Preventive Services Task Force (USPSTF) says there is a way to prevent perinatal depression in the moms who are most at risk. This week the USPSTF published guidelines calling on health care providers to identify at-risk women and connect them with cognitive behavioral therapy and interpersonal therapy.

These counseling interventions are effective in preventing perinatal depression, the USPSTF found, and, as The New York Times reports, the new guidelines mean the kinds of therapies that can prevent moms from becoming depressed with be covered under the Affordable Care Act.

Therapy can change and save lives, but it's often unaffordable. Now, more mothers will have access to it when they need it most.

👏👏👏

Any mom can develop perinatal depression, but certain women are more at risk. Those with a personal or family history of depression and those dealing with stressful circumstances like poverty, divorce, young or solo motherhood are at an increased risk. Past abuse or trauma, gestational diabetes, and experiencing an unplanned or complicated pregnancy also increase a mother's risk for depression during and after pregnancy.

Untreated, perinatal depression can have terrible outcomes for women, babies and families. A proactive approach—getting at-risk moms into therapy before depression hits—could actually prevent the disease and its personal and social consequences.

"We can prevent this devastating illness and it's about time that we did," Karina Davidson, a clinical psychologist and researcher who helped write the recommendations told NPR.

But it won't be easy to do that, says Harvard Medical School psychiatrist Marlene P. Freeman. In an editorial published alongside the USPSTF recommendations, Freeman points out that proactive intervention is a challenging task for the current health system. "Clinicians who provide obstetrical care may not have the expertise or time during clinical visits to perform assessments and tailor referrals to women who are identified," Freeman writes. "Availability and access to care present potential hurdles, and stigma presents another potential barrier for some women to seek and accept mental health care," she continues.

The system and our society are not currently set up to help get moms into cognitive behavioral therapy and interpersonal therapy, but maybe the adoption of these guidelines can change that over time.

Perinatal depression often goes untreated because mothers don't know how or when to ask for help. According to a 2017 study published in the Maternal and Child Health Journal, one in five new moms experiencing postpartum mood disorders doesn't disclose her symptoms to healthcare providers.

That's why the American Academy of Pediatrics released its own depression guidelines in late 2018, urging pediatricians "incorporate recognition and management of perinatal depression into pediatric practice."

If health care providers do what both the USPSTF and the AAP suggest, American mothers could have doctors looking out for their mental health at every stage of the perinatal journey.

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14 outdoor toys your kids will want to play with beyond summer

They transition seamlessly for indoor play.

With Labor day weekend in the rearview and back-to-school in full swing, most parents are fresh out of boxes to check on their "Fun Concierge" hit list. It's also the point of diminishing returns on investing in summer-only toys. So with that in mind, we've rounded up some of our favorite toys that are not only built to last but will easily make the transition from outdoor to indoor play. Even better, they're Montessori-friendly and largely open-ended so your kids can get a ton of use out of them.

From sunny backyard afternoons to rainy mornings stuck inside, these toys are sure to keep little ones engaged and entertained.

Meadow ring toss game

Plan Toys meadow ring toss game

Besides offering a fantastic opportunity to hone focus, coordination, determination and taking turns, lawn games are just plain fun. Set them up close together for the littles and spread them out when Mom and Dad get in on the action. With their low profile and rope rings, they're great for indoors as well.

$30

Balance board

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Balance boards are a fabulous way to get the wiggles out. This one comes with a rope attachment, making it suitable for even the youngest wigglers. From practicing their balance and building core strength to working on skills that translate to skateboarding and snowboarding, it's a year-round physical activity that's easy to bring inside and use between Zoom classes, too!

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Detective set

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This set has everything your little detective needs to solve whatever mystery they might encounter: an eye glasses, walkie-talkie, camera, a red lens, a periscope and a bag. Neighborhood watch? Watch out.

$40

Wooden doll stroller

Janod wooden doll strollerWooden Doll Stroller

Take their charges on a stroll around the block with this classic doll stroller. With the same versatility they're used to in their own ride, this heirloom quality carriage allows their doll or stuffy to face them or face the world.

$120

Sand play set

Plan Toys sand set

Whether you're hitting the beach or the backyard sandbox, this adorable wooden sand set is ready for action. Each scoop has an embossed pattern that's perfect for sand stamping. They're also totally suitable for water play in the wild or the bathtub.

$30

Water play set

Plan Toys water play set

Filled with sand or water, this tabletop sized activity set keeps little ones busy, quiet and happy. (A mama's ideal trifecta 😉). It's big enough to satisfy their play needs but not so big it's going to flood your floors if you bring the fun inside on a rainy day.

$100

Mini golf set

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Fore! This mini golf set is lawn and living room ready. Set up a backyard competition or incorporate into homeschooling brain breaks that shift focus and build concentration.

$40

Vintage scooter balance bike

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Pedals are so 2010. Balance bikes are the way to go for learning to ride a bike while skipping the training wheels stage altogether. This impossibly cool retro scooter-style is built to cruise the neighborhood or open indoor space as they're learning.

$121

Wooden rocking pegasus

plan toys wooden rocking pegasus

Your little will be ready to take flight on this fun pegasus. It gently rocks back and forth, but doesn't skimp on safety—its winged saddle, footrests and backrest ensure kids won't fall off whether they're rocking inside or outside.

$100

Croquet set

Plan Toys croquet set

The cutest croquet set we've ever seen! With adorable animal face wooden balls and a canvas bag for easy clean up, it's also crafted to stick around awhile. Round after round, it's great for teaching kiddos math and problem-solving skills as well.

$45

Wooden digital camera

fathers factory wooden digital camera

Kids get the chance to assemble the camera on their own then can adventure anywhere to capture the best moments. With two detachable magnetic lenses, four built-in filters and video recorder, your little photographer can tap into their creativity from summertime to the holidays.

$179

Wooden bulldozer toy

plan toys wooden bulldozer toy

Whether they're digging up sand in the backyad or picking up toys inside, kids can get as creative as they want picking up and moving things around. Even better? Its wooden structure means it's not an eye sore to look at wherever your digger drops it.

$100

Pull-along hippo

janod toys pull along hippo toy

There's just something so fun about a classic pull-along toy and we love that they seamlessly transition between indoor and outdoor play. Crafted from solid cherry and beechwood, it's tough enough to endure outdoor spaces your toddler takes it on.

$33

Baby forest fox ride-on

janod toys baby fox ride on

Toddlers will love zooming around on this fox ride-on, and it's a great transition toy into traditional balance bikes. If you take it for a driveway adventure, simply use a damp cloth to wipe down the wheels before bringing back inside.

$88

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There is rightfully a lot of emphasis on preparing for the arrival of a new baby. The clothes! The nursery furniture! The gear! But, the thing about a baby registry is, well, your kids will keep on growing. Before you know it, they'll have new needs—and you'll probably have to foot the bill for the products yourself.

Thankfully, you don't have to break the bank when shopping for toddler products. Here are our favorite high-quality, budget-friendly finds to help with everything from meal time to bath time for the toddler set.

Comforts Fruit Crisps Variety Pack

Comforts fruit snacks

If there is one thing to know about toddlers, it is this: They love snacks. Keeping a variety on hand is easy when the pack already comes that way! Plus, we sure do appreciate that freeze-dried fruit is a healthier alternative to fruit snacks.

Comforts Electrolyte Drink

Comforts electrolyte drink

Between running (or toddling!) around all day and potentially developing a pickier palate, many toddlers can use a bit of extra help with replenishing their electrolytes—especially after they've experienced a tummy bug. We suggest keeping an electrolyte drink on hand.

Comforts Training Pants

Comforts training pants

When the time comes to start potty training, it sure helps to have some training pants on hand. If they didn't make it to the potty in time, these can help them learn their body's cues.

Comforts Nite Pants

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Even when your toddler gets the hang of using the toilet during the day, nighttime training typically takes several months longer than day-time training. In the meantime, nite pants will still help them feel like the growing, big kid they are.

Comforts Baby Lotion

comforts baby lotion

Running, jumping, playing in sand, splashing in water—the daily life of a toddler can definitely irritate their skin! Help put a protective barrier between their delicate skin and the things they come into contact with every day with nourishing lotion.

Another great tip? Shopping the Comforts line on Comfortsforbaby.com to find premium baby products for a fraction of competitors' prices—and follow along on social media to see product releases and news at @comfortsforbaby.

This article was sponsored by The Kroger Co. Thank you for supporting the brands that support Motherly and mamas.

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It's science: Why your baby stops crying when you stand up

A fascinating study explains why.

When your baby is crying, it feels nearly instinctual to stand up to rock, sway and soothe them. That's because standing up to calm babies is instinctual—driven by centuries of positive feedback from calmed babies, researchers have found.

"Infants under 6 months of age carried by a walking mother immediately stopped voluntary movement and crying and exhibited a rapid heart rate decrease, compared with holding by a sitting mother," say authors of a 2013 study published in Current Biology.

Even more striking: This coordinated set of actions—the mother standing and the baby calming—is observed in other mammal species, too. Using pharmacologic and genetic interventions with mice, the authors say, "We identified strikingly similar responses in mouse pups as defined by immobility and diminished ultrasonic vocalizations and heart rate."

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