Course Description
This webinar will include a brief overview of evidence-based treatment options for birthing people with Bipolar Spectrum Disorder (BPSD) and/or hx of postpartum psychosis (PPP), risks and mitigating factors for postpartum manic, depressive, and psychosis relapse, and review evidence related to BPSD and PPP treatment and recommended infant feeding. This base knowledge will be used to then discuss an interdisciplinary patient-centered approach to developing individualized postpartum feeding plan for birthing people with BSDP and/or history of postpartum psychosis that optimizes maternal and infant outcomes and patient satisfaction by providing informed choice and prioritizing patient autonomy.

Learning Objectives
1. At the conclusion of this session, participants will be familiar with evidence-based treatment, specifically pharmacologic treatment options for perinatal BPSD and PPP including relationship between pharmacologic treatment options and lactation.

2. At the conclusion of this session, participants will be familiar with the intersection of postpartum manic, depressive, psychosis relapse risks and mitigating strategies in relationship to infant feeding options.

3. At the conclusion of this session, participants will be familiar with evidence-based infant feeding options for birthing people with BPSD or PPP prophylaxis being treated with common pharmacologic treatments including infant feeding planning specific to common pharmacologic treatment options such as lithium and other mood stabilizers.

4. At the conclusion of this session, participants will be better able to support birthing people with BPSD or history of PPP to make and support informed personalized infant feeding plans.

Speakers

Jamie Swietlikowski MS, CNM, PMHNP, WHNP, FACNM


Sarah Weinstein, MN, CNM, IBCLC, PMH-C


Speaker Bios
Jamie Swietlikowski MS, CNM, PMHNP, WHNP, FACNM (she/her) received a B.A. from Gettysburg College, a B.S. from SUNY Binghamton, and a Master of Science from Georgetown University in Midwifery and Women’s Health, and Post-Masters certificate as a Psychiatric Mental Health Nurse-Practitioner. She is currently on leave from clinical practice, pursuing a post-master’s Psychiatric Mental Health Nurse-Practitioner certificate from Johns Hopkins University. Jamie has practiced full-scope midwifery care for over 10 years in both out-of-hospital and academic tertiary care settings and is now providing perinatal mental health care as a Mental Health Midwife at the Center for Reproductive Mental Health within the Department of Psychiatry at Johns Hopkins University School of Medicine.

Her obstetric sub-specialty is caring for patients with perinatal mental health and substance use disorders. She provided comprehensive care to pregnant and parenting people with substance use disorders in the SUPPORT clinic at the University of Maryland and is now providing co-located perinatal mental health care and perinatal psychiatric consultation in the outpatient setting. In tandem with her clinical practice, Jamie is an active member of her professional community including currently serving as the President of the American College of Nurse-Midwives, Maryland Affiliate and recently inducted as an American College of Nurse-Midwives Fellow.


Sarah Weinstein, MN, CNM, IBCLC, PMH-C (she/her), has been practicing midwifery since 2014 after completing her training at OHSU. She has caught babies both in and out of the hospital and has worked with families in rural and urban New Mexico and Arizona. Sarah has focused on developing her skills in breastfeeding and lactation medicine and started the breastfeeding and lactation clinic at Banner University Medical Center in Tucson. Her clinic now serves as a referral resource for her institution and community, and, as co-chair of the institution’s breastfeeding task force, Sarah collaborates with her interdisciplinary team to support and advocate for evidence-based lactation care, education, research, and policies. Her interests also include perinatal mental health, supporting the physiologic postnatal period through dyadic care, and achieving health equity with community-centered care and research. Sarah is pursuing her PhD at the University of Arizona College of Nursing, focusing on the bio-embedding of social stress experiences and breastfeeding/lactation outcomes.