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Perinatal Health

Dr. Melissa Drake, MD, FACOG discusses the critical intersection of nutrition and perinatal mental health. Dr. Drake explains the full spectrum of perinatal mental health conditions, the warning signs that require immediate intervention, and evidence-based nutritional strategies to support maternal mental health throughout pregnancy and the postpartum period.

continuing education credit details

RDs Earn 1.0 CPEUs

Valid through 11/25/28

NDs Earn 1.0 CEs

Valid through 3/15/27

RNs Earn 1.0 CEs

Valid through 1/31/2028

Provider Details

This enduring activity (Type 741) awards 1.0 CPEUs in accordance with the Commission on Dietetic Registration’s CPEU Prior Approval Program.

Provider approved by the California Board of Registered Nursing. Provider # 1816, 1.0 Contact Hours.


Provider approved by the American Association of Naturopathic Physicians for 1.0 CEs. NDs in Oregon, please see FAQ

Meet the expert

Dr. Melissa Drake, MD, FACOG

Link to the Expert's Instagram in a separate page. Link to the Expert's website in a separate page.

Dr. Melissa Drake is a board-certified obstetrician/gynecologist in Santa Barbara. After completing her residency at George Washington University in Washington, DC, she moved to California and built her practice. As an old-fashioned solo practitioner in modern medicine, Dr. Drake offers personal attention and strong, direct relationships to build trust and encourage patients to cultivate their own power. She is a firm believer in trauma-informed care, patient autonomy, and ensuring that patients have a care team, not just a care provider. Her goal has always been to provide a secure haven in the hospital setting and a judgment-free zone to women and families as they make informed choices about pregnancy and birth. She has a deep respect for nurses, midwives, doulas, and other birthworkers. For Dr. Drake, teamwork in obstetrics is a way to regain the lost art of birth as a community practice.

Disclosure: Dr. Drake is a Needed advisor and has an equity interest in the company.

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Episode Highlights

  • The full spectrum of perinatal mental health disorders
  • Risk factors for perinatal mental health issues
  • How to distinguish “baby blues” from perinatal mental health disorders
  • What intrusive thoughts are and how to navigate them
  • Warning signs that require more immediate attention
  • Healthcare system challenges when it comes to perinatal mental health
  • Key nutrients associated with perinatal mental health
  • Screening tools and resources

Learning Objectives

Upon completion of this continuing education activity, practitioners will be able to:

Identify the prevalence and scope of perinatal mental health disorders

Analyze the critical roles of omega-3 fatty acids (EPA and DHA), choline, and B vitamins in maternal mental health and fetal neurodevelopment, including their mechanisms of action

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References

Zhang MM et al. The efficacy and safety of omega-3 fatty acids on depressive symptoms in perinatal women: a meta-analysis of randomized placebo-controlled trials. Transl Psychiatry. 2020;10(1):193. doi:10.1038/s41398-020-00886-3. 

Huang L et al. Effects of dietary interventions on perinatal depression and anxiety: a systematic review and meta-analysis. Am J Clin Nutr. 2022;116(4):1071–1089. doi:10.1093/ajcn/nqac175. 

Bertozzi-Villa C et al. Perinatal mood and anxiety disorders: evidence-based approaches to screening and management during pregnancy and postpartum. Obstet Gynecol Clin North Am. 2025;52(1):11–32. doi:10.1016/j.ogc.2024.10.002. 

Cox JL et al. Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782–786. doi:10.1192/bjp.150.6.782.

Fawcett EJ et al. The prevalence of anxiety disorders during pregnancy and the postpartum period: a multivariate Bayesian meta-analysis. J Clin Psychiatry. 2019;80(4):18r12527. doi:10.4088/JCP.18r12527.

Sparling TM et al. The role of diet and nutritional supplementation in perinatal depression: a systematic review. Matern Child Nutr. 2017;13(1):e12235. doi:10.1111/mcn.12235. 

Gould JF et al. The effect of prenatal DHA supplementation on infant outcomes: a review of the evidence. Nutrients. 2021;13(1):226. doi:10.3390/nu13010226. 

Trujillo J et al. A systematic review of the associations between maternal nutritional biomarkers and depression and/or anxiety during pregnancy and postpartum. J Affect Disord. 2018;232:185–203. doi:10.1016/j.jad.2018.02.004.