Symptoms of maternal depression immediately after delivery predict unsuccessful breast feeding (original) (raw)
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Archives of Disease in Childhood, 2010
Objective Postnatal depression may interfere with breast feeding. This study tested the ability of the Edinburgh Postnatal Depression Scale (EPDS) to predict later breast feeding problems, hypothesising that risk of unsuccessful breast feeding increased with increasing EPDS scores, even at low values. Design The authors administered the EPDS on days 2-3 after delivery to 592 mothers of a healthy baby. Feeding method was recorded at 12-14 weeks. Results Median EPDS score was 5 (IQR 2-8); 15.7% of women scored >9. At 12-14 weeks, 50.7% of infants received full breast feeding, 21.0% mixed breast feeding and 28.4% bottle feeding. Mothers with higher EPDS scores were more likely to bottle feed at 3 months; the odds of bottle feeding increased with EPDS result, even at low scores (OR 1.06, 95% CI 1.01 to 1.11). Conclusions Higher EPDS scores immediately after delivery were associated with later breast feeding failure.
Journal of Affective Disorders, 2011
Despite the fact that more than 90% of mothers in Japan prefer breastfeeding, the breastfeeding rate at 6 months postpartum is as low as approximately 35%. Postpartum depression and bonding disorder are recognized as factors associated with discontinuation of breastfeeding. However, these factors remain controversial. The purpose of the present study was to clarify the effect of postpartum depressive symptoms and bonding on the feeding pattern from 1-to 5-month postpartum. A longitudinal study was conducted at 1-and at 5-month postpartum, in 405 mothers who attended health check at three hospitals in the Tokyo metropolitan area at 1-month postpartum, and completed longitudinal questionnaires. A high proportion of breastfeeding mothers at 1 month postpartum had Edinburgh Postpartum Depression Scale (EPDS) score of ≥9 at 5 months postpartum (p = 0.01), and these mothers changed to formula milk-based feeding at 5-month postpartum, when compared with those of the breastfeeding-based group at both 1-and 5-month postpartum,. The appearance of depressive symptoms seems to promote discontinuation of breastfeeding at 5-month postpartum.
Cadernos de Saúde Pública, 2008
This study evaluates the association between postpartum depression and interruption of exclusive breastfeeding in the first two months of life. Cohort study of 429 infants < 20 days of age to four primary health care units in Rio de Janeiro, Brazil. Interruption of exclusive breastfeeding (outcome) was defined as the introduction of water, other types of liquids, milk, or formulas or any food. Postpartum depression was assessed using the Edinburgh Post-Natal Depression Scale. Associations between variables were expressed as prevalence ratios (baseline) and risk ratios (follow-up), with their respective 95% confidence intervals, estimated by Poisson regression with robust variance. Children of mothers with postpartum depressive symptoms were at higher risk of early interruption of exclusive breastfeeding in the first and second months of follow-up (RR = 1.46; 95%CI: 0.98-2.17 and RR = 1.21; 95%CI: 1.02-1.45, respectively). Considering mothers that were exclusively breastfeeding at...
Breast-feeding and postpartum depression: is there a relationship?
Canadian journal of psychiatry. Revue canadienne de psychiatrie, 1997
To study the relationship between breast-feeding cessation and the onset of postpartum depression. The association between breast-feeding and depression was retrospectively examined in an obstetrical outpatient sample of 51 postpartum women who were suffering from major depression and who had stopped breast-feeding. Self-report questionnaire data were obtained from the subjects; the severity of the illness and the clinical course of each subject were evaluated. The majority (39 out of 51; 83%) of the women reported that their depression began the cessation of breast-feeding, while only 8 patients (17%) stated that their depression was subsequent to breast-feeding cessation. In an outpatient sample of depressed postpartum women, the onset of depression preceded the cessation of breast-feeding. The severity of the illness did not appear to influence breast-feeding persistence significantly.
Breastfeeding and Depression: A systematic review of the literature
Journal of Affective Disorders, 2014
Background: Research has separately indicated associations between pregnancy depression and breastfeeding, breastfeeding and postpartum depression, and pregnancy and postpartum depression. This paper aimed to provide a systematic literature review on breastfeeding and depression, considering both pregnancy and postpartum depression. Methods: An electronic search in three databases was performed using the keywords: "breast feeding", "bottle feeding", "depression", "pregnancy", and "postpartum". Two investigators independently evaluated the titles and abstracts in a first stage and the full-text in a second stage review. Papers not addressing the association among breastfeeding and pregnancy or postpartum depression, non-original research and research focused on the effect of anti-depressants were excluded. 48 studies were selected and included. Data were independently extracted. Results: Pregnancy depression predicts a shorter breastfeeding duration, but not breastfeeding intention or initiation. Breastfeeding duration is associated with postpartum depression in almost all studies. Postpartum depression predicts and is predicted by breastfeeding cessation in several studies. Pregnancy and postpartum depression are associated with shorter breastfeeding duration. Breastfeeding may mediate the association between pregnancy and postpartum depression. Pregnancy depression predicts shorter breastfeeding duration and that may increase depressive symptoms during postpartum. Limitations: The selected keywords may have led to the exclusion of relevant references. Conclusions: Although strong empirical evidence regarding the associations among breastfeeding and pregnancy or postpartum depression was separately provided, further research, such as prospective studies, is needed to clarify the association among these three variables. Help for depressed pregnant women should be delivered to enhance both breastfeeding and postpartum psychological adjustment.
ORIGINAL RESEARCH Breast-Feeding and Postpartum Depression: Is There a Relationship?
2015
Objective: To study the relationship between breast-feeding cessation and the onset of postpartum depression. Method: The association between breast-feeding and depression was retrospectively examined in an obstetrical outpatient sample of 51 postpartum women who were suffering from major depression and who had stopped breast-feeding. Self-report questionnaire data were obtained from the subjects; the severity of the illness and the clinical course of each subject were evaluated. Results: The majority (39 out of 51; 83%) of the women reported that their depression began before the cessation of breast-feeding, while only 8 patients (17%) stated that their depression was subsequent to breast-feeding cessation. Conclusions: In an outpatient sample of depressed postpartum women, the onset of depression preceded the cessation of breast-feeding. The severity of the illness did not appear to influence breast-feeding persistence significantly. (Can J Psychiatry 1997;42:1061–1065) Key Words:...
Egyptian Journal of Health Care
Background: Early initiation of breast-feeding produce hormones that improve the mood of the mothers and reducing the risk of depression among them. It is one of the steps introduced by WHO\UNICEF's Baby Friendly Hospital Initiative (BFHI). Aim of the study: to evaluate the effect of early initiation of breast-feeding on the prevention of postpartum depression among puerperal women through an interventional program. Design: A Quasi-experimental design was utilized. Setting: This study conducted at university hospitals in one governorate of Delta region in Egypt. Sample: Simple random sample was used in this study. Three Instruments were used for data collection, an interviewing questionnaire, Edinburgh Postnatal Depression Scale (EPDS), and Checklist of early initiation of breast-feeding for the Puerperal women. Results: There was high (SSD) related to the scores of Edin-burg scale after applying the intervention program about early initiation of breast-feeding. In addition, there was an improvement in the scores of the women during breast feeding steps. Conclusion: intervention program about early initiation of breastfeeding succeeded in raising Edinburgh (EPDS) scores of puerperal women and in doing breastfeeding early during early post-partum period. Recommendations: Encourage all women to breast feed early as possible after labor, screening all women for postnatal depression and anxiety during post-partum. Future studiesare recommended on a large sample of puerperal women to be able to generalize the study results.
Breastfeeding and postpartum depression: state of the art review
Jornal de Pediatria (Versão em Português), 2013
Objective: To review the literature on the association between breastfeeding and postpartum depression. Sources: A review of literature found on MEDLINE/PubMed database. Summary of findings: The literature consistently shows that breastfeeding provides a wide range of benefits for both the child and the mother. The psychological benefits for the mother are still in need of further research. Some studies point out that pregnancy depression is one of the factors that may contribute to breastfeeding failure. Others studies also suggest an association between breastfeeding and postpartum depression; the direction of this association is still unclear. Breastfeeding can promote hormonal processes that protect mothers against postpartum depression by attenuating cortisol response to stress. It can also reduce the risk of postpartum depression, by helping the regulation of sleep and wake patterns for mother and child, improving mother's self-efficacy and her emotional involvement with the child, reducing the child's temperamental difficulties, and promoting a better interaction between mother and child. Conclusions: Studies demonstrate that breastfeeding can protect mothers from postpartum depression, and are starting to clarify which biological and psychological processes may explain this protection. However, there are still equivocal results in the literature that may be explained by the methodological limitations presented by some studies.
Breastfeeding Performance Among Potentially Depressed Nursing Mothers
Global Journal of Health Science
BACKGROUND: The maternal process is vulnerable for women to fall in an anxiety state that refers to postpartum depression. When symptoms appear, the possibility of depression during pregnancy will have a direct impact on the initiation of early breastfeeding and the termination of early breastfeeding. PURPOSES: This study aims to look at the relationship between the potential of postpartum depression and the performance of breastfeeding in nursing mothers. This study used a cross-sectional study approach, in one of the sub-districts in Makassar City with the lowest achievement of exclusive breastfeeding. METHODS: The study subjects were postpartum mothers who fulfilled 225 eligibility sampling throughout the period March-August 2018. Sociodemographic, social support, obstetric variables, potential maternal postpartum depression, and breastfeeding performance assessment were collected and analyzed using the chi-square test and independent-sample t-test. RESULTS: The study show that a...