Symptoms of postpartum depression and early interruption of exclusive breastfeeding in the first two months of life

Hasselmann, Maria Helena; Werneck, Guilherme Loureiro; Silva, Claudia Valéria Cardim da

doi:10.1590/s0102-311x2008001400019

Cited by 62 publications

(55 citation statements)

References 33 publications

(46 reference statements)

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“…The above findings are in line with national and international studies that reinforce the negative effect of PPD symptoms on the duration of breastfeeding, associating them with early weaning (7,11,20,28) and with the interference of low self-confidence to breastfeed in the symptoms of PPD. (11,29) The symptoms related to guilt, anxiety, concern and distress are present in the daily events, more prevalent among women in this study, and associated with the PPD.…”

Section: Discussionsupporting

confidence: 88%

“…Some studies show a negative relation, evidencing the greater chance of puerperal women with depressive symptoms weaning their babies early, while others show that weaning is prior to the onset of depressive symptoms, and relate hormonal changes and psychological aspects as risk factors for PPD. (7)(8)(9) According to Bandura's theory of self-efficacy, the way individuals interpret their feelings tends to modulate their behavior. (10) In other words, the confidence of puerperal women in their ability to feed their child through breastfeeding (called maternal self-efficacy to breastfeed) tends to be compromised by the occurrence of depressive symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Depressão pós-parto e autoeficácia materna para amamentar: prevalência e associação

et al. 2016

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Objective: To identify the prevalence of postpartum depression symptoms and the level of self-efficacy to breastfeed among puerperal women assisted at a Breastfeeding Incentive Center, and to analyze possible associations. Methods: A cross-sectional study with 208 women up to 60 days postpartum submitted to the Edinburgh Postpartum Depression Scale and the Self-Efficacy Scale for Breastfeeding. Results: Postpartum depression symptoms were present in 31.25% of women who presented medium (39.9%) and high (36.06%) levels of breastfeeding self-efficacy. The medium or high self-efficacy decreased the depression score by 27.4% or 38.8% respectively, while the high score on the postpartum depression scale reduced the self-efficacy score in breastfeeding by 11.84 points. Conclusion: The high prevalence of postpartum depression symptoms and self-efficacy for breastfeeding were evident in the studied population. The levels of postpartum depression symptoms and self-efficacy revealed a cause and effect association between themselves. ResumoObjetivo: Identificar a prevalência de sintomas de depressão pós-parto e o nível de autoeficácia para amamentar, entre puérperas atendidas num Centro de Incentivo ao Aleitamento Materno, e analisar possíveis associações. Métodos: Estudo transversal com 208 mulheres, até 60 dias pós-parto, submetidas à Escala de Depressão Pós-parto de Edinburgo e à Escala de Autoeficácia para Amamentar. Resultados: Sintomas de depressão pós-parto estiveram presentes em 31,25% das mulheres, que apresentaram níveis de autoeficácia para amamentar médio (39,9%) e alto (36,06%). Ter média ou alta autoeficácia diminui em 27,4% ou 38,8%, respectivamente, o escore de depressão, enquanto a elevada pontuação na escala de depressão pós-parto reduz em 11,84 pontos o escore da autoeficácia na amamentação. Conclusão: Prevalência elevada de sintomas de depressão pós-parto e de autoeficácia para amamentar foram evidenciados na população estudada. Os níveis de sintomas de depressão pós-parto e de autoeficácia revelaram associação de causa e efeito entre si.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Depressão pós-parto e autoeficácia materna para amamentar: prevalência e associação

et al. 2016

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“…They are unable to perform routine activities of daily living, much less care for the newborn. Thus, it seems unlikely that a mother who lives under conditions of severe violence would find the right environment and, given her own priorities, perhaps the willingness to perform such a demanding task as breast-feeding (8,(34)(35) . Interestingly, the independent effect of SPVP could not be ratified once the variables related to child health, use of health services during the prenatal period and the degree of maternal self-esteem were introduced.…”

Section: Discussionmentioning

confidence: 99%

Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding

Moraes

Oliveira

Reichenheim

et al. 2011

Public Health Nutr.

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Objective: To investigate the role of severe physical violence during pregnancy (SPVP) between intimate partners in early cessation of exclusive breast-feeding (EBF). Design: A health services survey. The revised Conflict Tactics Scale was used to characterize SPVP; premature breast-feeding cessation was identified using a current status data approach, which was based on the information reported from food recall during the preceding 7 d. The cumulative hazard function was estimated by complementary log-log transformation models, which allowed the ensuing estimation of early breast-feeding cessation rates in different age groups and the ratio of rates of weaning between women exposed and not exposed to violence. Setting: Five large public primary health-care facilities of Rio de Janeiro, Brazil. Subjects: The sample comprised 811 randomly selected mothers of children under 5 months of age who were waiting to be consulted. Results: SPVP is an independent risk factor of cessation of EBF since, after controlling for socio-economic, demographic, reproductive and lifestyle variables, women exposed to violence presented an incidence density that was 31 % higher than those who were not exposed (hazard ratio 5 1?30, 95 % CI 1?01, 1?69). Conclusions: The findings corroborate the hypothesis that SPVP is an important risk factor for EBF. This indicates the need for incentives to adequately train healthcare personnel in dealing with lactating women in order to gain a broader view of breast-feeding beyond the biological aspects of lactation, including the maternal psychological dimension.

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“…Secondly, perinatal depression can have a considerable impact on mothers' childcare abilities. Previous studies [9,26] reported that mothers with postpartum depression were less likely to breastfeed their children and more likely to give up exclusive breastfeeding than mothers without depression. Breastfeeding can strengthen the immune system of the child and it has been shown that children who are not breastfed have more acute respiratory infections than those who are not [13].…”

Section: Discussionmentioning

confidence: 99%

Association between perinatal depression in mothers and the risk of childhood infections in offspring: a population-based cohort study

et al. 2010

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BackgroundPrevious studies have suggested that children of mothers who experience depression during the perinatal period may have more infections, but such studies are few in number and none have been carried out in the United Kingdom (UK) population. The aim of this study was to investigate the association between perinatal depression in mothers and the risk of childhood infections in offspring in the UK general population.MethodsWe used data from The Health Improvement Network (THIN), a large database of electronic primary care medical records to conduct a cohort study among all first-born singleton children born and enrolled in THIN between 1988 and 2004. We used Poisson regression to compare the incidence of gastrointestinal infections and lower respiratory tract infections reported between birth and age 4 years among children of mothers with a record of perinatal depression with those born to mothers with no such history.ResultsChildren of mothers with perinatal depression had a 40% increased risk of gastrointestinal infections and a 27% increased risk of lower respiratory tract infections compared with children of mothers without perinatal depression (incidence rate ratios = 1.40 and 1.27; 95% confidence intervals 1.37-1.42 and 1.22-1.32, respectively). On restricting to antibiotic-treated infections there was a slight increase in the magnitude of association with gastrointestinal infections but a decrease in that with lower respiratory tract infections (incidence rate ratios = 1.47 and 1.19; 95% confidence intervals 1.34-1.61 and 1.11-1.27, respectively).ConclusionsMaternal perinatal depression is associated with increased rates of childhood gastrointestinal infections, particularly more severe infections, and lower respiratory tract infections in the UK. Preventing maternal perinatal depression may avoid substantial morbidity among offspring, although further work is also needed to investigate the detailed reasons for these findings.

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Symptoms of postpartum depression and early interruption of exclusive breastfeeding in the first two months of life

Cited by 62 publications

References 33 publications

Depressão pós-parto e autoeficácia materna para amamentar: prevalência e associação

Depressão pós-parto e autoeficácia materna para amamentar: prevalência e associação

Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding

Association between perinatal depression in mothers and the risk of childhood infections in offspring: a population-based cohort study

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