A prospective study of the relationship between breastfeeding and postpartum depressive symptoms appearing at 1–5 months after delivery

Nishioka, Emiko; Haruna, Megumi; Ota, Erika; Matsuzaki, Masayo; Murayama, Ryoko; Yoshimura, Kenichi; Murashima, Sachiyo

doi:10.1016/j.jad.2011.04.027

Cited by 71 publications

(65 citation statements)

References 18 publications

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“…Maternal perinatal depressive symptoms have been associated with a decrease in intention, initiation and maintenance of breastfeeding [16,17,52]. Our results support the study of Nishioka et al [53] which reasoned that the appearance of depressive symptoms seems to promote discontinuation of breastfeeding postpartum. Contrariwise, women with negative early breastfeeding experiences are more likely to develop depressive symptoms at 2 months postpartum [54].…”

Section: Variables Associated With Impaired Breastfeeding Maintenancesupporting

confidence: 90%

Predictors of impaired breastfeeding initiation and maintenance in a diverse sample: what is important?

Wallwiener

Müller

Doster

et al. 2015

Arch Gynecol Obstet

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Successful initiation and maintenance of breast feeding is a multifactorial process. Our results underline the need of interdisciplinary approaches to optimise breastfeeding outcomes by demonstrating the equality of medical and psychological variables. Whereas practices on maternity wards are crucial for optimal initiation, continuous lifestyle modifying and supporting approaches are essential for breastfeeding maintenance. Healthcare providers can also significantly influence breastfeeding initiation and maintenance by counselling on the importance of maternal BMI.

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Section: Variables Associated With Impaired Breastfeeding Maintenancesupporting

confidence: 90%

Predictors of impaired breastfeeding initiation and maintenance in a diverse sample: what is important?

Wallwiener

Müller

Doster

et al. 2015

Arch Gynecol Obstet

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“…This finding differs from those seen in other studies, which show that higher EPDS scores were associated with cessation of breastfeeding [32–34]. Likewise, a systematic review of existing literature on breastfeeding and maternal depression has shown that both pregnancy and postpartum depression predict shorter breastfeeding durations [35].…”

Section: Discussioncontrasting

confidence: 72%

Investigating factors associated with success of breastfeeding in first-time mothers undergoing epidural analgesia: a prospective cohort study

et al. 2018

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BackgroundWe investigated the possible risk factors that could influence the likelihood of breastfeeding at 5 to 9 weeks postpartum with our primary aim being to analyse the associations between psychological vulnerabilities, such as peripartum depression and anxiety, and continued breastfeeding. Our secondary aim was to investigate other non-psychological factors’ influence on continued breastfeeding.MethodsA prospective cohort study was conducted in KK Women’s and Children’s Hospital in Singapore. Healthy nulliparous parturients at ≥36 weeks gestation with a singleton fetus who received epidural analgesia were recruited. Demographic and anaesthetic data were obtained. Self-reported psychological and pain determinants such as anxiety (State-Trait Anxiety Inventory), depression (Edinburgh Postnatal Depression Scale), stress (Perceived Stress Scale), pain susceptibility (Pain Catastrophizing Scale) and pain perception (McGill Pain Questionnaire) were also recorded at baseline. A phone interview was then performed at 5 to 9 weeks postpartum to obtain information on breastfeeding status.Results329 participants were included into this study, of which 263 (79.9%) of them were still breastfeeding at 5 weeks postpartum. Multivariate logistic regression analysis showed that a higher State-Trait Anxiety Inventory score (Adjusted Odds Ratio [AOR] 0.97; 95% Confidence Interval [CI] 0.94, 1.00) at baseline, higher intrapartum blood loss (AOR 0.76; 95% CI 0.61, 0.93), and occurrence of fetal anomalies (AOR 0.15; 95% CI 0.03, 0.72) were associated with reduced likelihood of breastfeeding at 5 to 9 weeks postpartum. Indians (AOR 0.56; 95% CI 0.20, 1.53), Malays (AOR 0.30; 95% CI 0.14, 0.62) and other ethnicities (AOR 0.36; 95% CI 0.16, 0.83) were less likely to continue breastfeeding compared to Chinese participants. On the other hand, receiving any support services on breastfeeding during the participants’ hospital stay was 3.3 times more likely (AOR 3.30; 95% CI 1.21, 9.02) to increase the likelihood of breastfeeding at 5 to 9 weeks postpartum.ConclusionWe identified 5 independent association factors that could have significant influences on breastfeeding at 5 to 9 weeks postpartum. Healthcare providers could utilize this risk stratification to identify parturients likely to have poorer breastfeeding outcomes and undertake interventions that may help safeguard optimization of breastfeeding outcomes and parturient care.Trial registrationClinicaltrials.gov NCT02278601. Registered 26 October 2014.Electronic supplementary materialThe online version of this article (10.1186/s13006-018-0184-7) contains supplementary material, which is available to authorized users.

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“…The percentage of cesarean sections among participants (11.0%) was lower than the 2011 average rate (19.2%) in Japan [30], as was the rate of depression (7.8% vs. 16-20%, respectively) [31,32]; this is most likely because the facilities that participated in our study treat low-risk deliveries only. Despite these slight differences, we believe that our study population represents the actual situation of bonding in Japanese mothers who deliver nearterm, healthy babies since the age range of the participants covered nearly the full fertility period and because the Japanese are a single race and culture with similar child-raising practices throughout the country.…”

Section: Discussionmentioning

confidence: 74%

The Japanese version of the Postpartum Bonding Questionnaire: Examination of the reliability, validity, and scale structure

Suetsugu

Honjo

Ikeda

et al. 2015

Journal of Psychosomatic Research

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A prospective study of the relationship between breastfeeding and postpartum depressive symptoms appearing at 1–5 months after delivery

Cited by 71 publications

References 18 publications

Predictors of impaired breastfeeding initiation and maintenance in a diverse sample: what is important?

Predictors of impaired breastfeeding initiation and maintenance in a diverse sample: what is important?

Investigating factors associated with success of breastfeeding in first-time mothers undergoing epidural analgesia: a prospective cohort study

The Japanese version of the Postpartum Bonding Questionnaire: Examination of the reliability, validity, and scale structure

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