Maternal depressive symptoms at three months postpartum and breastfeeding rates at six months postpartum: Implications for primary care in a prospective cohort study of primiparous women in Australia

Woolhouse, Hannah; James, Jennifer; Gartland, Deirdre; McDonald, Ellie; Brown, Stephanie

doi:10.1016/j.wombi.2016.05.008

Cited by 42 publications

(38 citation statements)

References 20 publications

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“…Pediatricians believe that most mothers have a desire to breastfeed their infants, even though they have also observed that formula feeding has become more common. The pediatricians interviewed by the present study noted various factors affecting mothers' decisions not to breastfeed or to stop breastfeeding early, including mental health conditions, the use of prescriptions drugs, and socioeconomic conditions are known to be factors associated with shorter breastfeeding duration, as are depression, anxiety, low educational levels, low income levels and smoking (21,22). In addition, high body mass index (BMI) and obesity have been associated with shorter breastfeeding duration (21,23).…”

Section: Discussionmentioning

confidence: 76%

Pediatricians’ experiences of working with breastfeeding: An interview study

Melin

Björklund

Zwedberg

2018

Sexual & Reproductive Healthcare

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Section: Discussionmentioning

confidence: 76%

Pediatricians’ experiences of working with breastfeeding: An interview study

Melin

Björklund

Zwedberg

2018

Sexual & Reproductive Healthcare

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“…In addition, Yu et al 16 used almost the same intervention method and drug dose as those used in this trial, showing that DEX in the early postpartum period significantly reduced the incidence of postpartum depression within 7 days and 42 days. Early postpartum depression can lead to the interruption or abandonment of exclusive breastfeeding, 26,27 which means that DEX can improve early breastfeeding by reducing the incidence of postpartum depression.…”

Section: Discussionmentioning

confidence: 99%

<p>Impact of Intraoperative Infusion and Postoperative PCIA of Dexmedetomidine on Early Breastfeeding After Elective Cesarean Section: A Randomized Double-Blind Controlled Trial</p>

Wang

Fang

Liu

et al. 2020

DDDT

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Objective: Few studies have investigated the effects of dexmedetomidine (DEX) on breastfeeding after cesarean delivery. A randomized double-blind controlled trial was conducted to investigate whether the administration of DEX, immediately after delivery and for patient-controlled intravenous analgesia (PCIA), can be beneficial for breastfeeding. Patients and Methods: One hundred sixty parturients scheduled for elective cesarean section under spinal anesthesia were randomly allocated to the DEX group (a loading dose of DEX was pumped at 0.5 μg/kg within 10 min, followed by a further infusion of DEX at 0.5 μg/kg/h until the end of the surgery and PCIA for 2 days with DEX plus sufentanil) or the standard care group (infusion saline intraoperatively, and PCIA for 2 days with sufentanil). The number of days required to switch to exclusive breastfeeding within six weeks of delivery, the time to first lactation and breast milk volume on day 1 and day 2 after delivery were recorded. Recovery quality, comfort, anxiety, depression, postoperative analgesia, and adverse reactions of parturients were also assessed. Results: Compared with the standard care group, parturients in the DEX group could be converted to exclusive breastfeeding earlier (11 [14] vs 8 [10] days, log-rank P=0.025), the first lactation time was sooner (28.38 [13.82] vs 33.79 [14.85] hrs, P=0.024), and the amount of breast milk on the second day after delivery increased (P=0.012). There was no difference between the two groups in postpartum uterine contraction pain, but postpartum rest and movement VAS scores and recovery quality score in the DEX group were better than those in the standard care group (all P<0.05). Moreover, the hospital anxiety and depression scale and anxiety subscale score on the second day after delivery and the comfort score on the third day after delivery in the DEX group were significantly better than those in the standard care group (5 [5] vs 6 [8], 2 [2] vs 3 [3], 83.58 [6.75] vs 80.48 [6.58]; P=0.013, P=0.005, P=0.006, respectively). The incidence of adverse events, such as bradycardia, vomiting, hypersomnia, hypertension and hypotension, was not significantly different between the DEX and standard care groups (6.9% vs 2.7%, 5.6% vs 13.7%, 4.2% vs 0%, 5.6% vs 2. 7%, 11.1% vs 8.2%; P=0.275, P=0.158, P=0.366, P=0.681, P=0.556, respectively), except more parturients experienced nausea in the standard care group than in the DEX group (28.8% vs 11.1%, P=0.012). Furthermore, there was no difference in Neonatal Behavioral Neurological Assessment scores on the first and second days after delivery between the DEX and standard care groups (38 [3] vs 37 [2], 38.5 [2] vs 38 [2]; P=0.173, P=0.312, respectively). Conclusion: The application of DEX in the perioperative period of cesarean section was not only conducive to the early conversion of infant feeding to exclusive breastfeeding but could also improve the recovery quality and comfort of the parturient, optimize analgesia, shorten the time to first lactation, and increase lactation.

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“…From the mothers' perspective, it has been suggested that satisfaction with breastfeeding is a success factor for this practice [4], and that it is influenced by aspects related to the quality of the experience of each woman, the infant's ability to nurse, maternal self-confidence, early maternal satisfaction resulting from skin-to-skin contact, stay in rooming-in settings, and encouragement to breastfeed on demand [5][6][7], not to mention the physical and mental health of the breastfeeding woman [8].…”

Section: Introductionmentioning

confidence: 99%

Association between maternal satisfaction with breastfeeding and postpartum depression symptoms

et al. 2020

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Background Due to the multiple health benefits of breastfeeding, it is essential to identify factors that may negatively interfere with this healthy practice. Among such factors are postpartum depression (PPD) and maternal satisfaction with breastfeeding. The objective of this study was to evaluate the association between maternal satisfaction with breastfeeding and symptoms of PPD in the first month after childbirth. Methods This cross-sectional study nested in a cohort study was conducted in Porto Alegre, Brazil, with 287 puerperal women selected at two maternity hospitals, one public and one private. Women were interviewed at their homes the week after the infant completed 30 days of life. A structured questionnaire was applied, as well as instruments to evaluate maternal satisfaction with breastfeeding (Maternal Breastfeeding Evaluation Scale) and to screen for PPD (Edinburgh Postnatal Depression Scale). The association between higher satisfaction with breastfeeding (outcome) and negative PPD screening test was assessed using Poisson regression with robust variance, adjusting for specific covariables. Adjusted prevalence ratios (aPR) and respective 95% confidence intervals (95%CI) were estimated. Results The prevalence of increased satisfaction with breastfeeding (defined as women with scores above the median) was 47% higher among women who screened negative for PPD when compared to those with a positive result (aPR 1.47; 95%CI 1.01–2.16). This result was adjusted for maternal age and skin color, cohabitation with the infant’s father, planned pregnancy, type of delivery, exclusive breastfeeding, and occurrence of breastfeeding problems. Conclusions The findings of this study showed an association between higher maternal satisfaction with breastfeeding and absence of PPD symptoms, reinforcing the importance of caring for the mental health of pregnant and puerperal women and paying attention to their satisfaction with breastfeeding.

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Maternal depressive symptoms at three months postpartum and breastfeeding rates at six months postpartum: Implications for primary care in a prospective cohort study of primiparous women in Australia

Cited by 42 publications

References 20 publications

Pediatricians’ experiences of working with breastfeeding: An interview study

Pediatricians’ experiences of working with breastfeeding: An interview study

<p>Impact of Intraoperative Infusion and Postoperative PCIA of Dexmedetomidine on Early Breastfeeding After Elective Cesarean Section: A Randomized Double-Blind Controlled Trial</p>

Association between maternal satisfaction with breastfeeding and postpartum depression symptoms

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