Relationship between postpartum depression and lactation status at a Japanese perinatal center: A cross-sectional study

Abstract

Background: Some studies have demonstrated that breastfeeding can protect mothers from postpartum depression; therefore, we examined the association between postpartum depression and lactation status at one month after delivery at a Japanese perinatal center. Methods: We reviewed the obstetric records of all (total 809) nulliparous healthy women with vaginal singleton delivery at 37-41 weeks’ gestation at our institute between July 2018 and June 2019. A face-to-face interview with the women was conducted on admission for delivery to ask whether or not they hoped to perform exclusive breastfeeding for their babies, and an additional interview was conducted one month after delivery to ask about their feeding methods currently. Maternal mental status was examined based on the scores using the Edinburgh Postnatal Depression Scale (EPDS), and women with EPDS scores of ≥9 points were regarded as ‘positive screening’. Results: 592 women (73.1%) hoped to perform exclusive breastfeeding for their babies on admission. Of these, at one month, 442 (74.7%) performed exclusive breastfeeding, while 150 (25.3%) performed mixed or artificial feeding. The average EPDS scores and the incidence of EPDS scores ≥9 points in the women performing exclusive breastfeeding were 4.3 ± 3.6 and 14.3% (63/442), respectively. They did not differ from those in the women performing mixed or artificial breast feeding [4.2 ± 3.7, p = 0.60 and 13.3% (20/150), p = 0.78]. Conclusion: Development of postpartum depression does not seem to be associated with incomplete breastfeeding at our hospital, and therefore there are other risk factors indicated in the development of postpartum depression.

Effect of Acupoint Hot Compress on Postpartum Urinary Retention After Vaginal Delivery

“… 28 Although breastfeeding can protect individuals from postpartum depression, it was not found to be associated with incomplete breastfeeding in some studies, and there were other risk factors for postpartum depression. 29 In the early postpartum period, mothers and infants navigate a critical neuroendocrine transition from pregnancy to lactation, and the shared neuroendocrine mechanism is hypothesized to contribute to both lactation failure and perinatal mood disorders. 30 In this trial, we found that acupoint hot compress significantly increased the breastfeeding milk volume when measured at 28.5, 52.5, and 76.5 hours after delivery, and depressive symptoms were significantly decreased when measured at 76.5 hours.…”

Kesehatan Mental Perinatal Dan Luaran Menyusui

“…Terdapat dua penelitian dalam studi literatur ini yang tidak membuktikan hubungan antara kesehatan mental maternal dan praktik menyusui. Penelitian (Suzuki, 2020) Sebagian besar penelitian longitudinal yang menggunakan jumlah sampel besar memperlihatkan hubungan antara kesehatan mental perinatal terhadap luaran menyusui. Penelitian longitudinal lainnya juga menjelaskan adanya hubungan kasualitas dua arah antara kesehatan mental perinatal dan luaran menyusui.…”