Symptoms of Postpartum Depression and Breastfeeding

Hatton, Deborah D.; Harrison-Hohner, J.; Coste, Sarah C.; Dorato, Veronica; Curet, Luis B.; McCarron, David A.

doi:10.1177/0890334405280947

Cited by 131 publications

(103 citation statements)

References 29 publications

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“…Likewise, the proposition that reduced maternal selfconfidence and self-esteem is sometimes in the path between SPVP and EBF seems quite tenable. This hypothesis is strengthened by connecting previous findings pointing out that low confidence and feelings of worthlessness are consistent with the long-term psychological consequences of SPVP victimization (38,39) , and with other studies indicating that the psychosocial wellbeing of women during pregnancy is an important protective factor for early weaning (5,(40)(41)(42)(43)(44)(45)(46)(47) . The importance of maternal self-esteem as a mediator of the relationship between SPVP and EBF is also reasonable when comparing the gradual effects of introducing the dimensions in the multivariate model.…”

Section: Discussionsupporting

confidence: 84%

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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Section: Discussionsupporting

confidence: 84%

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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“…According to Henderson et al 14 , women with postpartum depression at any time in the 12 months of follow-up showed greater probability of suspending breastfeeding than women without depression. Additionally, according to Hatton et al 10 , mothers with depressive symptoms at six weeks after childbirth are less likely to breastfeed. Specifically, postpartum depression appears to be associated with mothers' increased difficulty in initiating breastfeeding 10 .…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, according to Hatton et al 10 , mothers with depressive symptoms at six weeks after childbirth are less likely to breastfeed. Specifically, postpartum depression appears to be associated with mothers' increased difficulty in initiating breastfeeding 10 .…”

Section: Discussionmentioning

confidence: 99%

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

2008

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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 the first month, postpartum depression was not associated with interruption of exclusive breastfeeding in the second month (RR = 1.44; 95%CI: 0.68-3.06). The results indicate the importance of maternal mental health for the success of exclusive breastfeeding.

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“…Foi uma coorte de 429 bebês acompanhados a partir do 20º dia de nascimento no Rio de Janeiro que observou um risco maior de interrupção do aleitamento materno exclusivo no primeiro e segundo meses após o parto para aquelas crianças cujas mães estavam deprimidas 48 . Quando os sintomas depressivos já são intensos no início do período puerperal, parece haver chance ainda maior de suspensão do aleitamento 49 .…”

Section: Depressão Pós-parto (Dpp)unclassified

Transtornos psiquiátricos no pós-parto

Cantilino¹,

Zambaldi²,

Sougey³

et al. 2010

Rev. psiquiatr. clín.

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ResumoObjetivo: O pós-parto é um período de alterações biológicas, psicológicas e sociais. Essa é considerada a época mais vulnerável para a ocorrência de transtornos psiquiátricos. A disforia puerperal, a depressão pós-parto e a psicose pós-parto têm sido classicamente relacionadas ao pós-parto. Atualmente, tem sido observado que os transtornos ansiosos também estão associados a esse período. Método: Neste artigo é feita uma revisão da bibliografia acerca de transtornos psiquiátricos no pós-parto a partir de artigos encontrados no PubMed e no SciELO entre os anos de 2000 e 2009. Livros, teses e outros artigos considerados relevantes citados no material consultado também foram incluídos. Resultados: A disforia puerperal ocorre em 50% a 85% das mulheres, o quadro é leve e transitório e não requer tratamento. A depressão pós-parto tem prevalência em torno de 13%, pode causar repercussões negativas na interação mãe-bebê e em outros aspectos da vida da mulher e deve ser tratada. A psicose pós-parto é rara, aparecendo em cerca de 0,2% das puérperas. Tem quadro grave que envolve sintomas psicóticos e afetivos, havendo risco de suicídio e infanticídio e geralmente requerendo internação hospitalar. Os transtornos ansiosos podem ser exacerbados ou precipitados no pós-parto, especialmente o transtorno de ansiedade generalizada, o transtorno de estresse pós-traumático e o transtorno obsessivo-compulsivo. Conclusão: Apesar de não serem reconhecidos como entidades diagnósticas pelos sistemas classificatórios atuais, os transtornos mentais no puerpério apresentam peculiaridades clínicas que merecem atenção por parte de clínicos e pesquisadores.Cantilino A, et al. / Rev Psiq Clín. 2010;37(6):278-84 Palavras-chave: Transtornos psiquiátricos, pós-parto, depressão, ansiedade, psicose. AbstractObjective: The postpartum period is marked by biological, psychological and social changes. Women are considered most susceptible to psychiatric disorders during the postpartum period. Puerperal blues, postpartum depression and postpartum psychosis have been classically associated to the postpartum. Anxiety disorders have also recently been associated to this period. Method: The present article reports a review of the literature on postpartum psychiatric disorders based on articles found on the PubMed and SciELO databases, published between 2000 and 2009. Relevant books, theses and other articles cited in the articles found were also included in this review. Results: Puerperal dysphoria occurs in 50% to 85% of women following childbirth and is typically mild and transient in nature and requires no treatment. Postpartum depression has a prevalence rate of around 13% and can have negative repercussions on mother-infant interaction and other life events and must therefore be treated. Postpartum psychosis is rare, occurring in approximately 0.2% of puerperium cases. This condition is severe with psychotic and affective symptoms as well as risk of suicide and infanticide. Postpartum psychosis patients generally require hospital treatment. Anxi...

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Symptoms of Postpartum Depression and Breastfeeding

Cited by 131 publications

References 29 publications

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

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

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

Transtornos psiquiátricos no pós-parto

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