The Role of Perinatal Anxiety and Depression in Breastfeeding Practices

Coo, Soledad; García, María Ignacia; Mira, Andrea; Valdés, Verónica

doi:10.1089/bfm.2020.0091

Cited by 24 publications

(19 citation statements)

References 36 publications

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“…Shari et al found that women with depressive symptoms and anxiety during pregnancy were less likely to implement breastfeeding [13]. Similar results were reported in a study by Coo [14]. However, other studies have demonstrated contrasting results, indicating that EBF practice is not associated with maternal mood symptoms during pregnancy [15,16].…”

Section: Introductionmentioning

confidence: 54%

Association of Maternal Mood Symptoms in Pregnancy with Exclusive Breastfeeding at Six Weeks Postpartum: A Cross-Sectional Study

Lai

Peng

Yao

et al. 2021

Preprint

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Background: Previous studies have shown that postpartum depression negatively affects breastfeeding practices. However, it is not clear whether maternal mood symptoms during pregnancy affect exclusive breastfeeding (EBF) behavior. Our study aimed to quantify the relationship between maternal mood symptoms (depression/anxiety) during pregnancy and EBF.Methods: A cross-sectional study was conducted at Baoan Maternal and Child Health Hospital, Shenzhen, China, from January 1, 2016, to December 31, 2016, among women who had delivered in the hospital and completed the 6-week postpartum visit. A structured questionnaire was designed to collect information on maternal mood symptoms during pregnancy and EBF status at 6 weeks postpartum. Logistic regression models were used to evaluate the associations between maternal mood symptoms (depression/anxiety) during pregnancy and EBF at 6 weeks postpartum.Results: In total, 6324 women were included in this study. In univariate analysis, we observed that depression during pregnancy was associated with a reduced risk for EBF (OR = 0.66; 95% CI: 0.54-0.81; P < 0.001). In the fully adjusted model, depression during pregnancy was still significantly associated with a reduced risk of EBF (OR=0.69; 95% CI: 0.56–0.86; P < 0.001). However, there was no significant difference in the rate of EBF between the anxiety and non-anxiety groups of women (OR=0.88; 95% CI: 0.77–1.01; P > 0.05). Conclusion: We believe that our findings confirm the adverse impact of maternal depression during pregnancy on EBF behavior. Therefore, to improve conditions for breastfeeding of infants, additional attention should be paid to women with depressive symptoms during pregnancy.

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Section: Introductionmentioning

confidence: 54%

Association of Maternal Mood Symptoms in Pregnancy with Exclusive Breastfeeding at Six Weeks Postpartum: A Cross-Sectional Study

Lai

Peng

Yao

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…This study concluded that both depression and anxiety of the mother have a negative effect on breastfeeding ability (53). In a study in the Maldives, Abdul Raheem et al found that prenatal depression at the week 36 of pregnancy was associated with a delayed initiation of breastfeeding; and postpartum depression was associated with a shorter duration of exclusive breastfeeding or any type of breastfeeding (54).…”

Section: Discussionmentioning

confidence: 94%

A Study of the Predictors of Breastfeeding Self-Efficacy in Mothers During the Covid-19 Pandemic

Beheshti

Alimoradi

Bahrami

2021

Preprint

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Background and Purpose: Breastfeeding has a vital role in ensuring the health of mother and infant, and ultimately the health of society. Breastfeeding self-efficacy is a strong predictor of the duration of breastfeeding, which in a variety of situations - including crises - may be affected by a number of factors. The aim of this study is to determine the predictors of breastfeeding self-efficacy in breastfeeding mothers during the Covid-19 pandemic.Materials and Methods: A cross-sectional study was conducted with the participation of 300 breastfeeding mothers whose children were breastfed during the Covid-19 pandemic. Sampling was based on convenience sampling and online method using a checklist of personal and social characteristics and breastfeeding self-efficacy questionnaires, spouse postpartum social support, perceived social support, anxiety and depression, and fear of Covid-19. Data were analyzed using Pearson correlation coefficient, one-way ANOVA and multi variable linear regression model via stepwise method. Significance level in this study was considered to be 0.05.Results: The mean breastfeeding self-efficacy score among participants was 58.19±10.48 (out of 70). Spouse postpartum social support (β = 0.732, p =0.04), intention to breastfeed (p = 0.001, β = 0.17), use of formula while breastfeeding (β = - 0.09, p<0.001), and depression (β = - 0.11, p<0.001), were predictors of breastfeeding self-efficacy. But fear of Covid-19 was not significantly correlated with breastfeeding self-efficacy (p = 0.514).Conclusion: The results of the present study showed that spouse postpartum social support and having the intention of breastfeeding with a positive effect; and depression and simultaneous use of formula in feeding the infant with a negative effect; are predictors of women’s breastfeeding self-efficacy during the Covid-19 pandemic. It seems that breastfeeding can be improved by counseling to improve receiving the spouse support, increasing the breastfeeding intent, and reducing the depression.

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“…Nine studies on the association between antepartum depression and exclusive breastfeeding at 3 to 6 months postpartum were identified. Most of these studies measured antepartum depression during either the second or third trimester (Abdul Raheem et al, 2019; Ahlqvist-Björkroth et al, 2016; Coo et al, 2020; Figueiredo et al, 2014; Kang et al, 2020; Rahman et al, 2016), with one assessing this during the first trimester (Do et al, 2021). Two studies assessed antepartum depression during more than two trimesters (Figueiredo et al, 2014; Verbeek et al, 2019).…”

Section: Resultsmentioning

confidence: 99%

“…One study measured depression at unknown timepoints (Farías-Antúnez et al, 2020). The conclusions from eight of these studies were as follows: (1) three studies indicated that depressed mothers had a shorter duration of exclusive breastfeeding or a higher risk of nonexclusive breastfeeding compared with mothers without depression (Abdul Raheem et al, 2019; Farías-Antúnez et al, 2020; Rahman et al, 2016), (2) two studies indicated that women who were not breastfeeding exclusively had significantly more depression symptoms (Coo et al, 2020; Verbeek et al, 2019), (3) two studies indicated that women with antepartum depression had a significantly higher risk of nonexclusive breastfeeding (Do et al, 2021; Kang et al, 2020), and (4) one study indicated that depression scores during the third trimester were the strongest predictor of exclusive-breastfeeding duration (Figueiredo et al, 2014). Only one study indicated that antepartum depression did not significantly predict the duration of exclusive breastfeeding (Ahlqvist-Björkroth et al, 2016).…”

Section: Resultsmentioning

confidence: 99%

The Impact of Antepartum Depression and Postpartum Depression on Exclusive Breastfeeding: A Systematic Review and Meta-Analysis

2021

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The aim of this study was to systematically review the impact of antepartum depression on exclusive breastfeeding. A total of 15 studies were included in the review and 12 studies were used for the meta-analysis. The mean values of antepartum depression indicated that women who breastfed exclusively between 3 and 6 months had less antepartum depression symptoms (Mean Difference = −0.55, 95% CI = −0.76 to −0.35). The analysis also showed that the existence of antepartum depression was negatively related to continuing exclusive breastfeeding for longer than 3 months postpartum as well as for 8 weeks postpartum (OR = 0.48, 95% CI = 0.26–0.88 and OR = 0.83, 95% CI = 0.75–0.91, respectively). The cumulative evidence is conclusive that antepartum depressive symptoms are negatively associated with exclusive breastfeeding, particularly between 3 and 6 months postpartum. This review supports the necessity of screening and follow-up for depression throughout the perinatal period to promote exclusive breastfeeding for 6 months.

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The Role of Perinatal Anxiety and Depression in Breastfeeding Practices

Cited by 24 publications

References 36 publications

Association of Maternal Mood Symptoms in Pregnancy with Exclusive Breastfeeding at Six Weeks Postpartum: A Cross-Sectional Study

Association of Maternal Mood Symptoms in Pregnancy with Exclusive Breastfeeding at Six Weeks Postpartum: A Cross-Sectional Study

A Study of the Predictors of Breastfeeding Self-Efficacy in Mothers During the Covid-19 Pandemic

The Impact of Antepartum Depression and Postpartum Depression on Exclusive Breastfeeding: A Systematic Review and Meta-Analysis

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