A history of depression and prenatal depression are associated with a lower likelihood of breastfeeding initiation and maintenance, and more breastfeeding problems.

IF 3.2 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health Pub Date : 2024-06-05 DOI:10.1007/s00737-024-01479-5

Elizabeth C Braithwaite, Aurora Oftedal, Anne Kaasen, Ziada Ayorech, Mona Bekkhus

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引用次数: 0

Abstract

Purpose: This study tests the hypotheses that lifetime history of depression, and prenatal depression, are associated with a reduced likelihood of breastfeeding initiation (giving the baby any breastmilk during the first week of life) and breastfeeding maintenance (giving the baby breastmilk for at least 6 months), and a greater likelihood of reporting breastfeeding problems.

Methods: We analyzed data from the Norwegian Mother, Father, and Child cohort study (MoBa), N = 78,307. Mothers reported a lifetime history of depression during the second trimester of pregnancy, and current symptoms of depression during the third trimester using the Hopkins Symptoms Checklist short version (SCL-8). At six months postpartum, mothers self-reported breastfeeding initiation, maintenance, and difficulties.

Results: Using binary logistic regression analyses, we report that a lifetime history of depression is associated with a lower likelihood of breastfeeding initiation (OR = 0.751, 95%CI = 0.650-0.938), breastfeeding maintenance (OR = 0.712, 95%CI = 0.669-0.785), and a greater likelihood of breastfeeding difficulties (OR = 1.86, 95%CI = 1.72-2.06). Similarly, prenatal depression was associated with a lower likelihood of breastfeeding initiation (OR = 0.904, 95%CI = 0.878-0.929), breastfeeding maintenance (OR = 0.929, 95%CI = 0.920-0.938), and a greater likelihood of breastfeeding difficulties (OR = 1.10, 95%CI = 1.09-1.12). Results remained largely unchanged when covaried for several confounding variables, including medication use.

Conclusion: We provide novel evidence that pre-conception and prenatal symptoms of depression are associated with breastfeeding outcomes. This information could be used to identify women very early in pregnancy who may need additional support with breastfeeding. There is also a need to fully understand the biopsychosocial mechanisms that mediate the relationship between depression prior to birth and breastfeeding outcomes.

查看原文本刊更多论文

抑郁症病史和产前抑郁与开始和维持母乳喂养的可能性较低以及母乳喂养问题较多有关。

目的：本研究检验了以下假设：终生抑郁史和产前抑郁与母乳喂养开始（在婴儿出生后的第一周内给婴儿喂母乳）和母乳喂养维持（给婴儿喂母乳至少6个月）的可能性降低以及报告母乳喂养问题的可能性增加有关：我们分析了挪威母亲、父亲和儿童队列研究（MoBa）的数据，N = 78 307。母亲们在怀孕的第二个三个月报告了一生中的抑郁症史，并在怀孕的第三个三个月使用霍普金斯症状检查表简版（SCL-8）报告了目前的抑郁症状。产后六个月时，母亲们对母乳喂养的开始、维持和困难进行了自我报告：通过二元逻辑回归分析，我们发现终生抑郁史与母乳喂养开始的可能性较低（OR = 0.751，95%CI = 0.650-0.938）、母乳喂养维持的可能性较高（OR = 0.712，95%CI = 0.669-0.785）以及母乳喂养困难的可能性较高（OR = 1.86，95%CI = 1.72-2.06）有关。同样，产前抑郁与母乳喂养开始的可能性较低（OR = 0.904，95%CI = 0.878-0.929）、母乳喂养维持的可能性较高（OR = 0.929，95%CI = 0.920-0.938）以及母乳喂养困难的可能性较高（OR = 1.10，95%CI = 1.09-1.12）有关。在与包括用药在内的几个混杂变量进行协方差分析后，结果基本保持不变：我们提供了孕前和产前抑郁症状与母乳喂养结果相关的新证据。这一信息可用于在怀孕早期识别出可能需要额外母乳喂养支持的妇女。我们还需要充分了解产前抑郁与母乳喂养结果之间的生物心理社会机制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Women's Mental Health 医学-精神病学

CiteScore

8.00

自引率

4.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.