Exploring the relationship between breastfeeding and psychological well-being after traumatic childbirth: a secondary analysis of the PERCEIVE study data.

IF 2.6 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-31 Epub Date: 2025-11-30 DOI:10.1080/0167482X.2025.2588223

Theresia Margaretha Nicole Manshanden, Y M G A Hendrix, Fedde Scheele, Joost Velzel, Mariëlle G van Pampus

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引用次数: 0

Abstract

Background: The relation between maternal mental health and breastfeeding is complex, with breastfeeding often associated with improved well-being.

Objective: This study investigates associations between breastfeeding outcomes and psychological well-being in women with traumatic birth experience (TBE).

Methods: This exploratory secondary analysis utilized data from the PERCEIVE randomized controlled trial, which assessed the effectiveness of early eye movement desensitization and reprocessing (EMDR) therapy on posttraumatic stress disorder (PTSD) symptoms after TBE. Women with self-reported TBE (n = 143) were recruited between 2020 and 2023 from a hospital and midwifery practices in the Netherlands. Breastfeeding status was assessed at two (T0) and nine (T1) weeks postpartum. Outcomes were assessed using validated questionnaires on mother‒infant bonding (PBQ), PTSD symptoms (PCL-5), depression (EPDS), fear of childbirth (W-DEQ-B), and quality of life (WHOQOL-BREF).

Results: Among 143 participants, 126 initiated breastfeeding. At T0, breastfeeding women reported fewer symptoms of mother‒infant bonding difficulties, compared with non-breastfeeding women, p = 0.004. At T1, descriptive analyses found that participants who stopped breastfeeding reported more PTSD and depression symptoms.

Conclusions: Our findings suggest that breastfeeding enhances mother-infant bonding after TBE. The weaker bonding reported in nonbreastfeeding participants, coupled with possible poorer mental health outcomes, underscores the need for targeted interventions to support breastfeeding and bonding in this population.

查看原文本刊更多论文

探索创伤性分娩后母乳喂养与心理健康之间的关系：对感知研究数据的二次分析。

背景：母亲心理健康与母乳喂养之间的关系是复杂的，母乳喂养往往与改善幸福感有关。目的：本研究探讨创伤性分娩（TBE）妇女母乳喂养结果与心理健康之间的关系。方法：本探索性的二次分析利用了感知随机对照试验的数据，该试验评估了早期眼动脱敏和再加工（EMDR）治疗TBE后创伤后应激障碍（PTSD）症状的有效性。自报告TBE的妇女（n = 143）在2020年至2023年间从荷兰的一家医院和助产诊所招募。在产后2周（T0）和9周（T1）评估母乳喂养状况。结果通过母婴关系（PBQ）、PTSD症状（PCL-5）、抑郁（EPDS）、分娩恐惧（W-DEQ-B）和生活质量（WHOQOL-BREF）问卷进行评估。结果：143名参与者中，126人开始母乳喂养。在10岁时，与非母乳喂养的妇女相比，母乳喂养的妇女报告的母婴关系困难症状较少，p = 0.004。在第一阶段，描述性分析发现停止母乳喂养的参与者报告了更多的创伤后应激障碍和抑郁症状。结论：我们的研究结果表明，母乳喂养增强了创伤后母婴关系。据报道，非母乳喂养参与者的联系较弱，再加上可能较差的心理健康结果，强调需要有针对性的干预措施来支持母乳喂养和这一人群的联系。

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

Journal of Psychosomatic Obstetrics & Gynecology 医学-妇产科学

CiteScore

6.10

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Psychosomatic Obstetrics and Gynecology was founded in 1982 in order to provide a scientific forum for obstetricians, gynecologists, psychiatrists and psychologists, academic health professionals as well as for all those who are interested in the psychosocial and psychosomatic aspects of women’s health. Another of its aims is to stimulate obstetricians and gynecologists to pay more attention to this very important facet of their profession.