开始母乳喂养成功与产后抑郁之间的关系。

IF 2 Q2 OBSTETRICS & GYNECOLOGY

Journal of obstetrics and gynaecology Canada Pub Date : 2024-09-23 DOI:10.1016/j.jogc.2024.102666

Anne-Sophie Roy MD student, Nils Chaillet PhD

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引用次数: 0

摘要

研究目的本研究旨在评估母乳喂养成功对魁北克产妇产后抑郁的影响：方法：对 "护理质量、产科风险管理和分娩方式 "试验（QUARISMA 试验）进行二次分析，该试验于 2008 年 4 月 1 日至 2011 年 10 月 31 日在魁北克省进行，旨在降低魁北克省的剖宫产率。采用逻辑回归法研究母乳喂养成功与否对产后抑郁率的影响。结果采用调整后的几率比（ORs）和 95% 的置信区间（CIs）进行报告：共有 151 708 名妇女（21 525 名母乳喂养失败的妇女和 130 183 名母乳喂养成功的妇女）被选中参与这项研究。我们观察到，母乳喂养成功与产后抑郁发生率较低（0.16% vs 0.29%）之间存在明显关联（OR：0.57；95% CI 0.41-0.79，P <0.001）：结论：鼓励母乳喂养成功与降低产后抑郁风险有明显关系。

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Relation Between Initiation of Breastfeeding Success and Postpartum Depression

Objectives

This study was designed to assess the effect of initiation of breastfeeding success on postpartum depression (PPD) among women who gave birth in Quebec.

Methods

Secondary analysis of the “Quality of Care, Obstetrics Risk Management, and Mode of Delivery” trial (QUARISMA trial), conducted in Quebec from 1 April 2008 to 31 October 2011 to reduce rates of cesarean delivery in Quebec. Inclusion criteria: all women ≥18 years old who gave birth at the hospital of a single baby ≥37⁰ weeks of gestation. Logistic regression was performed to investigate the impact of initiation of breastfeeding success on PPD rates. Outcome was reported using adjusted ORs with 95% CIs.

Results

A total of 151 708 women (21 525 women with unsuccessful initiation of breastfeeding and 130 183 women with successful initiation of breastfeeding) were selected to participate in this study. We observed a significant association between initiation of breastfeeding success and a lower rate of PPD (0.16% vs. 0.29%) (OR 0.57; 95% CI 0.41–0.79, P < 0.001).

Conclusions

Initiation of breastfeeding success is significantly associated with a lower risk of PPD.

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来源期刊

Journal of obstetrics and gynaecology Canada OBSTETRICS & GYNECOLOGY-

CiteScore

3.30

自引率

5.60%

发文量

302

审稿时长

32 days

期刊介绍： Journal of Obstetrics and Gynaecology Canada (JOGC) is Canada"s peer-reviewed journal of obstetrics, gynaecology, and women"s health. Each monthly issue contains original research articles, reviews, case reports, commentaries, and editorials on all aspects of reproductive health. JOGC is the original publication source of evidence-based clinical guidelines, committee opinions, and policy statements that derive from standing or ad hoc committees of the Society of Obstetricians and Gynaecologists of Canada. JOGC is included in the National Library of Medicine"s MEDLINE database, and abstracts from JOGC are accessible on PubMed.