Is Maternal Depressive Symptomatology Effective on Success of Exclusive Breastfeeding During Postpartum 6 Weeks?
Abstract
AIM: The aim of this prospective study was to examine the relationship between success of exclusive breastfeeding and postpartum depressive symptomatology. Our hypothesis was that mothers with depressive symptoms initially fail exclusive breastfeeding. SUBJECTS AND METHODS: One hundred ninety-seven mothers were enrolled in the study. The participants were interviewed twice. The first visit was within the first 48 hours after birth. The Edinburgh Postnatal Depression Scale (EPDS) was completed by the participants. The second interview was performed at 6 weeks. Participants answered questions regarding methods of breastfeeding for 6 weeks, any methodological problems, and nipple pain. The EPDS was again completed by the participants at 6 weeks. All newborns were term infants. RESULTS: All the participants were divided into two groups: exclusive breastfeeding and mixed-feeding (partial breastfeeding and/or bottle feeding). Both groups were compared in terms of features, such as mode of delivery, parity, prevalence of depressive symptomatology (at 48 hours and 6 weeks), and delayed onset of lactation within the first 48 hours. Statistical significance was found for only three variables: delayed onset of lactation within the first 48 hours, gestational age, and the problems related to breastfeeding methods. CONCLUSIONS: Clinicians should pay special attention to any lactation difficulty during the first week postpartum. Early lactation difficulties are associated with greater risk of early termination of breastfeeding and lower breastfeeding success.
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Nipple pain was significantly predictive of breastfeeding cessation.
“one study showed that a delayed onset of lactation within the first 48 h, methodological breastfeeding problems, and nipple pain were significantly predictive of breastfeeding cessation.70”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [70]
Methodological breastfeeding problems were significantly predictive of breastfeeding cessation.
“one study showed that a delayed onset of lactation within the first 48 h, methodological breastfeeding problems, and nipple pain were significantly predictive of breastfeeding cessation.70”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [70]
A delayed onset of lactation within the first 48 h was significantly predictive of breastfeeding cessation.
“one study showed that a delayed onset of lactation within the first 48 h, methodological breastfeeding problems, and nipple pain were significantly predictive of breastfeeding cessation.70”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [70]
The four remaining studies did not find a difference between depressed mothers and nondepressed mothers with respect to feeding practices.
“The four remaining studies did not find a difference between depressed mothers and nondepressed mothers with respect to feeding practices;26,60,70,72”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [70]
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- Authors
- Annagür, A., Annagür, B. B., Şahin, A., Örs, R., & Kara, F.
- Affiliations
- Department of Neonatology, Selçuklu Medical School, Selçuk University, Konya, Turkey.
- Department of Psychiatry, Selçuklu Medical School, Selçuk University, Konya, Turkey.
- Department of Pediatrics, Meram Medical School, Konya University, Konya, Turkey.
- Necmettin Erbakan University (TR)
- Selçuk University (TR)
- ORCID
- Kara, Fatih
- Venue
- Breastfeeding Medicine
- Publisher
- SAGE Publications
- Published
- 2013-02
- Volume
- 8
- Issue
- 1
- Pages
- 53-57
- ISSN
- 1556-8253 (ISSN-L)
- 1556-8342
- OpenAlex
- W1988702799
- Cited by
- 33
- References
- 30
- Citations by year
- 2026: 2 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 5 · 2018: 2 · 2017: 5 · 2016: 4 · 2014: 1 · 2013: 3
- FWCI
- 0.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Breastfeeding Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
- Keywords
- postpartum depression, exclusive breastfeeding, breastfeeding success, Edinburgh Postnatal Depression Scale, delayed onset of lactation, breastfeeding difficulties, nipple pain, mixed feeding, gestational age, term infants
- MeSH terms
- Adolescent, Adult, Bottle Feeding, Breast Feeding, Female, Humans, Infant, Newborn, Lactation, Maternal Welfare, Mother-Child Relations, Mothers, Nipples, Pain, Physician-Patient Relations, Pregnancy, Prospective Studies, Surveys and Questionnaires, Risk Factors, Turkey, Depression, Postpartum
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