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Association Between Maternal Mood and Oxytocin Response to Breastfeeding
Open accessAbstract
BACKGROUND: Postpartum depression is associated with reduced breastfeeding duration. We previously hypothesized that shared neuroendocrine mechanisms underlie this association. We sought to measure the association between maternal mood and neuroendocrine response to breastfeeding. METHODS: We conducted a longitudinal cohort study of women recruited during pregnancy who intended to breastfeed. Baseline depression and anxiety history were assessed with a structured clinical interview. We measured mood symptoms using validated psychometric instruments, and we quantified affect and neuroendocrine responses to breastfeeding during laboratory visits at 2 and 8 weeks postpartum. RESULTS: We recruited 52 women who intended to breastfeed, among whom 47 completed 8-week follow-up. Duration and intensity of breastfeeding through 8 weeks were similar among mothers with lower versus higher anxiety and depression scores. In the third trimester, oxytocin was inversely correlated with Edinburgh Postnatal Depression Scale (EPDS) score (p=0.03). We did not find differences in neuroendocrine profile during breastfeeding at 2 weeks postpartum. Among the 39 women who breastfed at 8 weeks postpartum, oxytocin area under the curve during breastfeeding was inversely correlated with maternal EPDS and STAI-State and STAI-Trait anxiety scores (all p≤0.01). Higher anxiety and depression scores was further associated with lower oxytocin (group p<0.05) during feeding. During feeding at both visits, higher anxiety and depression scores were also associated with more negative affect: mothers reported feeling less happy and more depressed, overwhelmed, and stressed during feeding than women with lower scores. CONCLUSION: Symptoms of depression and anxiety were associated with differences in oxytocin response and affect during breastfeeding.
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“Mothers with depressive symptoms were significantly more likely to discontinue breastfeeding (early interruption of exclusive breastfeeding in the first months),41,59,69,71,90,91,118,119,137”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [41]
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“Maternal depressive symptoms appeared to be correlated with lower oxytocin,41 total T441 concentrations, and higher TGF-β2 concentrations.77”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [41]
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“Maternal depressive symptoms appeared to be correlated with lower oxytocin,41 total T441 concentrations, and higher TGF-β2 concentrations.77”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [41]
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“Several studies found that mothers who report more anxiety and depression also demonstrate lower levels of oxytocin when breastfeeding than asymptomatic breastfeeding mothers (Stuebe et al., 2013; Cox et al., 2015; Pawluski et al., 2017).”
From The evolved nest, oxytocin functioning, and prosocial development (2023) · cites this paper as Stuebe et al., 2013
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Metadata
- Authors
- Stuebe, A. M., Grewen, K., & Meltzer-Brody, S.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Stuebe, Alison M.
- Venue
- Journal of Women's Health
- Publisher
- SAGE Publications
- Published
- 2013-04
- Volume
- 22
- Issue
- 4
- Pages
- 352-361
- ISSN
- 1059-7115 (ISSN-L)
- 1540-9996
- 1931-843X
- PMC
- PMC3627433
- OpenAlex
- W2008023822
- Cited by
- 295
- References
- 43
- Citations by year
- 2026: 9 · 2025: 15 · 2024: 19 · 2023: 18 · 2022: 35 · 2021: 39 · 2020: 42 · 2019: 27 · 2018: 16 · 2017: 24 · 2016: 15 · 2015: 27 · 2014: 4 · 2013: 5
- FWCI
- 17.34
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Women s Health (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k01da019949-02, K01DA019949-01A1)
- National Institute of Mental Health (K23MH085165)
- National Institute on Drug Abuse (P01DA022446, K01DA019949-01A1)
- National Center for Research Resources (UL1RR025747)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD050113)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroendocrine regulation and behavior
- Keywords
- postpartum depression, maternal anxiety, breastfeeding, oxytocin, neuroendocrine response, maternal mood, negative affect, breastfeeding duration, Edinburgh Postnatal Depression Scale, state-trait anxiety
- MeSH terms
- Adult, Affect, Anxiety, Breast Feeding, Depression, Female, Humans, Oxytocin, Pregnancy, Pregnancy Trimester, Third, Prospective Studies, Postpartum Period
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