Cited by 295Maternal Mental Health During Pregnancy and PostpartumBreastfeeding Practices and InfluencesNeuroendocrine regulation and behavior

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Association Between Maternal Mood and Oxytocin Response to Breastfeeding

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Stuebe, Alison M., Grewen, Karen, Meltzer-Brody, Samantha·2013·Journal of Women's Health

DOI 10.1089/jwh.2012.3768PMC PMC3627433

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Abstract

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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Self-citation

Authors: Stuebe, A. M., Grewen, K., & Meltzer-Brody, S.
Affiliations: University of North Carolina at Chapel Hill (US)
Corresponding author: Stuebe, Alison M.
ORCID: Stuebe, Alison M.
Grewen, Karen
Meltzer-Brody, Samantha
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
DOI: 10.1089/jwh.2012.3768
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
Licence: www.liebertpub.com/nv/resources-tools/text-and-data-mining-policy/121/ (tdm)
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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Association Between Maternal Mood and Oxytocin Response to Breastfeeding

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