Cited by 54Breastfeeding Practices and InfluencesMaternal Mental Health During Pregnancy and PostpartumInfant Nutrition and Health

Risk for Postpartum Depression, Breastfeeding Practices, and Mammary Gland Permeability

Flores-Quijano, María Eugenia, Córdova, Armando, Contreras-Ramírez, Veronica, Farias-Hernández, Liliana, Cruz Tolentino, Mari, Casanueva, Esther·2008·Journal of Human Lactation

Abstract

In a cross-sectional study, 163 breastfeeding women completed the Edinburgh Postnatal Depression Scale (EPDS), a questionnaire on demographics and infant feeding and hand-expressed breast milk for Na and K quantification, between 2 and 12 weeks postpartum. Forty women (24.5%) had an EPDS score compatible with the risk of a depressive episode, and 63 (41%) did not feel confident about breastfeeding. These 2 variables were significantly correlated to each other and individually correlated to breastfeeding exclusiveness. Weeks postpartum was correlated to breastfeeding exclusiveness and Na:K in milk (all P < .001). A logistic regression model showed that supplementation increased the risk of high Na:K in milk by 209%, whereas a longer time postpartum lowered the risk for mammary gland permeability. This study suggests that postpartum depression and low breastfeeding confidence, which may be present concomitantly, are associated with increased mammary gland permeability, only to the extent in which depression dissuades the mother from exclusive breastfeeding.

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Crossref · 10.1177/0890334407310587

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Authors
Flores-Quijano, M. E., Córdova, A., Contreras-Ramírez, V., Farias-Hernández, L., Cruz Tolentino, M., & Casanueva, E.
Affiliations
  • Instituto Nacional de Perinatología (MX)
  • Mexican Institute of Perinatology, Mexico City
  • Department of Nutrition Research at the Instituto Nacional de Perinatología, Mexico City
Venue
Journal of Human Lactation
Published
2008-02
Volume
24
Issue
1
Pages
50-57
ISSN
  • 0890-3344 (ISSN-L)
  • 1552-5732
OpenAlex
W2140881335
Cited by
54
References
33
Citations by year
2026: 1 · 2025: 6 · 2024: 2 · 2023: 3 · 2022: 1 · 2021: 6 · 2020: 3 · 2019: 4 · 2018: 3 · 2017: 3 · 2016: 5 · 2015: 2 · 2014: 4 · 2013: 3
FWCI
1.98
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Human Lactation (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, breastfeeding practices, breastfeeding confidence, exclusive breastfeeding, Na+/K+ ratio, postpartum period, infant feeding
MeSH terms
Adolescent, Adult, Breast Feeding, Cross-Sectional Studies, Female, Humans, Infant, Infant, Newborn, Lactation, Male, Mastitis, Milk, Human, Potassium, Risk Factors, Sodium, Logistic Models, Depression, Postpartum, Mammary Glands, Human

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