Antenatal depressive symptoms and early initiation of breastfeeding in association with exclusive breastfeeding six weeks postpartum: a longitudinal population-based study

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Cato, Karin,1977-Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning (author)

Antenatal depressive symptoms and early initiation of breastfeeding in association with exclusive breastfeeding six weeks postpartum : a longitudinal population-based study

Article/chapterEnglish2019

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2019-01-29
Springer Science and Business Media LLC,2019
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LIBRIS-ID:oai:DiVA.org:uu-377343
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-377343URI
https://doi.org/10.1186/s12884-019-2195-9DOI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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BackgroundDepressive symptoms negatively impact on breastfeeding duration, whereas early breastfeeding initiation after birth enhances the chances for a longer breastfeeding period. Our aim was to investigate the interplay between depressive symptoms during pregnancy and late initiation of the first breastfeeding session and their effect on exclusive breastfeeding at six weeks postpartum.MethodsIn a longitudinal study design, web-questionnaires including demographic data, breastfeeding information and the Edinburgh Postnatal Depression Scale (EPDS) were completed by 1217 women at pregnancy weeks 17–20, 32 and/or at six weeks postpartum. A multivariable logistic regression model was fitted to estimate the effect of depressive symptoms during pregnancy and the timing of the first breastfeeding session on exclusive breastfeeding at six weeks postpartum.ResultsExclusive breastfeeding at six weeks postpartum was reported by 77% of the women. Depressive symptoms during pregnancy (EPDS> 13); (OR:1.93 [1.28–2.91]) and not accomplishing the first breastfeeding session within two hours after birth (OR: 2.61 [1.80–3.78]), were both associated with not exclusively breastfeeding at six weeks postpartum after adjusting for identified confounders. Τhe combined exposure to depressive symptoms in pregnancy and late breastfeeding initiation was associated with an almost 4-fold increased odds of not exclusive breastfeeding at six weeks postpartum.ConclusionsWomen reporting depressive symptoms during pregnancy seem to be more vulnerable to the consequences of a postponed first breastfeeding session on exclusive breastfeeding duration. Consequently, women experiencing depressive symptoms may benefit from targeted breastfeeding support during the first hours after birth.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
Antenatal depression
Breastfeeding initiation
Exclusive breastfeeding
Breastfeeding discontinuation

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Sylvén, Sara M.,1982-Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Psykiatri, Akademiska sjukhuset(Swepub:uu)sarsy916 (author)
Georgakis, Marios K.Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Univ Athens, Dept Hyg Epidemiol & Med Stat, Athens, Greece (author)
Kollia, NatasaHarokopio Univ, Sch Hlth Sci & Educ, Dept Nutr & Dietet, Athens, Greece (author)
Rubertsson, Christine,1962-Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning(Swepub:uu)chrru874 (author)
Skalkidou, Alkistis,1977-Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning(Swepub:uu)alksk607 (author)
Uppsala universitetObstetrisk och reproduktiv hälsoforskning (creator_code:org_t)

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In:BMC Pregnancy and Childbirth: Springer Science and Business Media LLC191471-23931471-2393

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