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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- (författare)
- Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning
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- Sylvén, Sara M., 1982- (författare)
- Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Psykiatri, Akademiska sjukhuset
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- Georgakis, Marios K. (författare)
- Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Univ Athens, Dept Hyg Epidemiol & Med Stat, Athens, Greece
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- (creator_code:org_t)
- 2019-01-29
- 2019
- Engelska.
- Ingår i: BMC Pregnancy and Childbirth. - : Springer Science and Business Media LLC. - 1471-2393 .- 1471-2393. ; 19
- Tidskriftsartikel (refereegranskat)
Abstract
Ämnesord
Stäng
- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Nyckelord
- Antenatal depression
- Breastfeeding initiation
- Exclusive breastfeeding
- Breastfeeding discontinuation
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- art (ämneskategori)
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- Cato, Karin, 197 ...
- Sylvén, Sara M., ...
- Georgakis, Mario ...
- Kollia, Natasa
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