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Association between maternal satisfaction with breastfeeding and postpartum depression symptoms

BACKGROUND: Due to the multiple health benefits of breastfeeding, it is essential to identify factors that may negatively interfere with this healthy practice. Among such factors are postpartum depression (PPD) and maternal satisfaction with breastfeeding. The objective of this study was to evaluate...

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Autores principales: de Avilla, Juliana Castro, Giugliani, Camila, Bizon, Agnes Meire Branco Leria, Martins, Ana Cláudia Magnus, de Senna, Andrea Francis Kroll, Giugliani, Elsa Regina Justo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7671548/
https://www.ncbi.nlm.nih.gov/pubmed/33201903
http://dx.doi.org/10.1371/journal.pone.0242333
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author de Avilla, Juliana Castro
Giugliani, Camila
Bizon, Agnes Meire Branco Leria
Martins, Ana Cláudia Magnus
de Senna, Andrea Francis Kroll
Giugliani, Elsa Regina Justo
author_facet de Avilla, Juliana Castro
Giugliani, Camila
Bizon, Agnes Meire Branco Leria
Martins, Ana Cláudia Magnus
de Senna, Andrea Francis Kroll
Giugliani, Elsa Regina Justo
author_sort de Avilla, Juliana Castro
collection PubMed
description BACKGROUND: Due to the multiple health benefits of breastfeeding, it is essential to identify factors that may negatively interfere with this healthy practice. Among such factors are postpartum depression (PPD) and maternal satisfaction with breastfeeding. The objective of this study was to evaluate the association between maternal satisfaction with breastfeeding and symptoms of PPD in the first month after childbirth. METHODS: This cross-sectional study nested in a cohort study was conducted in Porto Alegre, Brazil, with 287 puerperal women selected at two maternity hospitals, one public and one private. Women were interviewed at their homes the week after the infant completed 30 days of life. A structured questionnaire was applied, as well as instruments to evaluate maternal satisfaction with breastfeeding (Maternal Breastfeeding Evaluation Scale) and to screen for PPD (Edinburgh Postnatal Depression Scale). The association between higher satisfaction with breastfeeding (outcome) and negative PPD screening test was assessed using Poisson regression with robust variance, adjusting for specific covariables. Adjusted prevalence ratios (aPR) and respective 95% confidence intervals (95%CI) were estimated. RESULTS: The prevalence of increased satisfaction with breastfeeding (defined as women with scores above the median) was 47% higher among women who screened negative for PPD when compared to those with a positive result (aPR 1.47; 95%CI 1.01–2.16). This result was adjusted for maternal age and skin color, cohabitation with the infant’s father, planned pregnancy, type of delivery, exclusive breastfeeding, and occurrence of breastfeeding problems. CONCLUSIONS: The findings of this study showed an association between higher maternal satisfaction with breastfeeding and absence of PPD symptoms, reinforcing the importance of caring for the mental health of pregnant and puerperal women and paying attention to their satisfaction with breastfeeding.
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spelling pubmed-76715482020-11-19 Association between maternal satisfaction with breastfeeding and postpartum depression symptoms de Avilla, Juliana Castro Giugliani, Camila Bizon, Agnes Meire Branco Leria Martins, Ana Cláudia Magnus de Senna, Andrea Francis Kroll Giugliani, Elsa Regina Justo PLoS One Research Article BACKGROUND: Due to the multiple health benefits of breastfeeding, it is essential to identify factors that may negatively interfere with this healthy practice. Among such factors are postpartum depression (PPD) and maternal satisfaction with breastfeeding. The objective of this study was to evaluate the association between maternal satisfaction with breastfeeding and symptoms of PPD in the first month after childbirth. METHODS: This cross-sectional study nested in a cohort study was conducted in Porto Alegre, Brazil, with 287 puerperal women selected at two maternity hospitals, one public and one private. Women were interviewed at their homes the week after the infant completed 30 days of life. A structured questionnaire was applied, as well as instruments to evaluate maternal satisfaction with breastfeeding (Maternal Breastfeeding Evaluation Scale) and to screen for PPD (Edinburgh Postnatal Depression Scale). The association between higher satisfaction with breastfeeding (outcome) and negative PPD screening test was assessed using Poisson regression with robust variance, adjusting for specific covariables. Adjusted prevalence ratios (aPR) and respective 95% confidence intervals (95%CI) were estimated. RESULTS: The prevalence of increased satisfaction with breastfeeding (defined as women with scores above the median) was 47% higher among women who screened negative for PPD when compared to those with a positive result (aPR 1.47; 95%CI 1.01–2.16). This result was adjusted for maternal age and skin color, cohabitation with the infant’s father, planned pregnancy, type of delivery, exclusive breastfeeding, and occurrence of breastfeeding problems. CONCLUSIONS: The findings of this study showed an association between higher maternal satisfaction with breastfeeding and absence of PPD symptoms, reinforcing the importance of caring for the mental health of pregnant and puerperal women and paying attention to their satisfaction with breastfeeding. Public Library of Science 2020-11-17 /pmc/articles/PMC7671548/ /pubmed/33201903 http://dx.doi.org/10.1371/journal.pone.0242333 Text en © 2020 Avilla et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
de Avilla, Juliana Castro
Giugliani, Camila
Bizon, Agnes Meire Branco Leria
Martins, Ana Cláudia Magnus
de Senna, Andrea Francis Kroll
Giugliani, Elsa Regina Justo
Association between maternal satisfaction with breastfeeding and postpartum depression symptoms
title Association between maternal satisfaction with breastfeeding and postpartum depression symptoms
title_full Association between maternal satisfaction with breastfeeding and postpartum depression symptoms
title_fullStr Association between maternal satisfaction with breastfeeding and postpartum depression symptoms
title_full_unstemmed Association between maternal satisfaction with breastfeeding and postpartum depression symptoms
title_short Association between maternal satisfaction with breastfeeding and postpartum depression symptoms
title_sort association between maternal satisfaction with breastfeeding and postpartum depression symptoms
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7671548/
https://www.ncbi.nlm.nih.gov/pubmed/33201903
http://dx.doi.org/10.1371/journal.pone.0242333
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