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Maternal postpartum feeding anxiety was associated with infant feeding practices: results from the mother-infant cohort study of China
BACKGROUND: Maternal feeding anxiety (FA) was prevalent during puerperium and might affect infant feeding practices. This study was aimed to investigate the FA status in Chinese postpartum women and its relationship with infant feeding practices (FPs). METHODS: Participants were from the Mother-Infa...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737271/ https://www.ncbi.nlm.nih.gov/pubmed/33317471 http://dx.doi.org/10.1186/s12884-020-03483-w |
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author | Sun, Jing Zhu, Yimin Li, Yongjin Li, Niuniu Liu, Tan Su, Xiao Dai, Zhiyong Zhang, Yanchun Pan, Lina Jiang, Wei Zhu, Wenli |
author_facet | Sun, Jing Zhu, Yimin Li, Yongjin Li, Niuniu Liu, Tan Su, Xiao Dai, Zhiyong Zhang, Yanchun Pan, Lina Jiang, Wei Zhu, Wenli |
author_sort | Sun, Jing |
collection | PubMed |
description | BACKGROUND: Maternal feeding anxiety (FA) was prevalent during puerperium and might affect infant feeding practices. This study was aimed to investigate the FA status in Chinese postpartum women and its relationship with infant feeding practices (FPs). METHODS: Participants were from the Mother-Infant Cohort Study of China, in which the dietary and feeding practices, physical and psychiatric health for both mothers and infants were followed up from childbirth to next 2 years. In this study the maternal feeding anxiety (FA) status at 0–3 months postpartum was assessed by Li’s Self-rating Feeding Anxiety Scale (SFAS). Infant feeding practices (FPs) at 0–3 months, including breastfeeding-related behaviors, responsive feeding and infant food refusal were investigated by self-designed questionnaire. RESULTS: In total 456 mothers the average feeding anxiety scores (FAS) was 41.02 ± 8.02 (mean ± SD), and maternal FA prevalence were 61.4% (FAS>38) with severe FA being 8.6% (FAS>52) at 0–3 months postpartum. The FAS was related with infant FPs, and lower maternal FAS was significantly related with infant colostrum feeding (40.86 ± 8.02 vs 44.74 ± 11.33, P < 0.05), but higher FAS was related with bottle feeding (41.95 ± 8.28 vs 39.69 ± 7.92, P < 0.05). The mothers with severe feeding anxiety (FAS > 53) were more likely to feed infants with bottle (ORs, 95%CI: 2.41, 1.11 ~ 5.19). There were not significant association between FAS and exclusive breastfeeding and responsive feeding practices (P > 0.05). The higher FAS was associated with infant food refusal behaviors, the maternal scores whose infant “never”, “rarely”, “sometimes” and “often” spat out food when feeding were 39.86 ± 8.02, 41.47 ± 8.18, 41.36 ± 7.44 and 42.14 ± 12.03 increasingly (P > 0.05), and the FA prevalence was significantly different among groups (P < 0.05). The infants whose mother was identified as feeding anxiety were more likely to refuse opening the mouth when feeding (P < 0.05). Multivariate analysis indicated maternal FAS was positively related to infant bottle feeding (βi = 2.487, P < 0.05) and outdoor sunshine exposure practice (βi = 1.787, P < 0.05), and negatively related to household income level (βi = − 0.118, P < 0.05). CONCLUSIONS: Maternal postpartum feeding anxiety was associated with some infant feeding practices, including bottle feeding and infant food refusal behaviors. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-020-03483-w. |
format | Online Article Text |
id | pubmed-7737271 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-77372712020-12-17 Maternal postpartum feeding anxiety was associated with infant feeding practices: results from the mother-infant cohort study of China Sun, Jing Zhu, Yimin Li, Yongjin Li, Niuniu Liu, Tan Su, Xiao Dai, Zhiyong Zhang, Yanchun Pan, Lina Jiang, Wei Zhu, Wenli BMC Pregnancy Childbirth Research Article BACKGROUND: Maternal feeding anxiety (FA) was prevalent during puerperium and might affect infant feeding practices. This study was aimed to investigate the FA status in Chinese postpartum women and its relationship with infant feeding practices (FPs). METHODS: Participants were from the Mother-Infant Cohort Study of China, in which the dietary and feeding practices, physical and psychiatric health for both mothers and infants were followed up from childbirth to next 2 years. In this study the maternal feeding anxiety (FA) status at 0–3 months postpartum was assessed by Li’s Self-rating Feeding Anxiety Scale (SFAS). Infant feeding practices (FPs) at 0–3 months, including breastfeeding-related behaviors, responsive feeding and infant food refusal were investigated by self-designed questionnaire. RESULTS: In total 456 mothers the average feeding anxiety scores (FAS) was 41.02 ± 8.02 (mean ± SD), and maternal FA prevalence were 61.4% (FAS>38) with severe FA being 8.6% (FAS>52) at 0–3 months postpartum. The FAS was related with infant FPs, and lower maternal FAS was significantly related with infant colostrum feeding (40.86 ± 8.02 vs 44.74 ± 11.33, P < 0.05), but higher FAS was related with bottle feeding (41.95 ± 8.28 vs 39.69 ± 7.92, P < 0.05). The mothers with severe feeding anxiety (FAS > 53) were more likely to feed infants with bottle (ORs, 95%CI: 2.41, 1.11 ~ 5.19). There were not significant association between FAS and exclusive breastfeeding and responsive feeding practices (P > 0.05). The higher FAS was associated with infant food refusal behaviors, the maternal scores whose infant “never”, “rarely”, “sometimes” and “often” spat out food when feeding were 39.86 ± 8.02, 41.47 ± 8.18, 41.36 ± 7.44 and 42.14 ± 12.03 increasingly (P > 0.05), and the FA prevalence was significantly different among groups (P < 0.05). The infants whose mother was identified as feeding anxiety were more likely to refuse opening the mouth when feeding (P < 0.05). Multivariate analysis indicated maternal FAS was positively related to infant bottle feeding (βi = 2.487, P < 0.05) and outdoor sunshine exposure practice (βi = 1.787, P < 0.05), and negatively related to household income level (βi = − 0.118, P < 0.05). CONCLUSIONS: Maternal postpartum feeding anxiety was associated with some infant feeding practices, including bottle feeding and infant food refusal behaviors. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-020-03483-w. BioMed Central 2020-12-14 /pmc/articles/PMC7737271/ /pubmed/33317471 http://dx.doi.org/10.1186/s12884-020-03483-w Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Sun, Jing Zhu, Yimin Li, Yongjin Li, Niuniu Liu, Tan Su, Xiao Dai, Zhiyong Zhang, Yanchun Pan, Lina Jiang, Wei Zhu, Wenli Maternal postpartum feeding anxiety was associated with infant feeding practices: results from the mother-infant cohort study of China |
title | Maternal postpartum feeding anxiety was associated with infant feeding practices: results from the mother-infant cohort study of China |
title_full | Maternal postpartum feeding anxiety was associated with infant feeding practices: results from the mother-infant cohort study of China |
title_fullStr | Maternal postpartum feeding anxiety was associated with infant feeding practices: results from the mother-infant cohort study of China |
title_full_unstemmed | Maternal postpartum feeding anxiety was associated with infant feeding practices: results from the mother-infant cohort study of China |
title_short | Maternal postpartum feeding anxiety was associated with infant feeding practices: results from the mother-infant cohort study of China |
title_sort | maternal postpartum feeding anxiety was associated with infant feeding practices: results from the mother-infant cohort study of china |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737271/ https://www.ncbi.nlm.nih.gov/pubmed/33317471 http://dx.doi.org/10.1186/s12884-020-03483-w |
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