Association between postpartum depression and the practice of exclusive breastfeeding in the first three months of life
Journal Title: Jornal de Pediatria - Year 2017, Vol 93, Issue 4
Abstract
Objective To investigate the association between postpartum depression and the occurrence of exclusive breastfeeding. Method This is a cross-sectional study conducted in the states of the Northeast region, during the vaccination campaign in 2010. The sample consisted of 2583 mother–child pairs, with children aged from 15 days to 3 months. The Edinburgh Postnatal Depression Scale was used to screen for postpartum depression. The outcome was lack of exclusive breastfeeding, defined as the occurrence of this practice in the 24h preceding the interview. Postpartum depression was the explanatory variable of interest and the covariates were: socioeconomic and demographic conditions; maternal health care; prenatal, delivery, and postnatal care; and the child's biological factors. Multivariate logistic regression analysis was conducted to control for possible confounding factors. Results Exclusive breastfeeding was observed in 50.8% of the infants and 11.8% of women had symptoms of postpartum depression. In the multivariate logistic regression analysis, a higher chance of exclusive breastfeeding absence was found among mothers with symptoms of postpartum depression (OR=1.67; p<0.001), among younger subjects (OR=1.89; p<0.001), those who reported receiving benefits from the Bolsa Família Program (OR=1.25; p=0.016), and those started antenatal care later during pregnancy (OR=2.14; p=0.032). Conclusions Postpartum depression contributed to reducing the practice of exclusive breastfeeding. Therefore, this disorder should be included in the prenatal and early postpartum support guidelines for breastfeeding, especially in low socioeconomic status women.
Authors and Affiliations
Catarine Silva
Keywords
Related Articles
- EP ID EP503563
- DOI 10.1016/j.jped.2016.08.005
- Views 90
- Downloads 0
Association between postpartum depression and the practice of exclusive breastfeeding in the first three months of life
Objective To investigate the association between postpartum depression and the occurrence of exclusive breastfeeding. Method This is a cross-sectional study conducted in the states of the Northeast region, during the va...
Poor diet quality among Brazilian adolescents with HIV/AIDS
Objective This study aimed to assess diet quality among adolescents with HIV/AIDS. Method A cross-sectional study was conducted involving patients with HIV/AIDS treated in a referral hospital in Sao Paulo, Brazil. Eight...
Curricular intervention increases adolescents’ knowledge about asthma: a randomized trial
Objectives To evaluate the impact of a curricular intervention concerning the knowledge about asthma among adolescents from a public school. Methods This was a randomized, controlled trial study on a curricular interven...
Accuracy of different cutoff points of body mass index to identify overweight according to body fat values estimated by DEXA
Objective To evaluate the sensitivity and specificity of different cutoff points of body mass index for predicting overweight/obesity according to body fat values estimated by DEXA among Brazilian adolescents. Methods C...
IL-6, TNF-α, IL-10, and nutritional status in pediatric patients with biliary atresia
Objectives The objective of the present study is to evaluate whether IL-6, TNF-α, IL-10 are associated with nutritional status in patients with cirrhosis secondary to biliary atresia and compare to healthy controls. Met...