New evidence on breastfeeding and postpartum depression: the importance of understanding women's intentions.
New evidence on breastfeeding and postpartum depression: the importance of understanding women's intentions.
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DOI：
10.1007/s10995-014-1591-z
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发表时间：
2015-04
影响因子：
2.3
通讯作者：
Sevilla A
中科院分区：
文献类型：
--
作者：
Borra C;Iacovou M;Sevilla A
这项研究旨在确定母乳喂养对产后抑郁症（PPD）的因果关系，使用的数据来自英国的一项调查，即雅芳父母和孩子的纵向研究。采用多变量线性和logistic回归研究母乳喂养对产后8周、8、21和32个月母亲心理健康的影响。母乳喂养对产后抑郁症的影响取决于女性是否计划母乳喂养，以及她们在怀孕期间是否表现出抑郁的迹象。对于那些在怀孕期间没有抑郁的母亲来说，那些计划母乳喂养和实际上母乳喂养婴儿的女性患产后抑郁症的风险最低，而那些计划母乳喂养但没有继续母乳喂养的女性患产后抑郁症的风险最高。我们的结论是，母乳喂养对母亲抑郁的影响是极不均匀的，在怀孕期间母乳喂养的意图和母亲在怀孕期间的心理健康介导。我们的研究结果强调了为想要母乳喂养的妇女提供专家母乳喂养支持的重要性；同时，也为那些想要母乳喂养，但发现自己无法做到的女性提供富有同情心的支持。
This study aimed to identify the causal effect of breastfeeding on postpartum depression (PPD), using data on mothers from a British survey, the Avon Longitudinal Study of Parents and Children. Multivariate linear and logistic regressions were performed to investigate the effects of breastfeeding on mothers’ mental health measured at 8 weeks, 8, 21 and 32 months postpartum. The estimated effect of breastfeeding on PPD differed according to whether women had planned to breastfeed their babies, and by whether they had shown signs of depression during pregnancy. For mothers who were not depressed during pregnancy, the lowest risk of PPD was found among women who had planned to breastfeed, and who had actually breastfed their babies, while the highest risk was found among women who had planned to breastfeed and had not gone on to breastfeed. We conclude that the effect of breastfeeding on maternal depression is extremely heterogeneous, being mediated both by breastfeeding intentions during pregnancy and by mothers’ mental health during pregnancy. Our results underline the importance of providing expert breastfeeding support to women who want to breastfeed; but also, of providing compassionate support for women who had intended to breastfeed, but who find themselves unable to.
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