Understanding the relationship between breastfeeding and postnatal depression: the role of pain and physical difficulties.
Understanding the relationship between breastfeeding and postnatal depression: the role of pain and physical difficulties.
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DOI：
10.1111/jan.12832
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发表时间：
2016-02
影响因子：
3.8
通讯作者：
Bennett P
中科院分区：
文献类型：
--
作者：
Brown A;Rance J;Bennett P
探讨停止母乳喂养的具体原因与产后抑郁症状的关系。母乳喂养困难与产后抑郁症有关，尽管尚不清楚母乳喂养困难是在确诊之前还是之后。然而，“母乳喂养困难”的概念是广泛的，包括生物、心理和社会因素。一项横断面的自我报告调查。数据是在2012年12月至2013年2月期间收集的。217名婴儿年龄在0-6个月之间，出生时就开始母乳喂养，但在6个月大之前停止母乳喂养的妇女完成了一份问卷，调查母乳喂养持续时间和停止母乳喂养的原因。他们进一步完成了爱丁堡产后抑郁量表的副本。母乳喂养持续时间短和停止母乳喂养的多种原因与较高的抑郁评分有关。然而，在回归分析中，只有因身体困难和疼痛而停止母乳喂养的特定原因仍然可以预测抑郁评分。了解妇女停止母乳喂养的具体原因而不是母乳喂养持续时间，对于了解妇女的母乳喂养经历和为妇女提供情感支持至关重要。与心理社会原因相比，与心理社会原因相比，疼痛和母乳喂养问题最能说明产后抑郁，这突显了花时间与新妈妈在一起帮助她们解决插销等问题的重要性。
To examine the relationship between specific reasons for stopping breastfeeding and depressive symptoms in the postnatal period. Difficulty breastfeeding has been connected to postnatal depression although it is unclear whether difficulty breastfeeding precedes or succeeds a diagnosis. However, the concept of ‘breastfeeding difficulty’ is wide and includes biological, psychological and social factors. A cross‐sectional self‐report survey. Data were collected between December 2012 and February 2013. 217 women with an infant aged 0‐6 months who had started breastfeeding at birth but had stopped before 6 months old completed a questionnaire examining breastfeeding duration and reasons for stopping breastfeeding. They further completed a copy of the Edinburgh Postnatal Depression Scale. A short breastfeeding duration and multiple reasons for stopping breastfeeding were associated with higher depression score. However, in a regression analysis only the specific reasons of stopping breastfeeding for physical difficulty and pain remained predictive of depression score. Understanding women's specific reasons for stopping breastfeeding rather than breastfeeding duration is critical in understanding women's breastfeeding experience and providing women with emotional support. Issues with pain and physical breastfeeding were most indicative of postnatal depression in comparison to psychosocial reasons highlighting the importance of spending time with new mothers to help them with issues such as latch.