The influence of postpartum PTSD on breastfeeding: A longitudinal population-based study.

Détails

Ressource 1Télécharger: 29265443.pdf (459.25 [Ko])
Etat: Public
Version: Author's accepted manuscript
Licence: Non spécifiée
ID Serval
serval:BIB_D51EEA7C6345
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
The influence of postpartum PTSD on breastfeeding: A longitudinal population-based study.
Périodique
Birth
Auteur(s)
Garthus-Niegel S. (co-premier), Horsch A. (co-premier), Ayers S., Junge-Hoffmeister J., Weidner K., Eberhard-Gran M.
ISSN
1523-536X (Electronic)
ISSN-L
0730-7659
Statut éditorial
Publié
Date de publication
06/2018
Peer-reviewed
Oui
Volume
45
Numéro
2
Pages
193-201
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
In most Western countries, breastfeeding rates are lower than what is recommended by the World Health Organization. Depression has been shown to influence breastfeeding outcomes; however, there is very little research on the role of postpartum posttraumatic stress disorder (PTSD). This study examined to what extent maternal postpartum PTSD predicted breastfeeding initiation, exclusive breastfeeding during the first 6 months, and continuation up to 1 and 2 years.
The study is part of the large, population-based Akershus Birth Cohort. Data from the hospital's birth record and questionnaire data from 8 weeks and 2 years postpartum were used (n = 1480). All breastfeeding variables significantly correlated with postpartum PTSD were entered into stepwise logistic regression analyses.
Although most mothers (97.1%) initiated breastfeeding, considerably fewer adhered to the World Health Organization's breastfeeding guidelines about exclusive breastfeeding during the first 6 months (13.4%) or continued breastfeeding for 12 or 24 months postpartum (37.7% and 4.2%, respectively). Even after adjustment for important confounding variables, maternal postpartum PTSD was significantly associated with not initiating breastfeeding (aOR 5.98 [95% CI 1.79-19.97]). Postpartum PTSD was also significantly related to not continuing breastfeeding up to 12 months, although this association did not hold after adjusting for confounding variables.
Identifying women at risk of not initiating breastfeeding is crucial to prevent a negative influence on infant development and the development of the mother-infant bond. Early screening and treatment of women at risk of developing postpartum PTSD might be a way forward.
Mots-clé
Adult, Breast Feeding/statistics & numerical data, Female, Humans, Infant, Infant, Newborn, Logistic Models, Male, Multivariate Analysis, Norway/epidemiology, Postpartum Period/psychology, Pregnancy, Prospective Studies, Risk Factors, Stress Disorders, Post-Traumatic/epidemiology, Stress Disorders, Post-Traumatic/psychology, Surveys and Questionnaires, Akershus Birth Cohort, breastfeeding, postpartum posttraumatic stress disorder
Pubmed
Web of science
Création de la notice
03/01/2018 12:30
Dernière modification de la notice
03/12/2019 6:23
Données d'usage