IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i19p7153-d421769.html
   My bibliography  Save this article

Association between Maternal Postpartum Depression, Stress, Optimism, and Breastfeeding Pattern in the First Six Months

Author

Listed:
  • Andrea Gila-Díaz

    (Department of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, C/ Arzobispo Morcillo 2, 28029 Madrid, Spain)

  • Gloria Herranz Carrillo

    (Division of Neonatology, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), C/ Profesor Martín Lagos s/n, 28040 Madrid, Spain)

  • Ángel Luis López de Pablo

    (Department of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, C/ Arzobispo Morcillo 2, 28029 Madrid, Spain)

  • Silvia M. Arribas

    (Department of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, C/ Arzobispo Morcillo 2, 28029 Madrid, Spain)

  • David Ramiro-Cortijo

    (Department of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, C/ Arzobispo Morcillo 2, 28029 Madrid, Spain
    Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline avenue, Boston, MA 02215, USA)

Abstract

Early breastfeeding cessation is a major public health problem. Several factors can affect breastfeeding pattern, and psychological aspects have been poorly explored. We hypothesize that psychological factors and breastfeeding pattern have a relationship. We have assessed in mothers during the first six months of lactation if breastfeeding pattern is associated with maternal stress, postpartum depression, and dispositional optimism, and if these psychological factors play a role on breastfeeding adherence. In total, 711 women participated, answering online the following questionnaires: sociodemographic, perceived stress scale, Edinburgh postpartum depression scale, life orientation test, and breastfeeding adherence score. Women were categorized according to infant feeding practices as exclusive breastfeeding (EBF) or mixed breastfeeding (MBF). The EBF group had a lower score of perceived stress compared to those giving MBF (first month: EBF = 1.5 [1.1; 1.9], MBF = 1.8 [1.5; 2.0]; p -Value = 0.030; third month: EBF = 1.6 [1.2; 2.0], MBF = 1.8 [1.5; 2.4]; p -Value = 0.038) and also had a lower score of postpartum depression (third month: EBF = 8.0 [6.0; 11.0], MBF = 11.0 [9.0; 15.0]; p -Value = 0.001). The breastfeeding adherence score showed a positive correlation with maternal perceived stress (first month: ρ = 0.27; p -Value = 0.018), and postpartum depression (third month: ρ = 0.30; p -Value < 0.001), and a negative correlation with maternal dispositional optimism (second month: ρ = −0.20; p -Value = 0.028). MBF was positively associated with breastfeeding adherence score (odd ratio (OR) = 1.4 [1.2–1.6]; p -Value < 0.001) and with postpartum depression (OR = 1.1 [1.0; 1.1]; p -Value = 0.020). In the third month of breastfeeding, women with MBF exhibited higher perceive stress and postpartum depression compared to those with EBF and no difference in dispositional optimism. The maternal psychological aspects are associated with breastfeeding pattern. Evaluation of maternal psychological concerns and providing support to lactating mothers may help improving breastfeeding adherence.

Suggested Citation

  • Andrea Gila-Díaz & Gloria Herranz Carrillo & Ángel Luis López de Pablo & Silvia M. Arribas & David Ramiro-Cortijo, 2020. "Association between Maternal Postpartum Depression, Stress, Optimism, and Breastfeeding Pattern in the First Six Months," IJERPH, MDPI, vol. 17(19), pages 1-13, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7153-:d:421769
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/19/7153/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/19/7153/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Avendano, Mauricio & Berkman, Lisa F. & Brugiavini, Agar & Pasini, Giacomo, 2015. "The long-run effect of maternity leave benefits on mental health: Evidence from European countries," Social Science & Medicine, Elsevier, vol. 132(C), pages 45-53.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Maria de la Calle & Jose L. Bartha & Cristina M. Lopez & Miriam Turiel & Nuria Martinez & Silvia M. Arribas & David Ramiro-Cortijo, 2021. "Younger Age in Adolescent Pregnancies Is Associated with Higher Risk of Adverse Outcomes," IJERPH, MDPI, vol. 18(16), pages 1-11, August.
    2. Nada Alyousefi & Arwa Alemam & Dena Altwaijri & Sarah Alarifi & Haifa Alessa, 2022. "Predictors of Prenatal Breastfeeding Self-Efficacy in Expectant Mothers with Gestational Diabetes Mellitus," IJERPH, MDPI, vol. 19(7), pages 1-11, March.
    3. Panagiota Brani & Irina Mrvoljak-Theodoropoulou & Fani Pechlivani & Maria Iliadou & Evangelia Antoniou & Georgios Daskalakis & Peter Drakakis & Maria Dagla, 2024. "Breastfeeding Intention and Breastfeeding Postpartum Outcomes between High-Risk and Low-Risk Pregnant Women: A Greek Prospective Cohort Study," IJERPH, MDPI, vol. 21(6), pages 1-18, June.
    4. Adi Freund-Azaria & Tami Bar-Shalita & Rivka Regev & Orit Bart, 2022. "The Role of Motor Coordination, ADHD-Related Characteristics and Temperament among Mothers and Infants in Exclusive Breastfeeding: A Cohort Prospective Study," IJERPH, MDPI, vol. 19(9), pages 1-14, May.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Micaela Bassford & Hayley Fisher, 2020. "The Impact of Paid Parental Leave on Fertility Intentions," The Economic Record, The Economic Society of Australia, vol. 96(315), pages 402-430, December.
    2. Persson, Petra & Rossin-Slater, Maya, 2019. "When Dad Can Stay Home: Fathers' Workplace Flexibility and Maternal Health," IZA Discussion Papers 12386, Institute of Labor Economics (IZA).
    3. Iris Delgado & Baltica Cabieses & Mauricio Apablaza & Carla Castillo & Ximena Aguilera & Isabel Matute & Manuel Najera & Juan M Pericàs & Joan Benach, 2019. "Evaluation of the effectiveness and equity of the maternity protection reform in Chile from 2000 to 2015," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-16, September.
    4. Persson, Petra & Rossin-Slater, Maya, 2019. "When Dad Can Stay Home: Fathers’ Workplace Flexibility and Maternal Health," CEPR Discussion Papers 13780, C.E.P.R. Discussion Papers.
    5. Tabea Bucher-Koenen & Helmut Farbmacher & Raphael Guber & Johan Vikström, 2020. "Double Trouble: The Burden of Child-rearing and Working on Maternal Mortality," Demography, Springer;Population Association of America (PAA), vol. 57(2), pages 559-576, April.
    6. Lebihan, Laetitia & Mao Takongmo, Charles Olivier, 2023. "The effect of paid parental leave on breastfeeding, parental health and behavior," Economics & Human Biology, Elsevier, vol. 50(C).
    7. Angelini, V. & Mierau, J. O., 2015. "Late-Life Health Effects of Teenage Motherhood," Health, Econometrics and Data Group (HEDG) Working Papers 15/09, HEDG, c/o Department of Economics, University of York.
    8. Tingting Zhang & Chloe Rodrigue, 2023. "What If Moms Quiet Quit? The Role of Maternity Leave Policy in Working Mothers’ Quiet Quitting Behaviors," Merits, MDPI, vol. 3(1), pages 1-20, March.
    9. Doran, Elizabeth L. & Bartel, Ann P. & Ruhm, Christopher J. & Waldfogel, Jane, 2020. "California's paid family leave law improves maternal psychological health," Social Science & Medicine, Elsevier, vol. 256(C).
    10. Miller, Michael & Toffolutti, Veronica & Reeves, Aaron, 2018. "The enduring influence of institutions on universal health coverage: An empirical investigation of 62 former colonies," World Development, Elsevier, vol. 111(C), pages 270-287.
    11. Danilo Cavapozzi, 2022. "The causal impact of remote working on depression during the first wave of the COVID-19 pandemic," French Stata Users' Group Meetings 2022 10, Stata Users Group.
    12. Bassford, Micaela & Fisher, Hayley, 2016. "Bonus babies? The impact of paid parental leave on fertility intentions," Working Papers 2016-04, University of Sydney, School of Economics.
    13. Martha J. Bailey & Tanya S. Byker & Elena Patel & Shanthi Ramnath, 2019. "The Long-Run Effects of California’s Paid Family Leave Act on Women’s Careers and Childbearing: New Evidence from a Regression Discontinuity Design and U.S. Tax Data," NBER Working Papers 26416, National Bureau of Economic Research, Inc.
    14. Aline Bütikofer & Julie Riise & Meghan M. Skira, 2021. "The Impact of Paid Maternity Leave on Maternal Health," American Economic Journal: Economic Policy, American Economic Association, vol. 13(1), pages 67-105, February.
    15. Megan M. Reynolds & Patricia A. Homan, 2023. "Income Support Policy Packages and Birth Outcomes in U.S. States: An Ecological Analysis," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(4), pages 1-24, August.
    16. Emmanuelle Cambois & Aïda Solé-Auró & Jean-Marie Robine, 2019. "Gender Differences in Disability and Economic Hardship in Older Europeans," European Journal of Population, Springer;European Association for Population Studies, vol. 35(4), pages 777-793, October.
    17. Hewitt, Belinda & Strazdins, Lyndall & Martin, Bill, 2017. "The benefits of paid maternity leave for mothers' post-partum health and wellbeing: Evidence from an Australian evaluation," Social Science & Medicine, Elsevier, vol. 182(C), pages 97-105.
    18. Knoester, Chris & Li, Qi & Petts, Richard, 2021. "Attitudes about Paid Parental Leave: Cross-national comparisons and the significance of gendered expectations, family strains, and extant leave offerings," SocArXiv pmby8, Center for Open Science.
    19. Julia M. Goodman & Janne Boone-Heinonen & Dawn M. Richardson & Sarah B. Andrea & Lynne C. Messer, 2018. "Analyzing Policies Through a DOHaD Lens: What Can We Learn?," IJERPH, MDPI, vol. 15(12), pages 1-10, December.
    20. Slawa Rokicki & Jessica Cohen & Gunther Fink & Joshua Salomon & Mary Beth Landrum, 2018. "Inference with difference-in-differences with a small number of groups: a review, simulation study and empirical application using SHARE data," CHaRMS Working Papers 18-01, Centre for HeAlth Research at the Management School (CHaRMS).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7153-:d:421769. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.