scholarly journals A prospective study of maternal postnatal depressive symptoms with infant-feeding practices in a Chinese birth cohort

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Tingting Sha ◽  
Xiao Gao ◽  
Cheng Chen ◽  
Ling Li ◽  
Gang Cheng ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Prospective Study ◽  
Infant Feeding ◽  
Postnatal Depression ◽  
Feeding Practices ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
Infant Feeding Practices ◽  
Postnatal Depressive Symptoms ◽  
A Prospective Study

Abstract Background The first few weeks after childbirth are critical, as women may encounter lactation problems and postpartum depression during this period. However, it is still unclear whether early breastfeeding behaviours are related to the symptoms of postnatal depression (PND) in Chinese populations. Therefore, the current study aimed to investigate the association between symptoms of PND and infant feeding practices based on a large-scale Chinese cohort. Methods A prospective study of the community-based cohort was conducted from January 2015 to December 2016. Infant feeding outcomes, including exclusive/partial breastfeeding and formula feeding, were assessed according to the WHO guidelines. Symptoms of PND were assessed by the Edinburgh Postnatal Depression Scale at 4 weeks postpartum. Multivariate generalized estimating equation models were applied to investigate the associations between depressive symptoms and infant feeding behaviours. Results A total of 956 mother-infant pairs were included. Fifty-six mothers presented screen-positive symptoms of PND with a cut-off ≥10. The percentage of early breastfeeding initiation was 75.8%, while the average duration of exclusive breastfeeding was 3.90 ± 2.33 months. Postnatal depressive symptoms were associated with a shorter breastfeeding duration (8.02 vs. 6.32 months, P < 0.05) and earlier formula introduction (4.98 vs. 3.60 months, P < 0.05). After adjustments were made for covariates, postnatal depressive symptoms were associated with an increased risk of the discontinuation of exclusive and partial breastfeeding (β = − 0.049, P = 0.047 and β = − 0.082, P = 0.006, respectively). Compared to mothers without symptoms of PND, mothers with depressive symptoms were more likely to supplement formula for their infants in the first year of life (β =0.074, P = 0.016). These associations were still significant in the sensitivity analyses, using an EPDS cut-off of ≥13. Conclusions Our findings indicate that depressive symptoms at 4 weeks postpartum are associated with the cessation of exclusive and partial breastfeeding duration and the introduction of formula in the 12 months of delivery. Early psychosocial assessment and social support should be offered to mothers in the early postpartum period to indirectly prevent adverse breastfeeding outcomes.

scholarly journals Infant Feeding Practices and Perceived Optimal Breastfeeding Interventions among Low-Income Women Delivering at a Baby-Friendly Hospital

2018 ◽  
Vol 36 (07) ◽  
pp. 669-677 ◽  
Author(s):  
Adam K. Lewkowitz ◽  
Nandini Raghuraman ◽  
Julia D. López ◽  
George A. Macones ◽  
Alison G. Cahill
Keyword(s):  
Infant Feeding ◽  
Low Income ◽  
Tertiary Care ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Perceived Usefulness ◽  
Breastfeeding Initiation ◽  
Infant Feeding Practices ◽  
Cross Sectional ◽  
Low Income Women

Objective To determine infant feeding practices of low-income women at a Baby-Friendly Hospital and to ascertain breastfeeding interventions they believe would increase exclusive breastfeeding. Study Design This cross-sectional study occurred at a tertiary care Baby-Friendly Hospital. Low-income women without breastfeeding contraindications were recruited at scheduled obstetrician/gynecologist appointments within 6 to 9 months of delivering a term, nonanomalous infant. Participants completed a survey. Outcomes included infant feeding patterns and perceived usefulness of proposed breastfeeding interventions. Results Of 149 participants, 129 (86.6%) initiated breastfeeding; by postpartum day 2 (PPD2), 47 (31.5%) exclusively breastfed, 51 (34.2%) breastfed with formula, and 51 (34.2%) exclusively formula fed. On a scale of 1 (“strongly agree”) to 5 (“strongly disagree”), women who supplemented with formula on PPD2 were significantly more likely than those who exclusively formula fed to agree education on neonatal behavior, 1 (interquartile range [IQR] 1, 2) versus 2 (IQR 1, 3); p = 0.026 and on-demand access to breastfeeding videos on latch or positioning, 1 (IQR 1, 2) versus 2 (IQR 1, 3), p = 0.043; 1 (IQR 1, 2) versus 2 (IQR 1, 3), p = 0.021, respectively, would have helped them exclusively breastfeed. Conclusion Though low-income women at a Baby-Friendly Hospital had high breastfeeding initiation rates, the majority used formula by PPD2. To increase breastfeeding rates among low-income women, future interventions should provide appropriate and effective breastfeeding interventions.

A prospective study of postnatal depressive symptoms and associated risk factors in first-time fathers

2019 ◽  
Vol 249 ◽  
pp. 371-377 ◽  
Author(s):  
Deborah Da Costa ◽  
Coraline Danieli ◽  
Michal Abrahamowicz ◽  
Kaberi Dasgupta ◽  
Maida Sewitch ◽  
...  
Keyword(s):  
Risk Factors ◽  
Depressive Symptoms ◽  
Prospective Study ◽  
Postnatal Depressive Symptoms ◽  
Associated Risk Factors ◽  
A Prospective Study ◽  
First Time

Prenatal depression in women hospitalized for threatened preterm labour: A prospective study in Greece

2016 ◽  
Vol 33 (S1) ◽  
pp. S177-S177
Author(s):  
G. Papazisis ◽  
T. Dagklis ◽  
I. Tsakiridis ◽  
F. Chouliara ◽  
A. Mamopoulos ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
High Risk ◽  
Prospective Study ◽  
Pregnant Women ◽  
Postnatal Depression ◽  
Preterm Labour ◽  
Prenatal Depression ◽  
Risk Pregnancy ◽  
The Mean ◽  
A Prospective Study

IntroductionPregnancy complications may require admission in a high-risk pregnancy unit (HRPU). A complicated pregnancy and hospital admission might negatively affect the pregnant woman's mental health.ObjectivesTo screen for depressive symptoms in pregnant women admitted in a high-risk pregnancy unit due to threatened preterm labour and also to investigate for associated risk factors.AimsEarly identification of prenatal depression will decrease the risk of pregnancy complications and postnatal depression.MethodsA prospective study enrolled pregnant women admitted at 324 gestational weeks due to threatened preterm labour in a university hospital HRPU, between 9/2014 and 11/2015. The Edinburgh Postnatal Depression Scale (EPDS) was used to assess depressive symptoms and a cut-off score 313 was considered as indicative of depression. Test results were then correlated with the indication for admission, demographic and socio-economic parameters.ResultsOverall, 80 of the women admitted in the HRPU were eligible for the study and agreed to complete the questionnaire. The mean age was 29.4 ± 6.23 years and the mean gestational week at the admission was 31.6 ± 3.33 weeks. The prevalence of prenatal depression (score 313) was 25% (20/80). In the multivariable model, depression was significantly correlated with the existence of thoughts for pregnancy termination [P = .03 OR = 4.560 95% CI: (1.162–17.892)].ConclusionsOne quarter of pregnant women admitted in the HRPU with the indication of threatened preterm labour may suffer from clinically significant depression. An unwanted pregnancy was found to be independently associated with prenatal depression whereas no association was found with any obstetric parameters.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Maternal ethnicity and iron status in early childhood in Toronto, Canada: a cross-sectional study

2020 ◽  
Vol 4 (1) ◽  
pp. e000635
Author(s):  
Vinusha Gunaseelan ◽  
Patricia C. Parkin ◽  
Gita Wahi ◽  
Catherine S. Birken ◽  
Jonathon L. Maguire ◽  
...  
Keyword(s):  
Early Childhood ◽  
Infant Feeding ◽  
South Asian ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Breastfeeding Duration ◽  
Infant Feeding Practices ◽  
North African ◽  
Cross Sectional ◽  
Lower Odds

ObjectivesThis study aimed to evaluate the association between maternal ethnicity and iron deficiency (ID) in early childhood, and to evaluate whether infant feeding practices linked to ID differ between maternal ethnic groups.MethodsThis was a cross-sectional study of healthy children 1–3 years of age. Adjusted multivariable logistic regression analyses were used to evaluate the association between maternal ethnicity and ID (serum ferritin <12 µg/L) and the association between maternal ethnicity and five infant feeding practices (breastfeeding duration; bottle use beyond 15 months; current formula use; daily cow’s milk intake >2 cups; meat consumption).ResultsOf 1851 children included, 12.2% had ID. Compared with the European referent group, we found higher odds of ID among children of South Asian and West Asian/North African maternal ethnicities, and lower odds of ID among children of East Asian maternal ethnicity. Statistically significant covariates associated with higher odds of ID included longer breastfeeding duration and daily cow’s milk intake >2 cups. Current infant formula use was associated with lower odds of ID. Children of South Asian maternal ethnicity had higher odds of bottle use beyond 15 months of age and lower odds of meat consumption.ConclusionsWe found increased odds of ID among children of South Asian and West Asian/Northern African maternal ethnicities. We found a higher odds of feeding practices linked to ID in children of South Asian maternal ethnicity, but not in children of West Asian/North African maternal ethnicity. Culturally tailored approaches to providing guidance to parents on healthy infant feeding practices may be important to prevent ID in early childhood.Trial registration numberNCT01869530.

scholarly journals Protocol for establishing an infant feeding database linkable with population-based administrative data: a prospective cohort study in Manitoba, Canada

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e017981 ◽  
Author(s):  
Nathan Christopher Nickel ◽  
Lynne Warda ◽  
Leslie Kummer ◽  
Joanne Chateau ◽  
Maureen Heaman ◽  
...  
Keyword(s):  
Public Health ◽  
Social Services ◽  
Infant Feeding ◽  
Breast Feeding ◽  
Low Income ◽  
Feeding Practices ◽  
Population Based ◽  
Data Repository ◽  
Breastfeeding Initiation ◽  
Infant Feeding Practices

IntroductionBreast feeding is associated with many health benefits for mothers and infants. But despite extensive public health efforts to promote breast feeding, many mothers do not achieve their own breastfeeding goals; and, inequities in breastfeeding rates persist between high and low-income mother–infant dyads. Developing targeted programme to support breastfeeding dyads and reduce inequities between mothers of different socioeconomic status are a priority for public health practitioners and health policy decision-makers; however, many jurisdictions lack the timely and comprehensive population-level data on infant-feeding practices required to monitor trends in breastfeeding initiation and duration. This protocol describes the establishment of a population-based infant-feeding database in the Canadian province of Manitoba, providing opportunities to develop and evaluate breastfeeding support programme.Methods and analysisRoutinely collected administrative health data on mothers’ infant-feeding practices will be captured during regular vaccination visits using the Teleform fax tool, which converts handwritten information to an electronic format. The infant-feeding data will be linked to the Manitoba Population Research Data Repository, a comprehensive collection of population-based information spanning health, education and social services domains. The linkage will allow us to answer research questions about infant-feeding practices and to evaluate how effective current initiatives promoting breast feeding are.Ethics and disseminationApprovals have been granted by the Health Research Ethics Board at the University of Manitoba. Our integrative knowledge translation approach will involve disseminating findings through government and community briefings, presenting at academic conferences and publishing in scientific journals.

scholarly journals Characterization of Infant Feeding Practices and Related-Family Characteristics in the French Nationwide ELFE Birth Cohort

Nutrients ◽  
2020 ◽  
Vol 13 (1) ◽  
pp. 33
Author(s):  
Aurore Camier ◽  
Claire Chabanet ◽  
Camille Davisse-Paturet ◽  
Elea Ksiazek ◽  
Sandrine Lioret ◽  
...  
Keyword(s):  
Infant Feeding ◽  
Low Income ◽  
Principal Component ◽  
Feeding Practices ◽  
Education Level ◽  
Family Characteristics ◽  
Complementary Food ◽  
Breastfeeding Duration ◽  
Infant Feeding Practices ◽  
Food Groups

Family characteristics such as education level or income are related to infant feeding practices. This study aimed to characterize infant feeding practices and investigate their associations with family characteristics. Analyses were performed with data from a French nationwide cohort, Etude Longitudinale Française depuis l’Enfance (ELFE). Feeding practices were characterized by two methods, a principal component analysis and a hierarchical ascendant classification (n = 8922). This characterization was conducted in three steps: considering firstly only introduction of main food groups, then also food pieces and finally adding the type of complementary food. The associations between family characteristics and the infant feeding patterns or clusters were tested by linear or multinomial regressions (n = 7556). Besides breastfeeding duration and age of first introduction of complementary foods, it appeared also important to consider specific food groups such as sweetened beverages and cow’s milk, and the introduction of food pieces, to describe feeding practices. Recommended feeding practices (longer breastfeeding, complementary food in the right period) were related to higher maternal age and education level, so was migration status, the presence of older children, low income or the mothers’ attendance to pre-birth preparation classes. The interrelations between feeding practices and family characteristics must be considered when examining the influence of feeding practices on child’s health.

scholarly journals The effect of maternal depressive symptoms on infant feeding practices in rural Ethiopia: community based birth cohort study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yitbarek Kidane Woldetensay ◽  
Tefera Belachew ◽  
Shibani Ghosh ◽  
Eva Johanna Kantelhardt ◽  
Hans Konrad Biesalski ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Food Insecurity ◽  
Psychosocial Factors ◽  
Infant Feeding ◽  
Feeding Practices ◽  
Birth Cohort Study ◽  
Household Food Insecurity ◽  
Maternal Depressive Symptoms ◽  
Infant Feeding Practices ◽  
Household Food

Abstract Background Maternal depression and other psychosocial factors have been shown to have adverse consequences on infant feeding practices. This study explored the longitudinal relationship of maternal depressive symptoms and other selected psychosocial factors with infant feeding practices (IFPs) in rural Ethiopia using summary IFP index. Methods This study uses existing data from the ENGINE birth cohort study, conducted from March 2014 to March 2016 in three districts in the southwest of Ethiopia. A total of 4680 pregnant women were recruited and data were collected once during pregnancy (twice for those in the first trimester), at birth, and then every 3 months until the child was 12 months old. A standardized questionnaire was used to collect data on IFPs, maternal depressive symptoms, household food insecurity, intimate partner violence (IPV), maternal social support, active social participation, and other sociodemographic variables. A composite measure of IFP index was computed using 14 WHO recommended infant and young child feeding (IYCF) practice indicators. High IFP index indicated best practice. Prenatal and postnatal maternal depressive symptoms were assessed using the patient health questionnaire (PHQ-9). Linear multilevel mixed effects model was fitted to assess longitudinal relationship of IFPs with maternal depression and other psychosocial factors. Results Reports of higher postnatal depressive symptoms (ß = − 1.03, P = 0.001) and IPV (ß = − 0.21, P = 0.001) were associated with lower scores on the IFP index. Whereas, reports of better maternal social support (ß = 0.11, P = 0.002) and active social participation (ß = 0.55, P < 0.001) were associated with higher scores on the IFP index. Contrary to expectations, moderate household food insecurity (ß = 0.84, P = 0.003), severe household food insecurity (ß = 1.03, P = 0.01) and infant morbidity episodes (ß = 0.63, P = 0.013) were associated with higher scores on the IFP index. Conclusions Overall, a multitude of factors are related to IFPs and hence coordinated, multi-sectoral and multi-stakeholder interventions including maternal depressive symptoms screening and management are needed to improve infant feeding practices.

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