Document Detail

Breastfeeding duration and postpartum psychological adjustment: role of maternal attachment styles.
MedLine Citation:
PMID:  18476931     Owner:  NLM     Status:  MEDLINE    
AIM: Depressive and anxiety symptoms are common in new mothers. The aim of this study is to explore the link between postpartum psychological adjustment and feeding preferences of the mothers. METHODS: Sixty mothers and newborns were enrolled in this prospective, longitudinal study. Maternal depressive symptoms were screened by the Edinburgh Postpartum Depression Scale (EPDS), and maternal anxiety level was assessed by the State-Trait Anxiety Inventory at 1 month postpartum. The Multidimensional Scale of Perceived Social Support was used for the assessment of maternal social support. The Adult Attachment Scale was used to determine the attachment style of the mother. Infants were examined and evaluated at 1 and 4 months of life. RESULTS: All mothers started breastfeeding their infants postpartum; 91% and 68.1% continued exclusive breastfeeding at 1 and 4 months, respectively. The first-month median EPDS score of mothers who breastfeed at the fourth month was statistically significantly lower than those who were not breastfeeding (6 and 12, respectively) (P = 0001). The first-month median EPDS score of mothers with secure attachment was lower than the median score of mothers with insecure attachment (5 and 9, respectively) (P < 0001). Exclusive breastfeeding rate was not statistically different among mothers with secure and insecure attachment styles. The median state and trait anxiety scores and social support scores of mothers were not different between groups according to breastfeeding status. CONCLUSIONS: This study has shown an association between higher EPDS scores and breastfeeding cessation by 4 months after delivery.
Ipek Akman; M Kemal Kuscu; Ziya Yurdakul; Nihal Ozdemir; Mine Solakoğlu; Lale Orhon; Aytül Karabekiroğlu; Eren Ozek
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of paediatrics and child health     Volume:  44     ISSN:  1440-1754     ISO Abbreviation:  J Paediatr Child Health     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-05-14     Completed Date:  2008-07-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9005421     Medline TA:  J Paediatr Child Health     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  369-73     Citation Subset:  IM    
Division of Neonatology, Department of Paediatrics, Marmara University Medical School, Istanbul, Turkey.
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MeSH Terms
Anxiety Disorders / etiology
Breast Feeding / psychology*
Depression, Postpartum / psychology*
Educational Status
Infant, Newborn
Longitudinal Studies
Maternal Age
Mother-Child Relations*
Mothers / psychology
Object Attachment*
Postpartum Period / psychology*
Prospective Studies
Social Support
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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