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Breastfeeding practices in mothers of high-respiratory-risk NICU infants: Impact of depressive symptoms and smoking.
MedLine Citation:
PMID:  23672205     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Mothers of infants in the neonatal intensive care unit (NICU) have very low breastfeeding rates and these high-respiratory-risk (HRR) NICU infants may benefit from breastfeeding through decreased risk for respiratory illnesses. This population's increased risk for maternal depression and high rates (22%) of maternal smoking may negatively affect breastfeeding. Objective: This exploratory study investigated associations of breastfeeding with depressive symptoms and maternal smoking in mothers of HRR NICU infants (i.e., presence of one household smoker and birth weight <1500g or mechanical ventilation >12 hours). Methods: Breastfeeding, depression, and smoking data were collected from 104 mothers in the NICU following delivery. Results: Fifty-five (52.9%) mothers reported breastfeeding, 39 (37.5%) had a Center for Epidemiological Studies Depression Scale (CES-D) score (>16) suggestive of depression, and 36 (34.6%) reported smoking. Mothers with CES-D scores >16 were less likely to breastfeed compared to those with scores <16 (38.5% vs. 61.5%; p=0.02). Breastfeeding and smoking were not significantly associated (p<0.10). Mothers of HRR infants with significant depressive symptoms who smoke have significantly lower breastfeeding rates (21%) than mothers who are not depressed and do not smoke (65%). Conclusions: Interventions to improve breastfeeding initiation and continuation that target depression and smoking are necessary.
Authors:
Thomas F Northrup; Susan H Wootton; Patricia W Evans; Angela L Stots
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-5-14
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  -     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-5-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Family and Community Medicine, University of Texas Medical School at Houston.
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