Dear Lactnetters,
For anyone interested in postpartum depression and it's affects in
breastfeeding there is a new Australian artikel in September's issue of
Birth - see abstract below.
groetjes
Sara Bernard
The Netherlands
1: Birth. 2003 Sep;30(3):175-80.
Impact of postnatal depression on breastfeeding duration.
Henderson JJ, Evans SF, Straton JA, Priest SR, Hagan R.
Women and Infants Research Foundation, King Edward Memorial Hospital, Perth,
Western Australia, Australia.
BACKGROUND: Postnatal depression can cause adverse effects on both mother
and
infant, but its impact on breastfeeding duration is poorly understood. The
aim
of this study was to investigate the relationship between maternal postnatal
depression and breastfeeding duration. METHODS: A cohort of 1745 women was
recruited on the postnatal wards of two large Australian obstetric
hospitals.
Self-report questionnaires were completed at recruitment, and at 2, 6, and
12
months postpartum. Breastfeeding status was determined at each follow-up,
and
the Edinburgh Postnatal Depression Scale was used to screen for symptoms of
depression. Diagnostic psychological interviews were conducted on a
subsample of
women at each interval. RESULTS: Breastfeeding was initiated by 96 percent
of
the participants; at 2 months 79 percent were still breastfeeding, 57
percent at
6 months, and 22 percent at 12 months. Of the 18 percent of participants
diagnosed with postnatal depression, the onset occurred before 2 months in
63
percent of cases. Median duration of breastfeeding was 26 weeks for women
with
early-onset depression, 28 weeks for women with late-onset depression, and
39
weeks for women without depression. After adjustment for confounding
factors,
early cessation of breastfeeding was found to be significantly associated
with
postnatal depression (adjusted hazard ratio 1.25, 95% CI 1.03-1.52). Onset
of
postnatal depression occurred before cessation of breastfeeding in most
cases.
CONCLUSIONS: Postnatal depression has a significant negative impact on
breastfeeding duration. Assistance with breastfeeding issues should be
included
in the management of postnatal depression.
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