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Breastfeeding duration and postpartum psychological adjustment: role of maternal attachment styles.
J Paediatr Child Health. 2008 Jun; 44(6):369-73.JP

Abstract

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.

Authors+Show Affiliations

Division of Neonatology, Department of Paediatrics, Marmara University Medical School, Istanbul, Turkey. ipekakman@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18476931

Citation

Akman, Ipek, et al. "Breastfeeding Duration and Postpartum Psychological Adjustment: Role of Maternal Attachment Styles." Journal of Paediatrics and Child Health, vol. 44, no. 6, 2008, pp. 369-73.
Akman I, Kuscu MK, Yurdakul Z, et al. Breastfeeding duration and postpartum psychological adjustment: role of maternal attachment styles. J Paediatr Child Health. 2008;44(6):369-73.
Akman, I., Kuscu, M. K., Yurdakul, Z., Ozdemir, N., Solakoğlu, M., Orhon, L., Karabekiroğlu, A., & Ozek, E. (2008). Breastfeeding duration and postpartum psychological adjustment: role of maternal attachment styles. Journal of Paediatrics and Child Health, 44(6), 369-73. https://doi.org/10.1111/j.1440-1754.2008.01336.x
Akman I, et al. Breastfeeding Duration and Postpartum Psychological Adjustment: Role of Maternal Attachment Styles. J Paediatr Child Health. 2008;44(6):369-73. PubMed PMID: 18476931.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Breastfeeding duration and postpartum psychological adjustment: role of maternal attachment styles. AU - Akman,Ipek, AU - Kuscu,M Kemal, AU - Yurdakul,Ziya, AU - Ozdemir,Nihal, AU - Solakoğlu,Mine, AU - Orhon,Lale, AU - Karabekiroğlu,Aytül, AU - Ozek,Eren, PY - 2008/5/15/pubmed PY - 2008/7/4/medline PY - 2008/5/15/entrez SP - 369 EP - 73 JF - Journal of paediatrics and child health JO - J Paediatr Child Health VL - 44 IS - 6 N2 - 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. SN - 1440-1754 UR - https://www.unboundmedicine.com/medline/citation/18476931/Breastfeeding_duration_and_postpartum_psychological_adjustment:_role_of_maternal_attachment_styles_ L2 - https://doi.org/10.1111/j.1440-1754.2008.01336.x DB - PRIME DP - Unbound Medicine ER -