Physical health, breastfeeding problems and maternal mood in the early postpartum: a prospective cohort study.
Arch Womens Ment Health. 2017 Dec 20;:
Authors: Cooklin AR, Amir LH, Nguyen CD, Buck ML, Cullinane M, Fisher JRW, Donath SM, CASTLE Study Team
This study aimed to investigate prospectively the contribution of maternal physical health and/or breastfeeding problems to maternal mood (depression, anxiety, fatigue, irritability, confusion, vigor) at 8-weeks postpartum. A prospective study was conducted. Participants were recruited antenatally from a public and a private maternity hospital in Melbourne, Australia. Nulliparous pregnant women (N?=?229), ??18 years of age, ??36-week gestation, singleton pregnancy and with sufficient English were eligible. Data were collected by self-report questionnaire (pregnancy, weeks 1-4 postpartum) and telephone interview (week 8 postpartum). A high burden of physical problems was classified as ??3 problems (caesarean/perineal pain; back pain; constipation; haemorrhoids; urinary and bowel incontinence) for ??2 time points. A high burden of breastfeeding problems was having ??2 problems (mastitis; nipple pain; frequent expressing; over- or under-supply of milk) for ??2 time points. Multivariate linear regression was used to investigate the relationship between maternal mood, assessed using Profile of Mood States (8-week postpartum), and a high burden of breastfeeding and/or physical health problems. Forty-six women (20.1%) had a high burden of physical symptoms, 44 (19.2%) a high burden of breastfeeding problems only and 25 women (11.0%) had both. A high burden of breastfeeding problems alone (??=?10.6, p?=?0.01) or with co-morbid physical problems (??=?15.35, p?=?0.002) was significantly associated with poorer maternal mood at 8 weeks. Early, effective postnatal treatment of maternal health and breastfeeding problems could reduce women’s risk for poor mental health.
PMID: 29264646 [PubMed – as supplied by publisher]