A prospective study of the relationship between breastfeeding and postpartum depressive symptoms appearing at 1-5 months after delivery

Emiko Nishioka, Megumi Haruna, Erika Ota, Masayo Matsuzaki, Ryoko Murayama, Kenichi Yoshimura, Sachiyo Murashima

Research output: Contribution to journalArticlepeer-review

51 Citations (Scopus)

Abstract

Despite the fact that more than 90% of mothers in Japan prefer breastfeeding, the breastfeeding rate at 6 months postpartum is as low as approximately 35%. Postpartum depression and bonding disorder are recognized as factors associated with discontinuation of breastfeeding. However, these factors remain controversial. The purpose of the present study was to clarify the effect of postpartum depressive symptoms and bonding on the feeding pattern from 1- to 5-month postpartum. A longitudinal study was conducted at 1- and at 5-month postpartum, in 405 mothers who attended health check at three hospitals in the Tokyo metropolitan area at 1-month postpartum, and completed longitudinal questionnaires. A high proportion of breastfeeding mothers at 1 month postpartum had Edinburgh Postpartum Depression Scale (EPDS) score of ≥ 9 at 5 months postpartum (p = 0.01), and these mothers changed to formula milk-based feeding at 5-month postpartum, when compared with those of the breastfeeding-based group at both 1- and 5-month postpartum,. The appearance of depressive symptoms seems to promote discontinuation of breastfeeding at 5-month postpartum.

Original languageEnglish
Pages (from-to)553-559
Number of pages7
JournalJournal of Affective Disorders
Volume133
Issue number3
DOIs
Publication statusPublished - 10-2011

All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Psychiatry and Mental health

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