期刊
CADERNOS DE SAUDE PUBLICA
卷 24, 期 -, 页码 S341-S352出版社
CADERNOS SAUDE PUBLICA
DOI: 10.1590/S0102-311X2008001400019
关键词
nutritional epidemiology; breast feeding; postpartum depression
This study evaluates the association between postpartum depression and interruption of exclusive breastfeeding in the first two months of life. Cohort study of 429 infants = 20 days of age to four primary health care units in Rio de Janeiro, Brazil. Interruption of exclusive breastfeeding (outcome) was defined as the introduction of water, other types of liquids, milk, or formulas or any food. Postpartum depression was assessed using the Edinburgh Post-Natal Depression Scale. Associations between variables were expressed as prevalence ratios (baseline) and risk ratios (follow-up), with their respective 95% confidence intervals, estimated by Poisson regression with robust variance. Children of mothers with postpartum depressive symptoms were at higher risk of early interruption of exclusive breastfeeding in the first and second months of follow-up (RR = 1.46; 95% CI: 0.98-2.17 and RR = 1.21; 95% CI: 1.02-1.45, respectively). Considering mothers that were exclusively breastfeeding at the first month, postpartum depression was not associated with interruption of exclusive breastfeeding in the second month (RR = 1.44; 95% CI: 0.68-3.06). The results indicate the importance of maternal mental health for the success of exclusive breastfeeding.
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