Prepregnancy Depression and Breastfeeding Duration: A Look at Maternal Age

Background. In the United States, major depressive disorder affects one in five women aged 20-40 years. During these childbearing years, depression can negatively impact maternal behaviors that are crucial for infant growth and development. This study examined the relationship between prepregnancy d...

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Main Authors: Jordyn T. Wallenborn, Anny-Claude Joseph, Whitney C. Graves, Saba W. Masho
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Pregnancy
Online Access:http://dx.doi.org/10.1155/2018/4825727
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author Jordyn T. Wallenborn
Anny-Claude Joseph
Whitney C. Graves
Saba W. Masho
author_facet Jordyn T. Wallenborn
Anny-Claude Joseph
Whitney C. Graves
Saba W. Masho
author_sort Jordyn T. Wallenborn
collection DOAJ
description Background. In the United States, major depressive disorder affects one in five women aged 20-40 years. During these childbearing years, depression can negatively impact maternal behaviors that are crucial for infant growth and development. This study examined the relationship between prepregnancy depression and breastfeeding duration by maternal age. Methods. Data from Phase 7 (2012-2013) of the Pregnancy Risk Assessment Monitoring System (N=62,483) were analyzed. Prepregnancy depression was dichotomized while breastfeeding duration was categorized as never breastfed, breastfed 8 weeks or less, and breastfed more than 8 weeks. Maternal age was a significant effect modifier; therefore, results were stratified by maternal age. Multinomial logistic regression was used to obtain odds ratios and 95% confidence intervals (CI). Results. For women aged 20-24, 25-29, and 30-34 years with prepregnancy depression, the odds of never breastfeeding and breastfeeding 8 weeks or less were significantly higher than in women with no history of prepregnancy depression. Notably, among women aged 25-29 with prepregnancy depression, the odds of never breastfeeding and breastfeeding 8 weeks or less were 93% (adjusted odds ratio (AOR) = 1.93, 95% CI =1.57-2.37) and 65% (AOR = 1.65, 95% CI = 1.37-1.99) higher compared to women with no history of prepregnancy depression, respectively. Conclusions. Having a history of poor mental health before pregnancy may increase the likelihood of premature breastfeeding cessation. A woman’s mental health status before pregnancy should be considered in reproductive and prenatal care models. Efforts should be made to understand challenges women of specific age groups face when trying to breastfeed.
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spelling doaj-art-b2bc6889536e40bfb61352f3c784ef292025-02-03T07:24:32ZengWileyJournal of Pregnancy2090-27272090-27352018-01-01201810.1155/2018/48257274825727Prepregnancy Depression and Breastfeeding Duration: A Look at Maternal AgeJordyn T. Wallenborn0Anny-Claude Joseph1Whitney C. Graves2Saba W. Masho3Virginia Commonwealth University, School of Medicine, Division of Epidemiology, Department of Family Medicine and Population Health, 830 East Main Street, Suite 821, P.O. Box 980212, Richmond, VA 23298-0212, USAVirginia Commonwealth University, School of Medicine, Division of Epidemiology, Department of Family Medicine and Population Health, 830 East Main Street, Suite 821, P.O. Box 980212, Richmond, VA 23298-0212, USAVirginia Commonwealth University, School of Medicine, Division of Epidemiology, Department of Family Medicine and Population Health, 830 East Main Street, Suite 821, P.O. Box 980212, Richmond, VA 23298-0212, USAVirginia Commonwealth University, School of Medicine, Division of Epidemiology, Department of Family Medicine and Population Health, 830 East Main Street, Suite 821, P.O. Box 980212, Richmond, VA 23298-0212, USABackground. In the United States, major depressive disorder affects one in five women aged 20-40 years. During these childbearing years, depression can negatively impact maternal behaviors that are crucial for infant growth and development. This study examined the relationship between prepregnancy depression and breastfeeding duration by maternal age. Methods. Data from Phase 7 (2012-2013) of the Pregnancy Risk Assessment Monitoring System (N=62,483) were analyzed. Prepregnancy depression was dichotomized while breastfeeding duration was categorized as never breastfed, breastfed 8 weeks or less, and breastfed more than 8 weeks. Maternal age was a significant effect modifier; therefore, results were stratified by maternal age. Multinomial logistic regression was used to obtain odds ratios and 95% confidence intervals (CI). Results. For women aged 20-24, 25-29, and 30-34 years with prepregnancy depression, the odds of never breastfeeding and breastfeeding 8 weeks or less were significantly higher than in women with no history of prepregnancy depression. Notably, among women aged 25-29 with prepregnancy depression, the odds of never breastfeeding and breastfeeding 8 weeks or less were 93% (adjusted odds ratio (AOR) = 1.93, 95% CI =1.57-2.37) and 65% (AOR = 1.65, 95% CI = 1.37-1.99) higher compared to women with no history of prepregnancy depression, respectively. Conclusions. Having a history of poor mental health before pregnancy may increase the likelihood of premature breastfeeding cessation. A woman’s mental health status before pregnancy should be considered in reproductive and prenatal care models. Efforts should be made to understand challenges women of specific age groups face when trying to breastfeed.http://dx.doi.org/10.1155/2018/4825727
spellingShingle Jordyn T. Wallenborn
Anny-Claude Joseph
Whitney C. Graves
Saba W. Masho
Prepregnancy Depression and Breastfeeding Duration: A Look at Maternal Age
Journal of Pregnancy
title Prepregnancy Depression and Breastfeeding Duration: A Look at Maternal Age
title_full Prepregnancy Depression and Breastfeeding Duration: A Look at Maternal Age
title_fullStr Prepregnancy Depression and Breastfeeding Duration: A Look at Maternal Age
title_full_unstemmed Prepregnancy Depression and Breastfeeding Duration: A Look at Maternal Age
title_short Prepregnancy Depression and Breastfeeding Duration: A Look at Maternal Age
title_sort prepregnancy depression and breastfeeding duration a look at maternal age
url http://dx.doi.org/10.1155/2018/4825727
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