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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Language: | English |
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2018-01-01
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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. |
format | Article |
id | doaj-art-b2bc6889536e40bfb61352f3c784ef29 |
institution | Kabale University |
issn | 2090-2727 2090-2735 |
language | English |
publishDate | 2018-01-01 |
publisher | Wiley |
record_format | Article |
series | Journal of Pregnancy |
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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