Physical health, breastfeeding problems and maternal mood in the early postpartum: a prospective cohort study
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 f...
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| Veröffentlicht in: | Archives of women's mental health 2018-06, Vol.21 (3), p.365-374 |
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| creator | Cooklin, A. R. Amir, L. H. Nguyen, C. D. Buck, M.L. Cullinane, M. Fisher, J. R. W. Donath, S. M. |
| description | 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 (
β
= 10.6,
p
= 0.01) or with co-morbid physical problems (
β
= 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. |
| doi_str_mv | 10.1007/s00737-017-0805-y |
| format | Article |
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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 (
β
= 10.6,
p
= 0.01) or with co-morbid physical problems (
β
= 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.</description><identifier>ISSN: 1434-1816</identifier><identifier>EISSN: 1435-1102</identifier><identifier>DOI: 10.1007/s00737-017-0805-y</identifier><identifier>PMID: 29264646</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Anxiety ; Breast feeding ; Breastfeeding & lactation ; Cohort analysis ; Complications and side effects ; Constipation ; Fatigue ; Health aspects ; Health risk assessment ; Hemorrhoids ; Lactation disorders ; Mastitis ; Maternal health services ; Medicine ; Medicine & Public Health ; Mental disorders ; Mental health ; Methods ; Milk ; Mood ; Original Article ; Pain ; Postpartum ; Postpartum depression ; Postpartum period ; Prevention ; Psychiatry ; Psychotherapy ; Puerperium ; Risk factors ; Vigor ; Womens health</subject><ispartof>Archives of women's mental health, 2018-06, Vol.21 (3), p.365-374</ispartof><rights>Springer-Verlag GmbH Austria, part of Springer Nature 2017</rights><rights>COPYRIGHT 2018 Springer</rights><rights>Archives of Women's Mental Health is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-97a513e2e111f69be86b3088c2504f97e689df7cb358586e0fc9c41c6f28ffd93</citedby><cites>FETCH-LOGICAL-c504t-97a513e2e111f69be86b3088c2504f97e689df7cb358586e0fc9c41c6f28ffd93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00737-017-0805-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00737-017-0805-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29264646$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cooklin, A. R.</creatorcontrib><creatorcontrib>Amir, L. H.</creatorcontrib><creatorcontrib>Nguyen, C. D.</creatorcontrib><creatorcontrib>Buck, M.L.</creatorcontrib><creatorcontrib>Cullinane, M.</creatorcontrib><creatorcontrib>Fisher, J. R. W.</creatorcontrib><creatorcontrib>Donath, S. M.</creatorcontrib><creatorcontrib>CASTLE Study Team</creatorcontrib><creatorcontrib>the CASTLE Study Team</creatorcontrib><title>Physical health, breastfeeding problems and maternal mood in the early postpartum: a prospective cohort study</title><title>Archives of women's mental health</title><addtitle>Arch Womens Ment Health</addtitle><addtitle>Arch Womens Ment Health</addtitle><description>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 (
β
= 10.6,
p
= 0.01) or with co-morbid physical problems (
β
= 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.</description><subject>Anxiety</subject><subject>Breast feeding</subject><subject>Breastfeeding & lactation</subject><subject>Cohort analysis</subject><subject>Complications and side effects</subject><subject>Constipation</subject><subject>Fatigue</subject><subject>Health aspects</subject><subject>Health risk assessment</subject><subject>Hemorrhoids</subject><subject>Lactation disorders</subject><subject>Mastitis</subject><subject>Maternal health services</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Methods</subject><subject>Milk</subject><subject>Mood</subject><subject>Original Article</subject><subject>Pain</subject><subject>Postpartum</subject><subject>Postpartum depression</subject><subject>Postpartum period</subject><subject>Prevention</subject><subject>Psychiatry</subject><subject>Psychotherapy</subject><subject>Puerperium</subject><subject>Risk factors</subject><subject>Vigor</subject><subject>Womens health</subject><issn>1434-1816</issn><issn>1435-1102</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>QXPDG</sourceid><recordid>eNp1km1r1jAUhosobk5_gF8kIIjCOpO2aRK_jaHbYKD48jmk6cnTjLbpklTsvze1c-4R5ZAXkus-SU7uLHtO8AnBmL0NqStZjklqHNN8eZAdkqqkOSG4ePhrXuWEk_ogexLCNcaYClE9zg4KUdRVisNs-NQtwWrVow5UH7tj1HhQIRqA1o47NHnX9DAEpMYWDSqCHxM7ONciO6LYAQLl-wVNLsRJ-TgP75BaVWECHe13QNp1zkcU4twuT7NHRvUBnt2OR9m3D--_nl3kVx_PL89Or3JNcRVzwRQlJRRACDG1aIDXTYk510XaNoJBzUVrmG5KyimvARstdEV0bQpuTCvKo-z1ljdd5GaGEOVgg4a-VyO4OUgimKgErRhL6Mu_0Gs3r4_cKFyXjBZ_qJ3qQdrRuOiVXpPKU1oyLlJd12NP_kGlaGGw2o1gbFrfE7zZEyQmwo-4U3MI8vLL53321T12-63g-jlaN4Z9kGygTr8QPBg5eTsov0iC5eobuflGJt_I1TdySZoXt1WYmwHaO8VvoySg2ICQtsYd-Htl-m_Wn2l-y-4</recordid><startdate>20180601</startdate><enddate>20180601</enddate><creator>Cooklin, A. R.</creator><creator>Amir, L. H.</creator><creator>Nguyen, C. D.</creator><creator>Buck, M.L.</creator><creator>Cullinane, M.</creator><creator>Fisher, J. R. W.</creator><creator>Donath, S. 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R. ; Amir, L. H. ; Nguyen, C. D. ; Buck, M.L. ; Cullinane, M. ; Fisher, J. R. W. ; Donath, S. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c504t-97a513e2e111f69be86b3088c2504f97e689df7cb358586e0fc9c41c6f28ffd93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Anxiety</topic><topic>Breast feeding</topic><topic>Breastfeeding & lactation</topic><topic>Cohort analysis</topic><topic>Complications and side effects</topic><topic>Constipation</topic><topic>Fatigue</topic><topic>Health aspects</topic><topic>Health risk assessment</topic><topic>Hemorrhoids</topic><topic>Lactation disorders</topic><topic>Mastitis</topic><topic>Maternal health services</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Methods</topic><topic>Milk</topic><topic>Mood</topic><topic>Original Article</topic><topic>Pain</topic><topic>Postpartum</topic><topic>Postpartum depression</topic><topic>Postpartum period</topic><topic>Prevention</topic><topic>Psychiatry</topic><topic>Psychotherapy</topic><topic>Puerperium</topic><topic>Risk factors</topic><topic>Vigor</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cooklin, A. 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R.</au><au>Amir, L. H.</au><au>Nguyen, C. D.</au><au>Buck, M.L.</au><au>Cullinane, M.</au><au>Fisher, J. R. W.</au><au>Donath, S. M.</au><aucorp>CASTLE Study Team</aucorp><aucorp>the CASTLE Study Team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physical health, breastfeeding problems and maternal mood in the early postpartum: a prospective cohort study</atitle><jtitle>Archives of women's mental health</jtitle><stitle>Arch Womens Ment Health</stitle><addtitle>Arch Womens Ment Health</addtitle><date>2018-06-01</date><risdate>2018</risdate><volume>21</volume><issue>3</issue><spage>365</spage><epage>374</epage><pages>365-374</pages><issn>1434-1816</issn><eissn>1435-1102</eissn><abstract>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 (
β
= 10.6,
p
= 0.01) or with co-morbid physical problems (
β
= 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.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>29264646</pmid><doi>10.1007/s00737-017-0805-y</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Archives of women's mental health, 2018-06, Vol.21 (3), p.365-374 |
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| language | eng |
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| source | SpringerLink Journals - AutoHoldings |
| subjects | Anxiety Breast feeding Breastfeeding & lactation Cohort analysis Complications and side effects Constipation Fatigue Health aspects Health risk assessment Hemorrhoids Lactation disorders Mastitis Maternal health services Medicine Medicine & Public Health Mental disorders Mental health Methods Milk Mood Original Article Pain Postpartum Postpartum depression Postpartum period Prevention Psychiatry Psychotherapy Puerperium Risk factors Vigor Womens health |
| title | Physical health, breastfeeding problems and maternal mood in the early postpartum: a prospective cohort study |
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