Maternal psychosocial well-being in pregnancy and breastfeeding duration

J Li

Centre for International Health and School of Public Health, Curtin University of Technology, GPO Box U1987, Perth, Western Australia, Australia

Telethon Institute for Child Health Research, Centre for Child Health Research, The University of Western Australia, PO Box 855, West Perth, Western Australia 6872, Australia

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GE Kendall,

GE Kendall

School of Nursing and Midwifery, Curtin University of Technology, GPO Box U1987, Perth, Western Australia, Australia

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S Henderson,

S Henderson

School of Nursing and Midwifery, Curtin University of Technology, GPO Box U1987, Perth, Western Australia, Australia

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J Downie,

J Downie

School of Nursing and Midwifery, Curtin University of Technology, GPO Box U1987, Perth, Western Australia, Australia

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L Landsborough,

L Landsborough

South West Health Service, Department of Health, Perth, Western Australia, Australia

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WH Oddy,

WH Oddy

Telethon Institute for Child Health Research, Centre for Child Health Research, The University of Western Australia, PO Box 855, West Perth, Western Australia 6872, Australia

School of Public Health, Curtin University of Technology, GPO Box U1987, Perth, Western Australia, Australia

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J Li,

J Li

Centre for International Health and School of Public Health, Curtin University of Technology, GPO Box U1987, Perth, Western Australia, Australia

Telethon Institute for Child Health Research, Centre for Child Health Research, The University of Western Australia, PO Box 855, West Perth, Western Australia 6872, Australia

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GE Kendall,

GE Kendall

School of Nursing and Midwifery, Curtin University of Technology, GPO Box U1987, Perth, Western Australia, Australia

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S Henderson,

S Henderson

School of Nursing and Midwifery, Curtin University of Technology, GPO Box U1987, Perth, Western Australia, Australia

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J Downie,

J Downie

School of Nursing and Midwifery, Curtin University of Technology, GPO Box U1987, Perth, Western Australia, Australia

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L Landsborough,

L Landsborough

South West Health Service, Department of Health, Perth, Western Australia, Australia

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WH Oddy,

WH Oddy

Telethon Institute for Child Health Research, Centre for Child Health Research, The University of Western Australia, PO Box 855, West Perth, Western Australia 6872, Australia

School of Public Health, Curtin University of Technology, GPO Box U1987, Perth, Western Australia, Australia

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First published: 30 January 2008

https://doi.org/10.1111/j.1651-2227.2007.00602.x

Citations: 94

Correspondence
J. Li, Telethon Institute for Child Health Research, PO Box 855, West Perth, Western Australia 6872, Australia. Tel.: +61-8-9489-7800 | Fax: +61-8-9489-7700 | Email: [email protected]

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Abstract

Aim: An increased duration of breastfeeding has many advantages for the child and mother. However, little research to date has investigated the influence of maternal psychosocial well-being during pregnancy on the duration of breastfeeding. This study aimed to examine whether experience of life stress events, social contact/support in pregnancy and postpartum emotional disturbance had an effect on breastfeeding duration.

Methods: Using data from the Western Australian Pregnancy Cohort Study for 2420 women followed from 18 weeks gestation, we analyzed prevalent breastfeeding for 4 months or longer and its association with maternal psychosocial and socio-demographic factors in pregnancy, using multivariable logistic regressions.

Results: Experience of stressful life events during pregnancy increased the odds for the early cessation of prevalent breastfeeding (OR 1.34, p < 0.05, 95% CI 1.04–1.71) independent of maternal socio-demographic characteristics and biomedical factors. Stress events associated with separation or divorce, financial problems and residential moves in pregnancy were important predictors for a shorter duration of prevalent breastfeeding.

Conclusion: Experience of stressful life events during pregnancy increased the odds for the early cessation of prevalent breastfeeding. Interventions that move beyond hospital-based antenatal care to address the causes of maternal stress in pregnancy and socioeconomic disparities between women are required to increase breastfeeding duration.

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References

1 Oddy W, Sly PD, De Klerk NH, Landau LI, Kendall GE, Holt PG, et al. Breastfeeding and respiratory morbidity in infancy: a birth cohort study. Arch Dis Child 2003; 88: 224–8.
10.1136/adc.88.3.224
CAS PubMed Web of Science® Google Scholar
2 Horta B, Bahl R, Martines J, Victora C. Evidence of the long-term effects of breastfeeding. Geneva : WHO, 2007.
Google Scholar
3 Collaborative Group on Hormonal Factors in Breast Cancer. Breast cancer and breastfeeding: collaborative reanalysis of individual data from 47 epidemiological studies in 30 countries, including 50 302 women with breast cancer and 96 973 women without the disease. Lancet 2002; 360: 187–95.
10.1016/S0140-6736(02)09454-0
PubMed Web of Science® Google Scholar
4 Kramer MS, Kakuma R. The optimal duration of exclusive breastfeeding: a systematic review. Adv Exp Med Biol 2004; 554: 63–77.
10.1007/978-1-4757-4242-8_7
PubMed Web of Science® Google Scholar
5 World Health Organisation, UNICEF. Global strategy on infant and young child feeding. Geneva : WHO, 2003.
Google Scholar
6 Australian Bureau of Statistics. Breastfeeding in Australia. Canberra : Australian Bureau of Statistics, 2003.
Google Scholar
7 Scott JA, Binns CW. Factors associated with the initiation and duration of breastfeeding: a review of the literature. Breastfeed Rev 1999; 7: 5–16.
CAS PubMed Google Scholar
8 Callaghan A, Kendall GE, Lock C, Mahony A, Payne J, Verrier L. The association between pacifier use and breastfeeding, SIDS, infection, and dental malocclusion. Int J Evidence Based Healthcare 2005; 3: 147–67.
10.1111/j.1479-6988.2005.00024.x
PubMed Google Scholar
9 Hilson JA, Rasmussen KM, Kjolhede CL. High prepregnant body mass index is associated with poor lactation outcomes among white, rural women independent of psychosocial and demographic correlates. J Hum Lact 2004; 20: 18–29.
10.1177/0890334403261345
PubMed Web of Science® Google Scholar
10 Oddy W, Li J, Landsborough L, Kendall G, Henderson S, Downie J. The association of maternal overweight and obesity with breastfeeding duration. J Pediatr 2006; 149: 185–91.
10.1016/j.jpeds.2006.04.005
PubMed Web of Science® Google Scholar
11 Giugliani E, Caiaffa W, Vogelhut J, Witter F, Perman J. Effects of breastfeeding support from different sources on mothers' decisions to breastfeed. J Hum Lact 1994; 10: 157–61.
10.1177/089033449401000310
CAS PubMed Google Scholar
12 Littman H, VanderBrug Medendorp S, Goldfarbb J. The decision to breastfeed. The importance of fathers' approval. Clin Pediatr (Phila) 1994; 33: 214–9.
10.1177/000992289403300405
CAS PubMed Web of Science® Google Scholar
13 Barron SP, Lane HW, Hannan TE, Struempler B, Williams JC. Factors influencing duration of breastfeeding among low-income women. J Am Diet Assoc 1988; 88: 1557–61.
CAS PubMed Web of Science® Google Scholar
14 Scott J, Binns CW, Aroni R. The influence of reported paternal attitudes on the decision to breastfeed. J Paediatr Child Health 1997; 33: 305–7.
10.1111/j.1440-1754.1997.tb01605.x
CAS PubMed Web of Science® Google Scholar
15 Binns C, Gilchrist D, Gracey M, Zhang M, Scott J, Lee A. Factors associated with the initiation of breast-feeding by aboriginal mothers in Perth. Public Health Nutr 2004; 7: 857–61.
10.1079/PHN2004634
CAS PubMed Web of Science® Google Scholar
16 Scott JA, Binns CW, Graham KI, Oddy WH. Temporal changes in the determinants of breastfeeding initiation. Birth Issu Perinat Care 2006; 33: 1–89.
Google Scholar
17 Dykes F. ‘Supply’ and ‘demand’: breastfeeding as labour. Soc Sci Med 2005; 60: 2283–93.
10.1016/j.socscimed.2004.10.002
PubMed Web of Science® Google Scholar
18 Bick DE, MacArthur C, Lancashire RJ. What influences the uptake and early cessation of breastfeeding? Midwifery 1998; 14: 242–7.
10.1016/S0266-6138(98)90096-1
CAS PubMed Web of Science® Google Scholar
19 Webb K, Marks G, Lund-Adams M, Rutishauser I. Towards a national system for monitoring breastfeeding in Australia: recommendations for population indicators, definitions, and next steps. Canberra : Australian Food and Nutrition Monitoring Unit: Commonwealth Department of Health and Aged Care , 2001.
Google Scholar
20 Kennerley H, Gath D. Maternity blues .1. Detection and measurement by questionnaire. Br J Psychiatry 1989; 155: 356–62.
10.1192/bjp.155.3.356
CAS PubMed Web of Science® Google Scholar
21 SPSS Inc. SPSS version 13. Chicago , IL : SPSS, Inc., 2006.
Google Scholar
22 Li R, Scanlon K, Serdula M. The validity and reliability of maternal recall of breastfeeding practice. Nutr Rev 2005; 63: 103–10.
10.1111/j.1753-4887.2005.tb00128.x
CAS PubMed Web of Science® Google Scholar
23 Silburn S, Zubrick S, Garton A, Gurrin L, Burton P, Dalby R, et al. Western Australian child health survey: family and community health. Perth : Western Australia: Australian Bureau of Statistics and Telethon Institute for Child Health Research (ISBN 0 642 20759 3), 1996.
Google Scholar

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Volume97, Issue2

February 2008

Pages 221-225

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Maternal psychosocial well-being in pregnancy and breastfeeding duration

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