Evidence map›Paper›PMID 23586800›Full record

ArticleJournal of women's health (2002)2013

Association between maternal mood and oxytocin response to breastfeeding.

Alison M Stuebe, Karen Grewen, Samantha Meltzer-Brody

Open access · greenAbstract read
In one paragraph

Article in Journal of women's health (2002), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 9 pooled it
16.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

119 citing papers in PubMed, 9 syntheses or guidelines pooled it, 294 citations in OpenAlex.

  1. Pooled it
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  8. ABM Clinical Protocol #18: Use of Antidepressants in Breastfeeding Mothers.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine
    Guideline
  9. Pooled it
  10. Trial
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  12. A Test of Kangaroo Care on Preterm Infant Breastfeeding.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
    Trial
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  14. Review
  15. Article
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  18. Article
  19. Perinatal Depression: Current Knowledge.Advances in experimental medicine and biology · 2026
    Review
  20. Article

59 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Alison M StuebeDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC 27599, USA. astuebe@med.unc.edu
Karen Grewen
Samantha Meltzer-Brody
University of North Carolina at Chapel Hill · US

Funding

UNC CLINICAL AND TRANSLATIONAL SCIENCE AWARD: BPCAUL1RR025747 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2008 to 2011
$44.6M
PRENATAL COCAINE AND NEUROBEHAVIORAL FACTORS UNDERLYING MOTHER-INFANT INTERACTIONP01DA022446 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JOHNS, JOSEPHINE M. · 2008 to 2015
$10.2M
WRHR Career Development Center at UNCK12HD050113 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CLARKE-PEARSON, DANIEL LYLE · 2005 to 2009
$1.7M
HPA Stress Reactivity & Genetic Influences in Postpartum DepressionK23MH085165 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MELTZER-BRODY, SAMANTHA ERIKA · 2009 to 2013
$887k
PRENATAL COCAINE,SMOKING AND OXYTOCIN IN HUMANSK01DA019949 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GREWEN, KAREN M · 2006 to 2010
$738k
NCRR NIH HHS UL1RR025747NICHD NIH HHS 5K12HD050113-04NIDA NIH HHS K01DA019949-01A1NIDA NIH HHS P01 DA022446NIDA NIH HHS P01DA022446NIMH NIH HHS K23MH085165
6 · The paper itself

Abstract

backgroundPostpartum depression is associated with reduced breastfeeding duration. We previously hypothesized that shared neuroendocrine mechanisms underlie this association. We sought to measure the association between maternal mood and neuroendocrine response to breastfeeding.

methodsWe conducted a longitudinal cohort study of women recruited during pregnancy who intended to breastfeed. Baseline depression and anxiety history were assessed with a structured clinical interview. We measured mood symptoms using validated psychometric instruments, and we quantified affect and neuroendocrine responses to breastfeeding during laboratory visits at 2 and 8 weeks postpartum.

resultsWe recruited 52 women who intended to breastfeed, among whom 47 completed 8-week follow-up. Duration and intensity of breastfeeding through 8 weeks were similar among mothers with lower versus higher anxiety and depression scores. In the third trimester, oxytocin was inversely correlated with Edinburgh Postnatal Depression Scale (EPDS) score (p=0.03). We did not find differences in neuroendocrine profile during breastfeeding at 2 weeks postpartum. Among the 39 women who breastfed at 8 weeks postpartum, oxytocin area under the curve during breastfeeding was inversely correlated with maternal EPDS and STAI-State and STAI-Trait anxiety scores (all p≤0.01). Higher anxiety and depression scores was further associated with lower oxytocin (group p<0.05) during feeding. During feeding at both visits, higher anxiety and depression scores were also associated with more negative affect: mothers reported feeling less happy and more depressed, overwhelmed, and stressed during feeding than women with lower scores.

conclusionSymptoms of depression and anxiety were associated with differences in oxytocin response and affect during breastfeeding.

Indexed as

AdultAffectAnxietyBreast FeedingDepressionFemaleHumansOxytocinPostpartum PeriodPregnancyPregnancy Trimester, ThirdProspective StudiesOxytocin

Identifiers

PMID23586800
PMCPMC3627433
OpenAlexW2008023822

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.