Evidence map›Paper›PMID 29969342›Full record

ArticleJournal of human lactation : official journal of International Lactation Consultant Association2019

Associations of Maternal Beliefs and Distress in Pregnancy and Postpartum With Breastfeeding Initiation and Early Cessation.

Genevieve Ritchie-Ewing, Amanda M Mitchell, Lisa M Christian

Abstract read
In one paragraph

Article in Journal of human lactation : official journal of International Lactation Consultant Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Antenatal Classes in the Context of Prenatal Anxiety and Depression during the COVID-19 Pandemic.International journal of environmental research and public health · 2022
    Article
  13. Realigning Expectations With Reality: A Case Study on Maternal Mental Health During a Difficult Breastfeeding Journey.Journal of human lactation : official journal of International Lactation Consultant Association · 2022
    Article
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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.

Genevieve Ritchie-Ewing1 Department of Anthropology, Ohio State University, Columbus, OH, USA.
Amanda M Mitchell2 Department of Counseling and Human Development, University of Louisville, Louisville, KY, USA.
Lisa M Christian3 Department of Psychiatry & Behavioral Health, Ohio State University Wexner Medical Center, Columbus, OH, USA.

Funding

The Ohio State University Center for clinical and Translational ScienceUL1TR001070 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2013 to 2017
$22.6M
Maternal Stress, Obesity, and Influenza Virus Vaccine Immunogenicity in PregnancyR01NR013661 · NINR · OHIO STATE UNIVERSITY · PI CHRISTIAN, LISA MICHELLE · 2013 to 2017
$1.9M
Stress, Race, and Immune Adaptation Across Pregnancy: Predictors of Preterm BirthR21HD067670 · NICHD · OHIO STATE UNIVERSITY · PI CHRISTIAN, LISA MICHELLE · 2011 to 2012
$419k
NCATS NIH HHS UL1 TR001070NICHD NIH HHS R21 HD067670NINR NIH HHS R01 NR013661
6 · The paper itself

Abstract

background: Breastfeeding plays an important role in both maternal and infant health and well-being. While researchers have examined the relationship between postpartum psychological distress and breastfeeding behaviors, few have investigated links between prenatal distress, postpartum distress, and breastfeeding behaviors over time. RESEARCH

aim: We aimed to determine if prenatal breastfeeding beliefs and psychological distress during and after pregnancy were associated with initiation and early cessation rates of breastfeeding.

methods: In our secondary data analysis, a nonexperimental longitudinal one-group design was used. We assessed pregnant women ( N = 70) during four perinatal visits (early, mid, and late pregnancy and 7-10 weeks postpartum). Participants completed self-report surveys about psychological distress and depressive symptoms at each visit, breastfeeding beliefs during the third visit, and breastfeeding behaviors at the postpartum visit.

results: Participants who breastfed for ⩾8 weeks had more positive beliefs about breastfeeding prior to delivery than participants with early cessation, who in turn had more positive beliefs than those who never initiated. Participants with early cessation reported heightened levels of pregnancy-specific distress in early pregnancy compared to those who continued breastfeeding or never initiated. Participants who continued breastfeeding for ⩾8 weeks reported less general anxiety and depressive symptoms in postpartum than those who discontinued or never initiated.

conclusions: Prenatal beliefs about breastfeeding, pregnancy-specific distress in early pregnancy, and general anxiety and depressive symptoms in postpartum are associated with breastfeeding initiation and continuation. Of clinical relevance, addressing prenatal and postpartum distress in the implementation of breastfeeding practice interventions could improve breastfeeding rates.

Indexed as

Health Knowledge, Attitudes, PracticeMaternal BehaviorAdultBreast FeedingDepression, PostpartumDepressive DisorderFemaleHumansInfant, NewbornLongitudinal StudiesMothersOhioPregnancyPregnancy ComplicationsSurveys and Questionnairesbreastfeeding durationbreastfeeding initiationbreastfeeding practicesmaternal psychology

Identifiers

PMID29969342
PMCPMC6924271

What OpenQuestion holds

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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.