ArticleBMC pregnancy and childbirth2019
A prospective study of maternal postnatal depressive symptoms with infant-feeding practices in a Chinese birth cohort.
Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- Perinatal depressive symptoms and breastfeeding behaviors: A systematic literature review and biosocial research agenda.Journal of affective disorders · 2021Pooled it
- Intervention intended to improve public health professionals' self-efficacy in their efforts to detect and manage perinatal depressive symptoms among Thai women: a mixed-methods study.BMC health services research · 2020Trial
- Perinatal Depression and Infant Mortality.JAMA network open · 2026Article
- Effect of Internet Plus-based postpartum healthcare services on postpartum depression of primipara and growth and development of neonates.World journal of psychiatry · 2025Article
- Psychosocial Influences on Breastfeeding Duration: Maternal, Paternal, and Infant Contributors.Current developments in nutrition · 2025Review
- Associations between maternal adversity and health and children's telomere length.Translational psychiatry · 2025Article
- Association of Perinatal Depressive Symptoms with Breastfeeding.Alpha psychiatry · 2024Article
- Prevalence and Risk Factors of Postpartum Depression Among Women in Low-Income Developing Rural Areas: A Cross-Sectional Study in China.Depression and anxiety · 2024Article
- Nexus between postpartum depression and exclusive breastfeeding practices among lactating mothers in Assosa Town, West Ethiopia.Frontiers in nutrition · 2024Article
- Evaluation of breastfeeding and infant feeding attitudes among syrian refugees in Turkey: observations of Syrian healthcare workers.International breastfeeding journal · 2023Article
- Prevalence and risk factors of postpartum depression among women living in the United Arab Emirates.Social psychiatry and psychiatric epidemiology · 2023Article
- Obstetric anesthesia clinic childbirth course combined with labor epidural analgesia is associated with a decreased risk of postpartum depression : a prospective cohort study.BMC anesthesiology · 2022Article
- Relationship between Dietary Inflammatory Index and Postpartum Depression in Exclusively Breastfeeding Women.Nutrients · 2022Article
- Towards Universal Screening for Postpartum Depression in China: Lessons Learned from a Comprehensive Prevention Programme in Shenzhen.Maternal and child health journal · 2022Article
- Postnatal mental health, breastfeeding beliefs, and breastfeeding practices in rural China.International breastfeeding journal · 2022Article
- Using Brexanolone for Postpartum Depression Must Account for Lactation.Maternal and child health journal · 2021Article
- Women's Mental Health as a Factor Associated with Exclusive Breastfeeding and Breastfeeding Duration: Data from a Longitudinal Study in Greece.Children (Basel, Switzerland) · 2021Article
- Preeclampsia and Its Complications Exacerbate Development of Postpartum Depression: A Retrospective Cohort Study.BioMed research international · 2021Article
- Impact of Covid-19 in pregnancy on mother's psychological status and infant's neurobehavioral development: a longitudinal cohort study in China.BMC medicine · 2020Article
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe first few weeks after childbirth are critical, as women may encounter lactation problems and postpartum depression during this period. However, it is still unclear whether early breastfeeding behaviours are related to the symptoms of postnatal depression (PND) in Chinese populations. Therefore, the current study aimed to investigate the association between symptoms of PND and infant feeding practices based on a large-scale Chinese cohort.
methodsA prospective study of the community-based cohort was conducted from January 2015 to December 2016. Infant feeding outcomes, including exclusive/partial breastfeeding and formula feeding, were assessed according to the WHO guidelines. Symptoms of PND were assessed by the Edinburgh Postnatal Depression Scale at 4 weeks postpartum. Multivariate generalized estimating equation models were applied to investigate the associations between depressive symptoms and infant feeding behaviours.
resultsA total of 956 mother-infant pairs were included. Fifty-six mothers presented screen-positive symptoms of PND with a cut-off ≥10. The percentage of early breastfeeding initiation was 75.8%, while the average duration of exclusive breastfeeding was 3.90 ± 2.33 months. Postnatal depressive symptoms were associated with a shorter breastfeeding duration (8.02 vs. 6.32 months, P < 0.05) and earlier formula introduction (4.98 vs. 3.60 months, P < 0.05). After adjustments were made for covariates, postnatal depressive symptoms were associated with an increased risk of the discontinuation of exclusive and partial breastfeeding (β = - 0.049, P = 0.047 and β = - 0.082, P = 0.006, respectively). Compared to mothers without symptoms of PND, mothers with depressive symptoms were more likely to supplement formula for their infants in the first year of life (β =0.074, P = 0.016). These associations were still significant in the sensitivity analyses, using an EPDS cut-off of ≥13.
conclusionsOur findings indicate that depressive symptoms at 4 weeks postpartum are associated with the cessation of exclusive and partial breastfeeding duration and the introduction of formula in the 12 months of delivery. Early psychosocial assessment and social support should be offered to mothers in the early postpartum period to indirectly prevent adverse breastfeeding outcomes.
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