Evidence map›Paper›PMID 31897581›Full record

ArticleSocial psychiatry and psychiatric epidemiology2020

Maternal mood symptoms in pregnancy and postpartum depression: association with exclusive breastfeeding in a population-based birth cohort.

Simone Farías-Antúnez, Iná Silva Santos, Alicia Matijasevich, Aluisio Jardim Dornellas de Barros

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In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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  16. Positive Effect of Breastfeeding on Child Development, Anxiety, and Postpartum Depression.International journal of environmental research and public health · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Simone Farías-AntúnezPostgraduate Program in Epidemiology, Federal University of Pelotas, Marechal Deodoro St., 1160, 3º floor, Centro, Pelotas, RS, 96020-220, Brazil. simonefarias47@gmail.com.ORCID http://orcid.org/0000-0002-1546-4217
Iná Silva SantosPostgraduate Program in Epidemiology, Federal University of Pelotas, Marechal Deodoro St., 1160, 3º floor, Centro, Pelotas, RS, 96020-220, Brazil.
Alicia MatijasevichPostgraduate Program in Epidemiology, Federal University of Pelotas, Marechal Deodoro St., 1160, 3º floor, Centro, Pelotas, RS, 96020-220, Brazil.
Aluisio Jardim Dornellas de BarrosPostgraduate Program in Epidemiology, Federal University of Pelotas, Marechal Deodoro St., 1160, 3º floor, Centro, Pelotas, RS, 96020-220, Brazil.
Universidade Federal de Pelotas · BR

Funding

ESTABLISHMENT OF LANGERHANS CELL LINESF06TW002003 · FIC · UNIVERSITY OF TEXAS SW MED CTR/DALLAS · PI BERGSTRESSER, PAUL R · 1994 to 1994
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Conselho Nacional de Desenvolvimento Científico e Tecnológico 476727/2003-0Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 001Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul 0408827Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul 07.0078-2Ministério da Saúde 2799-03Wellcome Trust 72403MA
6 · The paper itself

Abstract

purposeThis study aimed to evaluate the association between mood symptoms during pregnancy and exclusive breastfeeding at 3 months, as well as the association between exclusive breastfeeding at 3 months and maternal depression at 12 months postpartum.

methodsData from the Pelotas 2004 Birth Cohort with 4231 live births were used. Maternal mood symptoms during pregnancy were assessed through the question "During pregnancy, did you have depression or nervous problems?" and depression symptomatology at 12 months postpartum was assessed with the Edinburg Postnatal Depression Scale (EPDS). Information on exclusive breastfeeding at 3 months was collected through a dietary recall questionnaire. Crude and adjusted relative risks (RR) with 95% confidence intervals (95% CI) were estimated by Poisson regression.

resultsPrevalence of mood symptoms during pregnancy was 25.1% (95% CI 23.8; 26.4%) and prevalence of EPDS ≥ 10 at 12 months after birth was 27.6% (95% CI 26.2; 29.0%). Prevalence of exclusive breastfeeding at 3 months was 26.5% (95% CI 25.2; 27.9%). In crude analyses, maternal mood symptoms during pregnancy were associated with non-exclusive breastfeeding at 3 months and non-exclusive breastfeeding at 3 months was associated with postpartum maternal depression at 12 months. In the adjusted analyses, both associations were lost after the inclusion of maternal education (RR 0.92; 95% CI 0.81-1.04 and RR 0.92; 95% CI 0.81-1.03, respectively).

conclusionIn our study, the crude association between mood symptoms in pregnancy, exclusive breastfeeding at 3 months, and postpartum depression was due more to the low maternal education than to a true relationship between them.

Indexed as

AdultBrazilBreast FeedingCohort StudiesDepression, PostpartumDepressive DisorderFemaleHumansInfantInfant, NewbornMothersPregnancyPregnancy ComplicationsPrenatal CarePrevalencePsychiatric Status Rating ScalesBreastfeedingCohort studyMaternal depressionPostpartum depression

Identifiers

PMID31897581
OpenAlexW2997454301

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.