Breastfeeding and postnatal depression: A prospective cohort study in Sabah, Malaysia

Aza Sherin Mohamad Yusuff and Tang, Li and Colin W. Binns and Lee, Andy H. (2016) Breastfeeding and postnatal depression: A prospective cohort study in Sabah, Malaysia. Journal of Human Lactation, 32 (2). pp. 277-281. ISSN 1552-5732


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Background: Postnatal depression is a disorder that can lead to serious consequences for both the mother and infant. Despite the extensively documented health benefits of breastfeeding, its association with postnatal depression remains uncertain. Objective: To investigate the relationship between full breastfeeding at 3 months postpartum and postnatal depressive symptoms among mothers in Sabah, Malaysia. Methods: A prospective cohort study of 2072 women was conducted in Sabah during 2009-2010. Participants were recruited at 36 to 38 weeks of gestation and followed up at 1 and 3 months postpartum. Depressive symptoms were assessed using the validated Malay version of the Edinburgh Postnatal Depression Scale (EPDS). Repeated-measures analyses of variance was performed to compare the depression scores over time and between subgroups of breastfeeding mothers. Results: Approximately 46% of women were fully breastfeeding their infants at 3 months postpartum. These mothers had significantly (P < .001) lower mean EPDS scores at both 1 and 3 months postpartum (mean ± SD, 4.14 ± 4.12 and 4.27 ± 4.12, respectively) than others who did not initiate or maintain full breastfeeding for 3 months (4.94 ± 4.34 and 5.25 ± 4.05, respectively). After controlling for the effects of covariates, the differences in EPDS scores remained statistically significant (P = .001) between the 2 breastfeeding groups. Conclusion: Full breastfeeding appeared to be negatively associated with postnatal depressive symptoms for mothers residing in Sabah.

Item Type: Article
Uncontrolled Keywords: breastfeeding, depression, depressive symptoms, Edinburgh Postnatal Depression Scale, Malaysia, postnatal depression,
Subjects: R Medicine > RG Gynecology and obstetrics
Divisions: FACULTY > Faculty of Medicine and Health Sciences
Depositing User: ADMIN ADMIN
Date Deposited: 03 Aug 2016 14:18
Last Modified: 23 Oct 2017 12:51

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