Emergency cesarean section is a risk factor for depressive symptoms when breastfeeding is limited

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Publikace nespadá pod Ekonomicko-správní fakultu, ale pod Fakultu sociálních studií. Oficiální stránka publikace je na webu muni.cz.
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TAKÁCS Lea SMOLÍK Filip LACINOVÁ Lenka DAŇSOVÁ Petra FENG Tianshu MUDRÁK Jiří ZÁBRODSKÁ Kateřina MONK Catherine

Rok publikování 2022
Druh Článek v odborném periodiku
Časopis / Zdroj Journal of Psychosomatic Research
Fakulta / Pracoviště MU

Fakulta sociálních studií

Citace
www https://www.sciencedirect.com/science/article/pii/S0022399921003366
Doi http://dx.doi.org/10.1016/j.jpsychores.2021.110691
Klíčová slova Postpartum depression; Depressive symptoms9 Cesarean section; Breastfeeding
Přiložené soubory
Popis Objective Previous studies indicated associations between cesarean section (CS), breastfeeding, and depressive symptoms. There is, however, little research integrating these variables into one model to analyze their interrelations. The aim of this observational prospective longitudinal study is to examine whether the effect of CS on postpartum depressive symptoms is mediated by difficulties with breastfeeding. Methods The participants were recruited in 5 maternity hospitals during their prenatal medical check-ups. Breastfeeding status was self-reported by the mothers six weeks postpartum. Screening for depressive symptoms was performed at six weeks (N?=?404) and nine months (N?=?234) postpartum using the Edinburgh Postnatal Depression Scale. Path analysis was used to model the relations between CS, breastfeeding, and depressive symptoms. Results No direct effects of CS on depressive symptoms at six weeks or nine months postpartum were found. CS was associated with a lower probability of exclusive breastfeeding, which was, in turn, associated with higher levels of depressive symptoms six weeks postpartum. The analysis stratified by type of CS revealed that the effect on breastfeeding only occurred with emergency, not planned, CS. The effect of CS on breastfeeding was noticeably stronger in women without versus with a history of depression. Conclusion Emergency CS predicts breastfeeding difficulties, which are, in turn, associated with higher levels of depressive symptoms. Support should be provided to mothers with emergency CS and breastfeeding problems to reduce the risk of postpartum depressive symptoms in the early postpartum period.
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