Department of Pediatrics, Italy.
J Pediatr Gastroenterol Nutr. 2009 Nov;49(5):631-4. doi: 10.1097/MPG.0b013e31819e6446.
: Studies in animals indicate that stress and anxiety can depress lactation, but there is much less information available concerning humans. We aimed to determine whether maternal anxiety in puerperium, potentially exacerbated by the primiparity inexperience, has a negative impact on breast-feeding outcomes.
: The state-trait anxiety inventory Y form (Spielberger, 1983) was administered to a total of 204 mothers, 101 primiparae, and 103 pluriparae on the third to fourth day postpartum.
: We found that primiparae had state anxiety (T) scores significantly higher than pluriparae (44.57 +/- 5.85 vs 43.28 +/- 7.10, P = 0.03). Increased state anxiety levels impaired breast-feeding success. In addition, in the logistic regression analysis model used to assess factors predictive of breast-feeding longer than 3 months, maternal state anxiety was the most significant risk factor (odds ratio 0.99; 0.88-0.98, P < 0.01).
: In the puerperium, anxiety, potentially exacerbated by primiparae inexperience, is associated with impaired lactation. Alleviating maternal anxiety could be beneficial for stimulating breast-feeding in more vulnerable women.
动物研究表明，压力和焦虑会抑制泌乳，但关于人类的信息则要少得多。我们旨在确定产后母亲的焦虑（可能因初产妇经验不足而加剧）是否会对母乳喂养结果产生负面影响。
在产后第 3 至 4 天，总共对 204 名母亲，101 名初产妇和 103 名经产妇进行了状态-特质焦虑量表 Y 型（Spielberger，1983 年）测试。
我们发现初产妇的状态焦虑（T）评分明显高于经产妇（44.57 +/- 5.85 对 43.28 +/- 7.10，P = 0.03）。较高的状态焦虑水平会影响母乳喂养的成功。此外，在用于评估母乳喂养超过 3 个月的预测因素的逻辑回归分析模型中，母亲的状态焦虑是最显著的风险因素（比值比 0.99；0.88-0.98，P < 0.01）。
在产褥期，焦虑（可能因初产妇经验不足而加剧）与泌乳不良有关。减轻母亲的焦虑可能有助于刺激更脆弱的女性进行母乳喂养。
