1 Department of Psychology, Kroc Institute for International Peace Studies, University of Notre Dame, Notre Dame, IN, USA.
2 College of Health and Human Sciences, School of Nursing, Purdue University, West Lafayette, IN, USA.
J Hum Lact. 2018 Aug;34(3):494-502. doi: 10.1177/0890334418776217. Epub 2018 Jun 21.
Intimate partner violence has been related to breastfeeding difficulties. Few studies, however, have also accounted for other biopsychosocial risk factors associated with women's breastfeeding. Research aim: This study aimed to examine how prenatal intimate partner violence affects women's breastfeeding initiation, early cessation, and exclusivity at 6 weeks postpartum, controlling for perinatal health problems, prenatal depression, childhood adverse experiences, and prenatal breastfeeding education.
A longitudinal, prospective one-group study was conducted. Data were collected via interview and survey from a sample of low-income pregnant women ( N = 101) during pregnancy and at 6 weeks postpartum. The Pregnancy Risk Assessment Monitoring System was used to assess breastfeeding behaviors, prenatal breastfeeding education, and perinatal health problems. Intimate partner violence was assessed using the Conflict Tactics Scales-Revised; adverse childhood experiences and depression were assessed using the Adverse Childhood Experiences and Center for Epidemiologic Studies Depression Scale, respectively.
Women's breastfeeding initiation was predicted by prenatal breastfeeding education (adjusted odds ratio [ OR] = 3.21, p < .05). Early breastfeeding cessation was predicted by prenatal exposure to intimate partner violence (adjusted OR = 0.22, p < .05), preterm labor (adjusted OR = 0.33, p < .05), and prenatal breastfeeding education (adjusted OR = 1.80, p < .05).
These findings highlight the importance of addressing biopsychosocial risk factors, particularly adversity and perinatal health, in efforts to promote women's breastfeeding success. Future research should evaluate mechanisms that may explain the link between intimate partner violence and breastfeeding cessation.
亲密伴侣暴力与母乳喂养困难有关。然而，很少有研究还考虑到与妇女母乳喂养相关的其他生物心理社会风险因素。
本研究旨在探讨产前亲密伴侣暴力如何影响妇女产后 6 周时的母乳喂养开始、早期停止和 6 周时的母乳喂养比例，同时控制围产期健康问题、产前抑郁、儿童期不良经历和产前母乳喂养教育。
进行了一项纵向、前瞻性的单组研究。在怀孕期间和产后 6 周，通过访谈和问卷调查从一组低收入孕妇（N=101）中收集数据。使用妊娠风险评估监测系统评估母乳喂养行为、产前母乳喂养教育和围产期健康问题。使用冲突策略量表修订版评估亲密伴侣暴力；使用儿童期不良经历量表和流行病学研究中心抑郁量表评估儿童期不良经历和抑郁。
产前母乳喂养教育预测了妇女的母乳喂养开始（调整后的优势比[OR]=3.21，p<.05）。早期母乳喂养停止由产前接触亲密伴侣暴力（调整后的 OR=0.22，p<.05）、早产（调整后的 OR=0.33，p<.05）和产前母乳喂养教育（调整后的 OR=1.80，p<.05）预测。
这些发现强调了应对生物心理社会风险因素（特别是逆境和围产期健康）的重要性，以促进妇女的母乳喂养成功。未来的研究应评估可能解释亲密伴侣暴力与母乳喂养停止之间联系的机制。
