1 The Maldives National University, Malé, Maldives.
2 Curtin University, Perth, Western Australia, Australia.
Asia Pac J Public Health. 2019 Mar;31(2):113-120. doi: 10.1177/1010539519836531.
To assess associations between maternal depression and breastfeeding practices in mothers in the Maldives.
A prospective cohort study. The validated questionnaires contained information on demographics, breastfeeding initiation, breastfeeding duration, and the Edinburgh Postnatal Depression Scale. Logistic regression analyses were used to assess association between Edinburgh Postnatal Depression Scale score and breastfeeding practices while adjusting for lifestyle determinants. Cox regression was done to measure the association between maternal depression and breastfeeding duration.
Antenatal clinic at Indira Gandhi Memorial and ADK Hospitals in Male', Maldives.
A total of 458 mothers from the antennal clinics were interviewed at 36 weeks of gestation and again at 1, 3, and 6 months after birth.
Antenatal depression at 36 weeks of gestation was associated with late initiation of breastfeeding (adjusted odds ratio = 3.0, 95% confidence interval = 1.3-6.8). Postnatal depression was associated with shorter duration of exclusive, full, and any breastfeeding ( P < .001).
Depression is negatively associated with breastfeeding practices. There is a need to manage antenatal postnatal depression in mothers in order to encourage them to initiate breastfeeding earlier and to breastfeed for longer.
评估马尔代夫母亲的抑郁与母乳喂养行为之间的关联。
前瞻性队列研究。经过验证的问卷包含了人口统计学、母乳喂养起始、母乳喂养持续时间以及爱丁堡产后抑郁量表的信息。使用逻辑回归分析评估爱丁堡产后抑郁量表评分与母乳喂养行为之间的关联，同时调整生活方式决定因素。使用 Cox 回归测量母亲抑郁与母乳喂养持续时间之间的关联。
马尔代夫 Male' 的 Indira Gandhi Memorial 和 ADK 医院的产前诊所。
共有 458 名来自产前诊所的母亲在 36 周妊娠时、产后 1 个月、3 个月和 6 个月接受了访谈。
36 周妊娠时的产前抑郁与母乳喂养起始较晚相关（调整后的优势比=3.0，95%置信区间=1.3-6.8）。产后抑郁与纯母乳喂养、完全母乳喂养和任何形式母乳喂养的持续时间较短相关（P<0.001）。
抑郁与母乳喂养行为呈负相关。需要对母亲进行产前和产后的抑郁管理，以鼓励她们更早地开始母乳喂养，并延长母乳喂养时间。
