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COVID-19 大流行期间母乳喂养意愿、母乳喂养实践和产后抑郁之间的关联:一项多国家横断面研究。

Associations between breastfeeding intention, breastfeeding practices and post-natal depression during the COVID-19 pandemic: A multi-country cross-sectional study.

机构信息

Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.

Guy's and St. Thomas' NHS Foundation Trust, Evelina London Children's Hospital, London, UK.

出版信息

Matern Child Nutr. 2023 Jan;19(1):e13450. doi: 10.1111/mcn.13450. Epub 2022 Nov 9.


DOI:10.1111/mcn.13450
PMID:36349949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9749603/
Abstract

Associations between breastfeeding intention, duration and post-natal depression (PND) have been shown in pre-COVID-19 studies. However, studies during COVID-19 have not examined the associations between breastfeeding intention, breastfeeding practices, and PND in an international sample of post-natal women, taking into consideration COVID-19 related factors. This is the first study to address this gap as both PND and breastfeeding may be affected by COVID-19, and have important long-term effects on women's and infant's health. A cross-sectional internet-based survey was conducted with 3253 post-natal women from five countries: Brazil, South Korea, Taiwan, Thailand, and the United Kingdom from July to November 2021. The results showed that women who intended to breastfeed during pregnancy had lower odds of having PND than women who did not intend to. Women who had no breastfeeding intention but actually breastfed had greater odds (AOR 1.75) of having PND than women who intended to breastfeed and actually breastfed. While there was no statistical significance in expressed breast milk feeding in multivariable logistic regression models, women who had shorter duration of breastfeeding directly on breast than they planned had greater odds (AOR 1.58) of having PND than those who breastfed longer than they planned even after adjusting for covariates including COVID-19-related variables. These findings suggested the importance of working with women on their breastfeeding intention. Tailored support is required to ensure women's breastfeeding needs are met and at the same time care for maternal mental health during and beyond the pandemic.

摘要

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[1]
Associations between breastfeeding intention, breastfeeding practices and post-natal depression during the COVID-19 pandemic: A multi-country cross-sectional study.

Matern Child Nutr. 2023-1

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[7]
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引用本文的文献

[1]
Factors associated with the length of breastfeeding during the COVID-19 pandemic: a survival study.

Rev Esc Enferm USP. 2024

[2]
Prevalence of postpartum depression symptoms in high-income, and low- and middle-income countries in the Covid-19 pandemic: a systematic review with meta-analysis.

Braz J Psychiatry. 2024

[3]
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[4]
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本文引用的文献

[1]
Postnatal women's breastfeeding beliefs, practices, and support during the COVID-19 pandemic: a cross-sectional comparative study across five countries.

Int Breastfeed J. 2022-8-17

[2]
Impact of COVID-19 on breastfeeding intention and behaviour among postpartum women in five countries.

Women Birth. 2022-11

[3]
Parents of young infants report poor mental health and more insensitive parenting during the first Covid-19 lockdown.

BMC Pregnancy Childbirth. 2022-4-9

[4]
Companionship for women/birthing people using antenatal and intrapartum care in England during COVID-19: a mixed-methods analysis of national and organisational responses and perspectives.

BMJ Open. 2022-1-11

[5]
Association between Breastfeeding Attitudes and Postpartum Depression among Mothers with Premature Infants during COVID-19 Pandemic.

Int J Environ Res Public Health. 2021-10-17

[6]
Mapping global prevalence of depression among postpartum women.

Transl Psychiatry. 2021-10-20

[7]
Does breastfeeding protect children from COVID-19? An observational study from pediatric services in Majorca, Spain.

Int Breastfeed J. 2021-10-18

[8]
Postpartum depressive symptoms of Brazilian women during the COVID-19 pandemic measured by the Edinburgh Postnatal Depression Scale.

J Affect Disord. 2022-1-1

[9]
Breastfeeding Experiences During the COVID-19 Lockdown in the United Kingdom: An Exploratory Study Into Maternal Opinions and Emotional States.

J Hum Lact. 2021-11

[10]
Factors Affecting Breastfeeding Practices under Lockdown during the COVID-19 Pandemic in Thailand: A Cross-Sectional Survey.

Int J Environ Res Public Health. 2021-8-18

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