Physiotherapy and Health Research Group (FYSA), Department of Physiotherapy, Faculty of Health Sciences-HM Hospitals, University Camilo José Cela, 28014 Madrid, Spain.
Department of Physiotherapy, Faculty of Health Sciences-HM Hospitals, University Camilo José Cela, 28014 Madrid, Spain.
Nutrients. 2024 Jul 19;16(14):2342. doi: 10.3390/nu16142342.
(1) Background: Infantile colic (IC) is a functional gastrointestinal disorder that affects around 20% of infants, and postpartum (PPD) depression is a common disorder that affects between 15 and 22% of mothers. In this study, our objective was to evaluate the relationship between the maternal psychological state in the first postpartum year and IC, with the aim of assessing the importance of feeding type in infants and maternal well-being. (2) Methods: A cross-sectional study was conducted in women in their first year postpartum. Demographic, medical, and obstetric data of the mothers and infants were collected, and the type of feeding was identified. The emotional status of the mother was evaluated using the Edinburgh Postnatal Depression Scale (EPDS), and the Infant Colic Severity Questionnaire (ICSQ) was used for IC diagnosis. (3) Results: A total of 528 women were analyzed, of which 170 (32%) were diagnosed with possible PPD. Two-thirds of the women without depression breastfed their babies on demand; therefore, we report that exclusive breastfeeding (EBF) appears to reduce the risk of possible PPD ( < 0.001; OR = 2.353). IC was present in 39% of babies, and around 70% of babies without colic were breastfed on demand. Infants who were not exclusively breastfed showed almost double the risk of developing colic ( = 0.016; OR = 1.577). There was a significant association between the EPDS and ICSQ scores ( < 0.001). More than half of the women with PPD had babies with colic. However, our results show that 75% of babies without colic had mothers who reported optimal postpartum emotional well-being ( < 0.001; OR = 2.105). (4) Conclusions: The results of this study suggest that postpartum maternal psychological well-being reduces the risk of IC. Therefore, we report that EBF on demand, together with a healthy emotional state in new mothers, may be a protective factor against colic in infants.
(1) 背景:婴儿绞痛(IC)是一种影响约 20%婴儿的功能性胃肠道疾病,产后(PPD)抑郁是一种常见疾病,影响 15%至 22%的母亲。在这项研究中,我们的目的是评估初产妇第一年的母亲心理状态与 IC 之间的关系,目的是评估婴儿喂养类型和母亲健康状况的重要性。
(2) 方法:对初产妇进行横断面研究。收集母亲和婴儿的人口统计学、医学和产科数据,并确定喂养类型。使用爱丁堡产后抑郁量表(EPDS)评估母亲的情绪状态,使用婴儿绞痛严重程度问卷(ICSQ)对 IC 进行诊断。
(3) 结果:共分析了 528 名女性,其中 170 名(32%)被诊断为可能患有 PPD。三分之二没有抑郁的女性按需母乳喂养婴儿;因此,我们报告说,纯母乳喂养(EBF)似乎降低了发生可能 PPD 的风险(<0.001;OR=2.353)。39%的婴儿出现 IC,约 70%无绞痛的婴儿按需母乳喂养。非纯母乳喂养的婴儿患绞痛的风险几乎增加了一倍(=0.016;OR=1.577)。EPDS 和 ICSQ 评分之间存在显著相关性(<0.001)。超过一半的 PPD 女性的婴儿有绞痛。然而,我们的结果表明,75%无绞痛的婴儿的母亲报告了产后情绪良好(<0.001;OR=2.105)。
(4) 结论:本研究结果表明,产后母亲心理福祉降低了 IC 的风险。因此,我们报告说,按需 EBF 以及新母亲健康的情绪状态可能是婴儿绞痛的保护因素。