Early exclusive breastfeeding cessation and postpartum depression: Assessing the mediating and moderating role of maternal stress and social support.

<h4>Background</h4>Early termination of exclusive breastfeeding (EBF) and postpartum depression (PPD) are both recognized as global health problems. Recent literature reviews demonstrate a notable link between PPD and breastfeeding outcomes, however, the underlying mechanisms linking the...

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Autores principales: Md Jahirul Islam, Lisa Broidy, Kathleen Baird, Mosiur Rahman, Khondker Mohammad Zobair
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Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/bfec29d0c7ea4260b7036ccd1906134f
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spelling oai:doaj.org-article:bfec29d0c7ea4260b7036ccd1906134f2021-11-25T06:19:13ZEarly exclusive breastfeeding cessation and postpartum depression: Assessing the mediating and moderating role of maternal stress and social support.1932-620310.1371/journal.pone.0251419https://doaj.org/article/bfec29d0c7ea4260b7036ccd1906134f2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251419https://doaj.org/toc/1932-6203<h4>Background</h4>Early termination of exclusive breastfeeding (EBF) and postpartum depression (PPD) are both recognized as global health problems. Recent literature reviews demonstrate a notable link between PPD and breastfeeding outcomes, however, the underlying mechanisms linking the two remain unclear.<h4>Objectives</h4>The aim of the study is to: 1) explore the comparative risk for PPD among new mothers who terminated EBF before the 6-month mark, compared to those who did not; and 2) test whether maternal stress and social support operate to mediate and/or moderate the relationship between EBF and PPD.<h4>Methods</h4>Between October 2015 and January 2016, a cross-sectional study was carried out among 426 new mothers of Bangladesh who were six months postpartum.<h4>Results</h4>Based on the multivariate logistic regression model, non-exclusively breastfeeding mothers were 7.58-fold more likely to experience PPD (95% CI [3.94, 14.59]) than exclusively breastfeeding mothers. Additionally, maternal stress and social support not only partially mediate the relationship between EBF and PPD but also substantially moderate this relationship. Specifically, the odds of PPD are significantly higher among mothers who had early EBF interruption in conjunction with increased stress levels and limited social support.<h4>Conclusions</h4>Current evidence suggests that concurrent screening for EBF difficulties and maternal stress are important red flags that might hint at complications even before mother's screen positive for PPD. Support and care from family members can provide assistance in overcoming this issue.Md Jahirul IslamLisa BroidyKathleen BairdMosiur RahmanKhondker Mohammad ZobairPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251419 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Md Jahirul Islam
Lisa Broidy
Kathleen Baird
Mosiur Rahman
Khondker Mohammad Zobair
Early exclusive breastfeeding cessation and postpartum depression: Assessing the mediating and moderating role of maternal stress and social support.
description <h4>Background</h4>Early termination of exclusive breastfeeding (EBF) and postpartum depression (PPD) are both recognized as global health problems. Recent literature reviews demonstrate a notable link between PPD and breastfeeding outcomes, however, the underlying mechanisms linking the two remain unclear.<h4>Objectives</h4>The aim of the study is to: 1) explore the comparative risk for PPD among new mothers who terminated EBF before the 6-month mark, compared to those who did not; and 2) test whether maternal stress and social support operate to mediate and/or moderate the relationship between EBF and PPD.<h4>Methods</h4>Between October 2015 and January 2016, a cross-sectional study was carried out among 426 new mothers of Bangladesh who were six months postpartum.<h4>Results</h4>Based on the multivariate logistic regression model, non-exclusively breastfeeding mothers were 7.58-fold more likely to experience PPD (95% CI [3.94, 14.59]) than exclusively breastfeeding mothers. Additionally, maternal stress and social support not only partially mediate the relationship between EBF and PPD but also substantially moderate this relationship. Specifically, the odds of PPD are significantly higher among mothers who had early EBF interruption in conjunction with increased stress levels and limited social support.<h4>Conclusions</h4>Current evidence suggests that concurrent screening for EBF difficulties and maternal stress are important red flags that might hint at complications even before mother's screen positive for PPD. Support and care from family members can provide assistance in overcoming this issue.
format article
author Md Jahirul Islam
Lisa Broidy
Kathleen Baird
Mosiur Rahman
Khondker Mohammad Zobair
author_facet Md Jahirul Islam
Lisa Broidy
Kathleen Baird
Mosiur Rahman
Khondker Mohammad Zobair
author_sort Md Jahirul Islam
title Early exclusive breastfeeding cessation and postpartum depression: Assessing the mediating and moderating role of maternal stress and social support.
title_short Early exclusive breastfeeding cessation and postpartum depression: Assessing the mediating and moderating role of maternal stress and social support.
title_full Early exclusive breastfeeding cessation and postpartum depression: Assessing the mediating and moderating role of maternal stress and social support.
title_fullStr Early exclusive breastfeeding cessation and postpartum depression: Assessing the mediating and moderating role of maternal stress and social support.
title_full_unstemmed Early exclusive breastfeeding cessation and postpartum depression: Assessing the mediating and moderating role of maternal stress and social support.
title_sort early exclusive breastfeeding cessation and postpartum depression: assessing the mediating and moderating role of maternal stress and social support.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/bfec29d0c7ea4260b7036ccd1906134f
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