Emergency cesarean sec tion is a risk factor for depressive symptoms when breastfeeding is limited

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F68081740%3A_____%2F22%3A00554535" target="_blank" >RIV/68081740:_____/22:00554535 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11210/22:10437514 RIV/00216224:14230/22:00125100

Result on the web

<a href="https://www.sciencedirect.com/science/article/pii/S0022399921003366" target="_blank" >https://www.sciencedirect.com/science/article/pii/S0022399921003366</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.jpsychores.2021.110691" target="_blank" >10.1016/j.jpsychores.2021.110691</a>

Result language

angličtina

Original language name

Emergency cesarean sec tion is a risk factor for depressive symptoms when breastfeeding is limited

Original language description

Objective: Previous studies indicated associations between cesarean section (CS), breastfeeding, and depressive symptoms. There is, however, little research integrating these variables into one model to analyze their interrelations. The aim of this observational prospective longitudinal study is to examine whether the effect of CS on postpartum depressive symptoms is mediated by difficulties with breastfeeding. Methods: The participants were recruited in 5 maternity hospitals during their prenatal medical check-ups. Breastfeeding status was self-reported by the mothers six weeks postpartum. Screening for depressive symptoms was performed at six weeks (N = 404) and nine months (N = 234) postpartum using the Edinburgh Postnatal Depression Scale. Path analysis was used to model the relations between CS, breastfeeding, and depressive symptoms. Results: No direct effects of CS on depressive symptoms at six weeks or nine months postpartum were found. CS was associated with a lower probability of exclusive breastfeeding, which was, in turn, associated with higher levels of depressive symptoms six weeks postpartum. The analysis stratified by type of CS revealed that the effect on breastfeeding only occurred with emergency, not planned, CS. The effect of CS on breastfeeding was noticeably stronger in women without versus with a history of depression. Conclusion: Emergency CS predicts breastfeeding difficulties, which are, in turn, associated with higher levels of depressive symptoms. Support should be provided to mothers with emergency CS and breastfeeding problems to reduce the risk of postpartum depressive symptoms in the early postpartum period.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

50101 - Psychology (including human - machine relations)

Project

Result was created during the realization of more than one project. More information in the Projects tab.

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Psychosomatic Research

ISSN

0022-3999

e-ISSN

1879-1360

Volume of the periodical

153

Issue of the periodical within the volume

únor

Country of publishing house

US - UNITED STATES

Number of pages

6

Pages from-to

110691

UT code for WoS article

000742835000003

EID of the result in the Scopus database

2-s2.0-85122242540