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

0554535 - PSÚ 2022 RIV US eng J - Článek v odborném periodiku
Takács, L. - Smolík, Filip - Lacinová, L. - Daňsová, P. - Feng, T. - Mudrák, J. - Zábrodská, K. - Monk, C.
Emergency cesarean sec tion is a risk factor for depressive symptoms when breastfeeding is limited.
Journal of Psychosomatic Research. Roč. 153, únor (2022), č. článku 110691. ISSN 0022-3999. E-ISSN 1879-1360
Institucionální podpora: RVO:68081740
Klíčová slova: postpartum depression * depressive symptoms * cesarean section * breastfeeding
Obor OECD: Psychology (including human - machine relations)
Impakt faktor: 4.7, rok: 2022
Způsob publikování: Open access
https://www.sciencedirect.com/science/article/pii/S0022399921003366

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.
Trvalý link: http://hdl.handle.net/11104/0329245