,Effects of maternal postpartum depression on the infants of feeding mode and weight-gain:a cohort study[J].SICHUAN MENTAL HEALTH,2019,32(3):238-241
Effects of maternal postpartum depression on the infants of feeding mode and weight-gain:a cohort study
DOI:10.11886/j.issn.1007-3256.2019.03.009
English keywords:Postpartum depression  Feeding mode  Weight - gain  Cohort study
Fund projects:泸州市人民政府-西南医科大学科技战略合作项目(2017LZXNYD-Z02)
Author NameAffiliation
唐恬 四川大学华西医院 
郑晓娇 西南医科大学精神病学教研室西南医科大学附属医院 
梁雪梅 西南医科大学附属医院 
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English abstract:
      Objective To compare the differences between postpartum depression mothers and the normal controls in the feeding patterns, and to clarify the influence of postpartum depression on the weight gain of their infants. Methods 48 women who met the criteria in The Affliliated Hospital of Southwest Medical University, Luzhou Hospital of Traditional Chinese Medicine, Maternal and Child Health Hospital of Jiangyang District, Luzhou Women and Children's Hospital were chose. Edinburgh Postnatal Depression Scale( EPDS) and the questionnaire on infant feeding and nutrition status were used at the 4 th, 8 th and 12 th week after delivered. In the first assessment, subjects with EPDS score≥ 13 were set as the postpartum depression group ( n = 14) , and those with EPDS < 13 were included in the control group ( n = 34) . The differences in demographic data, EPDS scores, feeding patterns and nutritional status of the two groups at each follow - up points were compared. Results At the postpartum 12 th week, the weight gain in the postpartum depression group was higher than that in the control group ( Z = - 2. 612, P = 0. 009) . At each follow - up point, average daily non -breastfeeding rate in the postpartum depression group was higher than that in the control group ( Z4w = - 2. 652, Z8w = - 3. 591 , Z12w= - 2. 822, P < 0. 05) . The average number of non - breastfeeding per day ( Z4w = - 2. 403, Z8w = - 3. 666, Z12w = - 2. 834, P < 0. 05) , the amount of non - breastfeeding ( Z4w = - 2. 289, Z8w = - 3. 347, Z12w = - 2. 609, P < 0. 05) and the expenditure on infant necessities( Z4w = - 3. 404, Z8w = - 4. 130, Z12w = - 3. 859, P < 0. 05) of the postpartum depression group were higher than those in the control group. Conclusion At the 12 th week postpartum, the offspring of depressed mothers have low breast feeding rate, but no difference is observed on the weight gain between two groups.
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