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Journals / Ebelik ve Sağlık Bilimleri Dergisi / 2024 / Volume: 7 Issue: 4

Predictors of Breastfeeding Success in Postpartum Period: Delivery Type, Postpartum Support, and Postpartum Depression

Postpartum Dönemde Emzi̇rme Başarısının Beli̇rleyi̇ci̇leri̇: Doğum Şekli, Postpartum Destek ve Postpartum Depresyon

Ayşegül Kılıçlı(MUŞ ALPARSLAN ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ)0000-0003-1105-9991
Sidar Gül(SİİRT ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ)0000-0002-5766-4129
Pages
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Publication Date
2024-12-23
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Therefore, breastfeeding counselling services for mothers in the postpartum care process should be planned and implemented individually to address mode of delivery, need for postpartum support and postpartum depression.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: This study aimed to investigate the association between delivery type, postpartum support need and postpartum depression on breastfeeding success in the first postpartum month.
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Key Findings & Data:Methods: This study, conducted between August 8, 2022 and August 31, 2023, was comparative, prospective and cross-sectional.
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Conclusion & Impact:Therefore, breastfeeding counselling services for mothers in the postpartum care process should be planned and implemented individually to address mode of delivery, need for postpartum support and postpartum depression.
🔬Design:Survey & Empirical Study
📍Scope:2022 Verileri
⚙️Variables:Birth type · depression · lactation

Abstract

Objective: This study aimed to investigate the association between delivery type, postpartum support need and postpartum depression on breastfeeding success in the first postpartum month. Methods: This study, conducted between August 8, 2022 and August 31, 2023, was comparative, prospective and cross-sectional. Sample consisted of 300 women (150 vaginal, 150 cesarean section). Data were collected using Descriptive Information Form, Postpartum Support Questionnaire, Edinburgh Postpartum Depression Scale, and Bristol Breastfeeding Assessment Tool. Multiple linear regression was used to identify the predictors of breastfeeding success. Results: Those who did not received sufficient support rate was 50.7%, the presence of postpartum depression was 54.0%, and the mean breastfeeding success score was 6.4±0.9 which was moderate. Cesarean delivery (β=-0.149, p<.01), increased need for postpartum support (β=-0.203, p<.01) and postpartum depression (β=0.261, p<.01) were significant predictors which were explaining 21.0% of total variance in breastfeeding success. The breastfeeding success of cesarean section mothers who did not have postpartum depression but received inadequate support decreased by 20.3% compared to vaginal birth mothers. Mothers who gave birth by caesarean section, did not receive postpartum support and were at risk of postpartum depression had the lowest breastfeeding success. Conclusion: Cesarean section, postpartum support, and postpartum depression are factors that significantly affect breastfeeding success. Therefore, breastfeeding counselling services for mothers in the postpartum care process should be planned and implemented individually to address mode of delivery, need for postpartum support and postpartum depression.

Özet

Amaç: Bu çalışmanın amacı doğum sonrası birinci ayda doğum şekli, doğum sonrası destek ihtiyacı ve doğum sonrası depresyonun doğum sonrası emzirme başarısı üzerine etkisini araştırmaktır. Yöntemler: 8 Ağustos 2022 ve 31 Ağustos 2023 tarihleri arasında yürütülen bu çalışma karşılaştırmalı, prospektif ve kesitseldir. Örneklem 300 kadından (150 vajinal, 150 sezaryen) oluşmaktadır. Veriler Tanımlayıcı Bilgi Formu, Doğum Sonrası Destek Anketi, Edinburgh Doğum Sonrası Depresyon Ölçeği ve Bristol Emzirme Değerlendirme Aracı kullanılarak toplanmıştır. Emzirme başarısının belirleyicilerini tanımlamak için çoklu doğrusal regresyon kullanılmıştır. Bulgular: Yeterli destek almayanların oranı %50.7, postpartum depresyon varlığı %54.0 ve ortalama emzirme başarı puanı 6.4±0.9 olup orta düzeydedir. Sezaryen doğum (β=-0.149, p<.01), doğum sonrası destek ihtiyacının artması (β=-0.203, p<.01) ve doğum sonrası depresyon (β=0.261, p<.01) emzirme başarısındaki toplam varyansın %21.0'ini açıklayan anlamlı yordayıcılardır. Doğum sonrası depresyonu olmayan ancak yetersiz destek alan sezaryen annelerinin emzirme başarısı, vajinal doğum yapan annelere kıyasla %20.3 oranında azalmıştır. Sezaryenle doğum yapan, doğum sonrası destek almayan ve doğum sonrası depresyon riski taşıyan anneler en düşük emzirme başarısına sahip olmuştur. Sonuç: Sezaryenle doğum, doğum sonrası destek ve doğum sonrası depresyon emzirme başarısını önemli ölçüde etkileyen faktörlerdir. Bu nedenle doğum sonrası bakım sürecinde annelere yönelik emzirme danışmanlığı hizmetleri, doğum şekli, doğum sonrası destek ihtiyacı ve doğum sonrası depresyonu ele alacak şekilde bireysel olarak planlanmalı ve uygulanmalıdır.

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Cite This Article

Kılıçlı, A., Gül, S. (2024). Predictors of Breastfeeding Success in Postpartum Period: Delivery Type, Postpartum Support, and Postpartum Depression. Ebelik ve Sağlık Bilimleri Dergisi, Volume: 7 Issue: 4. https://doi.org/10.62425/esbder.1491954

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References (34)

  1. Awaliyah, S.N., Rachmawati, I.N., & Rahmah, H. (2019). Breastfeeding self-efficacy as a dominant factor affecting maternal breastfeeding satisfaction. BMC Nursing, 18(S1), 30. https://doi.org/10.1186/s12912-019-0359-6
  2. Balcı Yangın, H., Akpınar, A., Çakmak, H., Çalışkan Özdöl, F., & Akçakuş, M. (2021). Exclusive breastfeeding for 6 months postpartum and factors associated with success in a tertiary care baby-friendly hospital. Journal of Perinatal and Neonatal Nursing, 35(3), 266-274. https://doi.org/10.1097/JPN.0000000000000557
  3. Buran, G., Ozyazicioglu, N., Aydın, A.I., & Atak M. (2022). Evaluation of breastfeeding success and self-efficacy in mothers giving birth via vaginal delivery or cesarean section: a cross-sectional study. Women & Health, 62(9-10), 788-798. https://doi.org/10.1080/03630242.2022.2146832
  4. Chen, J., Lai, X., Zhou, L., Retnakaran, R., Wen, S.W., Krewski, D., Huang, L., Li, M., & Xie, R. (2022). Association between exclusive breastfeeding and postpartum post-traumatic stress disorder. International Breastfeeding Journal, 17(1), 78. https://doi.org/10.1186/s13006-022-00519-z
  5. Cooke, M., Sheehan, A., & Schmied, V. (2003). A description of the relationship between breastfeeding experiences, breastfeeding satisfaction, and weaning in the first 3 months after birth. Journal of Human Lactation, 19(2), 145-156. d https://doi.org/10.1177/0890334403252472
  6. Cox, J.L., Holden, J.M., & Sagovsky, R. (1987). Detection of postnatal depression. British Journal of Psychiatry, 150(6), 782-786. https://doi.org/10.1192/bjp.150.6.782
  7. de Senna, A.F.K., Giugliani, C., Avilla, J., Bizon, A.M.B.L., Martins, A.C.M., & Giugliani, E.R.J. (2020). Maternal satisfaction with breastfeeding in the first month postpartum and associated factors. International Breastfeeding Journal, 15(1), 72. https://doi.org/10.1186/s13006-020-00312-w
  8. Dolgun, G., İnal, S., Erdim, L., & Korkut, S. (2018). Reliability and validity of the Bristol breastfeeding assessment tool in the Turkish population. Midwifery, 57, 47-53. https://doi.org/10.1016/j.midw.2017.10.007
  9. Engindeniz, A. N., Küey, L., & Kültür, S. (1997). Turkish version of the Edinburg postpartum depression scale: reliability and validity study. In: Spring symposiums I Book, psychiatric organization of Turkey, 1, 51–52
  10. Ertürk, N. (2007). Adaptation of the postpartum support questionnaire into Turkish society. Ege University Health Sciences Institute, Unpublished Master Thesis. Published online 2007.
  11. Faul, F., Erdfelder, E., Lang, A.G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. https://doi.org/10.3758/BF03193146
  12. Ghanbari-Homayi, S., Fardiazar, Z., Mohammad-Alizadeh-Charandabi, S., Meedya S., Jafarabadi, M.A., Mohammadi, E., & Mirghafourvand, M. (2020). Skin-to-skin contact, early initiation of breastfeeding and childbirth experience in first time mothers: a cross sectional study. Journal of Neonatal Nursing, 26(2), 115-119. https://doi.org/10.1016/j.jnn.2019.08.003
  13. Hobbs, A.J., Mannion, C.A., McDonald, S.W., Brockway, M., & Tough, S.C. (2016). The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum. BMC Pregnancy and Childbirth, 16(1), 90. https://doi.org/10.1186/s12884-016-0876-1
  14. Ingram, J., Johnson, D., Copeland, M., Churchill, C., & Taylor H. (2015). The development of a new breast feeding assessment tool and the relationship with breast feeding self-efficacy. Midwifery, 31(1), 132-137. https://doi.org/10.1016/j.midw.2014.07.00
  15. Karaçam, Z., Çoban, A., Akbaş, B., & Karabulut, E. (2018). Status of postpartum depression in Turkey: a meta-analysis. Health Care for Women International, 39(7), 821-841. https://doi.org/10.1080/07399332.2018.1466144
  16. Kartal, T., & Gürsoy, E. (2020). The importance of breastfeeding in sustainable development goals (2015-2030), and the duties of nurse in the light of the current situation in Turkey. Mersin University School of Medicine Lokman Hekim Journal of History of Medicine and Folk Medicine, 10(2), 147-153. https://doi.org/10.31020/mutftd.676389
  17. Kim, S., Kim, D.J., Lee, M.S., & Lee, H. (2023). Association of social support and postpartum depression according to the time after childbirth in South Korea. Psychiatry Investigation, 20(8), 750-757. https://doi.org/10.30773/pi.2023.0042
  18. Lauzurique, M.E., Vera Fernández, Y., Dennis, C.L., Quesada, MR., Valdés, G.Á., Lye, S., & Tamayo-Pérez, V. (2022). Prevalence, incidence, and persistence of postpartum anxiety, depression, and comorbidity. Journal of Perinatal and Neonatal Nursing, 36(4), E15-E24. https://doi.org/10.1097/JPN.0000000000000662
  19. Logsdon, M., Usui, W., Birkimer, J., & McBride, A. (1996). The postpartum support questionnaire: reliability and validity. Journal of Nursing Measurement, 42(2), 129-142.
  20. Maleki-Saghooni, N., Amel Barez, M., & Karimi, F.Z. (2020). Investigation of the relationship between social support and breastfeeding self-efficacy in primiparous breastfeeding mothers. The Journal of Maternal-Fetal & Neonatal Medicine, 33(18), 3097-3102. https://doi.org/10.1080/14767058.2019.1568986
  21. Mercan, Y., & Tari Selcuk, K. (2021). Association between postpartum depression level, social support level and breastfeeding attitude and breastfeeding self-efficacy in early postpartum women. Cerniglia L, ed. PLoS One, 16(4), e0249538. https://doi.org/10.1371/journal.pone.0249538
  22. Mikšić, Š., Uglešić, B., Jakab, J., Holik, D., Milostić Srb, A., & Degmečić, D. (2020). Positive effect of breastfeeding on child development, anxiety, and postpartum depression. International Journal of Environmental Research and Public Health, 17(8), 2725. https://doi.org/10.3390/ijerph17082725
  23. Mortazavi, F., Mousavi, S.A., Chaman, R., Wambach, K.A., Mortazavi, S.S., & Khosravi, A. (2015). Breastfeeding practices during the first month postpartum and associated factors: impact on breastfeeding survival. Iranian Red Crescent Medical Journal, 17(4). https://doi.org/10.5812/ircmj.17(4)2015.27814
  24. Nilsson, I.M.S., Kronborg, H., Rahbek, K., & Strandberg‐Larsen, K. (2020). The significance of early breastfeeding experiences on breastfeeding self‐efficacy one week postpartum. Maternal & Child Nutrition, 16(3). https://doi.org/10.1111/mcn.12986
  25. Norhayati, M.N., Nik Hazlina, N.H., Asrenee, A.R., & Wan Emilin, W.M.A. (2015). Magnitude and risk factors for postpartum symptoms: a literature review. Journal of Affective Disorders, 175, 34-52. https://doi.org/10.1016/j.jad.2014.12.041
  26. Said-Mohamed, R., Pettifor, J.M., & Norris, S.A. (2018). Life History theory hypotheses on child growth: Potential implications for short and long-term child growth, development and health. American Journal of Physical Anthropology, 65(1), 4-19. https://doi.org/10.1002/ajpa.23340
  27. Shen, X., Lin, S., Li, H., Amaerjiang, N., Shu, W., Li, M., Xiao, H., Segura-Pérez, S., Pérez-Escamilla, R., Fan, X., & Hu, Y. (2022). Timing of breastfeeding initiation mediates the association between delivery mode, source of breastfeeding education, and postpartum depression symptoms. Nutrients, 14, 2959. https://doi.org/10.3390/nu14142959
  28. Toledo, C., Cianelli, R., Villegas Rodriguez, N., De Oliveira, G., Gattamorta, K., Wojnar, D., & Ojukwu, E. (2022). The significance of breastfeeding practices on postpartum depression risk. Public Health Nursing, 39(1), 15-23. https://doi.org/10.1111/phn.12969
  29. Turkey Demographic and Health Survey (TDHS) 2018. Hacettepe University of Population Studies. Published 2018. Accessed August 22, 2023. http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/TNSA2018_ana_Rapor.pdf
  30. United Nations Children's Fund (UNICEF). Infant and Young Child Feeding. Published 2021. Accessed January 13, 2022. https://data.unicef.org/topic/nutrition/infant-and-young-child-feeding/
  31. Vieira, E. de S., Caldeira, N.T., Eugênio, D.S., Lucca, M.M. di., & Silva, I.A. (2018). Breastfeeding self-efficacy and postpartum depression: a cohort study. Revista Latino-Americana de Enfermagem, 26, e3035. https://doi.org/10.1590/1518-8345.2110.3035
  32. World Health Organization (WHO). Global strategy for infant and young child feeding. Published 2003. Accessed May 1, 2021. http://whqlibdoc.who.int/publications/2003/9241562218.pdf
  33. Xia, M., Luo, J., Wang, J., & Liang, Y. (2022). Association between breastfeeding and postpartum depression: a meta-analysis. Journal of Affective Disorders, 308, 512-519. https://doi.org/10.1016/j.jad.2022.04.091
  34. Yang, Z., Ding, Y., Song, S., Zhang, Y., Li, A., Su, M., & Xu, Y. (2023). Factors affecting the breastfeeding duration of infants and young children in China: A cross-sectional study. Nutrients, 15, 1353. https://doi.org/10.3390/nu15061353