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

Islam, J; Broidy, L; Baird, K; Rahman, M; Zobair, KM

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

Islam, J Broidy, L Baird, K

Rahman, M Zobair, KM

Permalink

Publisher:: Public Library of Science (PLoS)
Publication Type:: Journal Article
Citation:: PLOS ONE, 2021, 16, (5), pp. e0251419
Issue Date:: 2021-05-17

Open Access

Copyright Clearance Process

Recently Added
In Progress
Open Access

This item is open access.

Adobe PDF

Download full textAdobe PDF (2.5 MB)

View on publisher's site

View statistics

Full metadata record

Field	Value	Language
dc.contributor.author	Islam, J
dc.contributor.author	Broidy, L
dc.contributor.author	Baird, K https://orcid.org/0000-0003-0142-6962
dc.contributor.author	Rahman, M
dc.contributor.author	Zobair, KM
dc.date.accessioned	2021-08-29T07:16:00Z
dc.date.available	2021-04-26
dc.date.available	2021-08-29T07:16:00Z
dc.date.issued	2021-05-17
dc.identifier.citation	PLOS ONE, 2021, 16, (5), pp. e0251419
dc.identifier.issn	1932-6203
dc.identifier.issn	1932-6203
dc.identifier.uri	http://hdl.handle.net/10453/150247
dc.description.abstract	<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.
dc.format	Electronic-eCollection
dc.language	eng
dc.publisher	Public Library of Science (PLoS)
dc.relation.ispartof	PLOS ONE
dc.relation.isbasedon	10.1371/journal.pone.0251419
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	General Science & Technology
dc.title	Early exclusive breastfeeding cessation and postpartum depression: Assessing the mediating and moderating role of maternal stress and social support
dc.type	Journal Article
utslib.citation.volume	16
utslib.location.activity	United States
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.date.updated	2021-08-29T07:15:55Z
pubs.issue	5
pubs.publication-status	Published
pubs.volume	16
utslib.citation.issue	5

Abstract:

Background

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.

Objectives

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.

Methods

Between October 2015 and January 2016, a cross-sectional study was carried out among 426 new mothers of Bangladesh who were six months postpartum.

Results

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.

Conclusions

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.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/150247