@article{ref1,
title="Prevalence and predictors of breastfeeding after childhood abuse",
journal="Journal of Obstetric, Gynecologic, and Neonatal Nursing",
year="2017",
author="Eagen-Torkko, Meghan and Kane Low, Lisa and Zielinski, Ruth and Seng, Julia S.",
volume="46",
number="3",
pages="465-479",
abstract="OBJECTIVE: To describe the prevalence and predictors of breastfeeding intent and outcomes in women with histories of childhood maltreatment trauma (CMT), including those with posttraumatic stress disorder (PTSD). <br><br>DESIGN: Secondary analysis of a prospective observational cohort study of the effects of PTSD on perinatal outcomes. SETTING: Prenatal clinics in three health systems in the Midwestern United States. PARTICIPANTS: Women older than 18 years expecting their first infants, comprising three groups: women who experienced CMT but did not have PTSD (CMT-resilient), women with a history of CMT and PTSD (CMT-PTSD), and women with no history of CMT (CMT-nonexposed). <br><br>RESULTS: Intent to breastfeed was similar among the three groups. Women in the CMT-resilient group were twice as likely to breastfeed exclusively at 6 weeks (60.5%) as women in the CMT-PTSD group (31.1%). Compared with women in the CMT-nonexposed group, women in the CMT-resilient group were more likely to exclusively breastfeed. Four factors were associated with increased likelihood of any breastfeeding at 6 weeks: prenatal intent to breastfeed, childbirth education, partnered, and a history of CMT. Four factors were associated with decreased odds of breastfeeding: African American race, PTSD, major depression, and low level of education (high school or less). <br><br>CONCLUSION: Posttraumatic stress disorder is more important than childhood maltreatment trauma history in determining likelihood of breastfeeding success. Further research on the promotion of breastfeeding among PTSD-affected women who have experienced CMT is indicated.<br><br>Copyright © 2017 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0884-2175",
doi="10.1016/j.jogn.2017.01.002",
url="http://dx.doi.org/10.1016/j.jogn.2017.01.002"
}