@article{ref1,
title="Maternal mood symptoms in pregnancy and postpartum depression: association with exclusive breastfeeding in a population-based birth cohort",
journal="Social psychiatry and psychiatric epidemiology",
year="2020",
author="Farías-Antúnez, Simone and Santos, Iná Silva and Matijasevich, Alicia and de Barros, Aluisio Jardim Dornellas",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: This study aimed to evaluate the association between mood symptoms during pregnancy and exclusive breastfeeding at 3 months, as well as the association between exclusive breastfeeding at 3 months and maternal depression at 12 months postpartum. <br><br>METHODS: Data from the Pelotas 2004 Birth Cohort with 4231 live births were used. Maternal mood symptoms during pregnancy were assessed through the question &quot;During pregnancy, did you have depression or nervous problems?&quot; and depression symptomatology at 12 months postpartum was assessed with the Edinburg Postnatal Depression Scale (EPDS). Information on exclusive breastfeeding at 3 months was collected through a dietary recall questionnaire. Crude and adjusted relative risks (RR) with 95% confidence intervals (95% CI) were estimated by Poisson regression. <br><br>RESULTS: Prevalence of mood symptoms during pregnancy was 25.1% (95% CI 23.8; 26.4%) and prevalence of EPDS ≥ 10 at 12 months after birth was 27.6% (95% CI 26.2; 29.0%). Prevalence of exclusive breastfeeding at 3 months was 26.5% (95% CI 25.2; 27.9%). In crude analyses, maternal mood symptoms during pregnancy were associated with non-exclusive breastfeeding at 3 months and non-exclusive breastfeeding at 3 months was associated with postpartum maternal depression at 12 months. In the adjusted analyses, both associations were lost after the inclusion of maternal education (RR 0.92; 95% CI 0.81-1.04 and RR 0.92; 95% CI 0.81-1.03, respectively). <br><br>CONCLUSION: In our study, the crude association between mood symptoms in pregnancy, exclusive breastfeeding at 3 months, and postpartum depression was due more to the low maternal education than to a true relationship between them.<p /> <p>Language: en</p>",
language="en",
issn="0933-7954",
doi="10.1007/s00127-019-01827-2",
url="http://dx.doi.org/10.1007/s00127-019-01827-2"
}