The Relationship Between Postpartum Mental Status and Breastfeeding

Abstract

Maternal mental health in postpartum period is an important issue as breast milk and breastfeeding. The mother's physical and mental health is critical for long term breastfeeding and to give efficient care to baby. Maternal mental impairment results in insufficient feeding and disturbances in physical health of the baby. Women with depressive symptoms have been shown to fail to begin and continue breastfeeding. It is critical to diagnose and treat maternal depression to decrease negative outcomes of feeding in addition to education and support for efficient breastfeeding. During education for breastfeeding, determining accurate targets, case-concerned approaches and giving education for mothers and their relatives for diagnosis of probable complications is crucial for both mother and her baby.

Keywords

• Breastfeeding, maternal milk, postpartum depression

Doğum Sonrası Ruhsal Durumun Emzirme ile İlişkisi

Öz

Günümüzde anne sütü ve emzirmenin önemi kadar önemli olan bir başka konu da doğum sonrası annenin ruh sağlığıdır. Annenin bebeğine sağlıklı bir şekilde bakabilmesi ve uzun dönem emzirebilmesi için öncelikle kendi beden ve ruh sağlığının yerinde olması gerekir. Anne ruh sağlığının kötü olması, bebeğin iyi beslenememesi ve fiziksel sağlığında bozulmalarla sonuçlanmaktadır. Depresif annelerin emzirme konusunda daha fazla kaygılandıkları, sütlerinin besleyiciliği ve yeterliliği konusunda olumsuz düşüncelere sahip oldukları söylenebilir. Emzirme ile ilgili yeterli eğitim ve desteğin yanı sıra bebek besleme konusundaki olumsuz sonuçları azaltmak için depresyondaki anneyi tanımak ve tedavi etmek oldukça önemlidir. Emzirme eğitimi verilirken gerçekçi hedeflerin saptanması, olgu bazında yaklaşım ve olabilecek komplikasyonları tanımaya yönelik eğitimlerin anneye ve çevresindekilere verilmesi gerekir.

Anahtar Kelimeler

• Emzirme, anne sütü, postpartum depresyon

Kaynakça

1. Grattan DR. Behavioural significance of prolactin signalling in the central nervous system during pregnancy and lactation. Reproduction 2002; 123:497-506.
2. Rosenblatt KA, Thomas DB. WHO collaborative study on neoplasia and steroid contraceptives. Int J Epidermiol 1993; 22:192-197.
3. Collaborative Group on Hormonal Factors in Breast Cancer. Breast cancer and breastfeeding: collaborative reanalysis of individual data from 47 epidemiological studies in 30 countries, including 50 302 women with breast cancer and 96 973 without the disease. Lancet 2002; 360:187-195.
4. Tucker H. Lactation and its hormonal control. In Physiology of Reproduction Vol. 2 (Eds E Knobil, JD Neill):1065-1098. New York, Raven Press, 1994.
5. Freeman ME, Kanyicska B, Lerant A, Nagy G. Prolactin structure, function, and regulation of secretion. Physiol Rev 2000; 80:1523-1631.
6. Arbogast LA, Voogt JL. The responsiveness of tuberoinfundibular dopaminergic neurons to prolactin feedback is diminished between early lactation and midlactation in the rat. Endocrinology 1996; 137:47-54.
7. Selmanoff M, Gregerson KA. Suckling decreases dopamine turnover in both medial and lateral aspects of the median eminence in the rat. Neurosci Lett 1985; 57:25-30.
8. Noel MB, Woodside B. Effects of systemic and central prolactin injections on food intake, weight gain, and estrous cyclicity in female rats. Physiol Behav 1993; 54:151- 154.

9. Torner L, Toschi N, Pohlinger A, Landgraf R, Neumann ID. Anxiolytic and anti- stress effects of brain prolactin improved efficacy of antisense targeting of the prolactin receptor by molecular modeling. J Neurosci 2001;21:3207-3214.
10. McNeilly AS. Suckling and the control of gonadotropin secretion. In Physiology of Reproduction Vol. 2 (Eds E Knobil, JD Neill): 1179-1212. New York, Raven Press, 1994.
11. Clemens J A, Sawyer BD, Cerimele B. Further evidence that serotonin is a neurotransmitter involved in the control of prolactin secretion. Endocrinology 1977; 100:692-698.
12. Harris B, Johns S, Fung H, Thomas R, Walker R, Read G et al. The hormonal environment of postnatal depression. Br J Psychiatry 1989; 154:660-667.
13. Asher I, Kaplan B, Modal I, Nari A, Valeuski A, Weizman A. Mood and hormonal changes during late pregnancy and puerperium. Clin Exp Obstet Gyneacol 1995; 22:321-325.
14. George AJ, Copeland JRM, Wilson KCM. Serum prolactin and the postpartum blues syndrome. Br J Pharmacol 1980; 70:102-103.
15. O’Hara MW, Schlechte JA, Lewis DA, Varner MW. Controlled prospective study of postpartum mood disorders: psychological, environmental, and hormonal variables. J Abnorm Psychol 1991; 100:63-73.
16. Abou-Saleh MT, Ghubash R, Karim L, Krymski M, Bhai I. Hormonal aspects of postpartum depression. Psychoneuroendocrinology 1998; 23:465-475.
17. Uvnäs-Moberg K. Oxytocin may mediate the benefits of positive social interaction and emotions. Psychoneuroenddocrinology 1998; 23:819-835.
18. Uvnäs-Moberg K. Antistress pattern induced by oxytocin. News Physiol Sci 1998; 13:22-26.
19. Uvnäs-Moberg K, Eriksson M. Breastfeeding: physiological, endocrine and behavioural adaptations caused by oxytocin and local neurogenic activity in the nipple and the mammary gland. Acta Paediatr 1996; 85:525-530.
20. Uvnäs-Moberg K, Posloncec B, Åhlberg L. Influence on plasma levels of somatostatin, gastrin, glucagon, insulin and VIP-like immunoreactivity in peripheral venous blood of anes thetized cats induced by low intensity afferent stimulation of the sciatic nerve. Acta Physiol Scand 1986; 126:225-230.
21. Widström AM, Wahlberg V, Matthiesen AS, Eneroth P, Uvnäs-Moberg K, Werner S et al. Short-term effects of early suckling on maternal behaviour and breast-feeding performance. Early Hum Dev 1990; 21:153-163.
22. Kendrick KM, Keverne EB, Chapman C, Baldwin BA. Intracranial dialysis measurement of oxytocin monoamine and uric release from the olfactory bulb and substantia nigra of sheep during parturition, suckling, separation from lambs and eating. Brain Res 1988; 439:1-10.
23. Nissen E, Uvnäs-Moberg K, Svensson K, Stock S, Widström AM, Winberg J. Different patterns of oxytocin, prolactin but not cortisol release during breastfeeding in women delivered by caesarean section or by the vaginal route. Early Hum Dev 1996; 45:103-118.
24. Nissen E, Gustavsson P, Widström AM, Uvnäs-Moberg K. Oxytocin, prolactin and cortisol levels in response to nursing in women after Sectio Caesarea and vaginal delivery-relationship with changes in personality patterns post partum. J Psychosom Obstet Gynaecol 1998; 19:49-58.
25. Carter CS. Oxytocin and sexual behavior. Neurosci Biobehav Rev 1992; 16:131-144.
26. O’Hara M, Swain A. Rates and risk of postpartum depression: a meta-analysis. Int Rev Psychiatry. 1996; 8:37-54.
27. Gaynes BN, Gavin N, Meltzer-Brody S, Lohr KN, Swinson T, Gartlehner G et al. Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evid Rep Technol Assess 2005; 119:1-8.
28. Cooper P, Murray L. Course and recurrence of postnatal depression: evidence for the specificity of the diagnostic concept. Br J Psychiatry 1995; 166:191-195.
29. Kesebir S, Etlik Aksoy A. Üreme hormonları ve duygudurum bozuklukları. Psikiyat- ride Güncel Yaklaşımlar - Current Approaches in Psychiatry 2010; 2:281-307.
30. Hart S, Field T, Nearing G. Depressed mothers’ neonates improve following the MABI and a Brazelton demonstration. J Pediatr Psychol 1998; 23:351-356.
31. Weinberg MK, Tronick EZ. Emotional characteristics of infants associated with maternal depression and anxiety. Pediatrics 1998; 102:1298-1304.
32. Murray L, Fiori-Cowley A, Hooper R, Cooper P. The impact of postnatal depression and associated adversity on early mother-infant interactions and later infant outcome. Child Dev 1996; 67:2512-2526.
33. Murray L, Cooper PJ. The impact of postpartum depression on child development. Int Rev Psychiatry 1996; 8:55-63.
34. Murray L, Woolgar M, Cooper P, Hipwell A. Cognitive vulnerability to depression in 5-year-old children of depressed mothers. J Child Psychol Psychiatry 2001; 42:891- 899.
35. Rahman A, Harrington R, Bunn J. Can maternal depression increase infant risk of illness and growth impairment in developing countries? Child Care Health Dev 2002; 28:51-56.
36. Alder EM, Cox JL. Breast feeding and post-natal depression. J Psychosom Res 1983; 27:139-144.
37. Alder E, Bancroft J. The relationship between breast feeding persistence, sexuality and mood in postpartum women. Psychol Med 1988; 18:389-396.
38. Hannah P, Adams D, Lee A, Glover V, Sandler M. Links between early post-partum mood and post-natal depression. Br J Psychiatry 1992; 160:777-780.
39. Green K, Broome H, Mirabella J. Postnatal depression among mothers in the United Arab Emirates: socio-cultural and physical factors. Psychol Health Med 2006; 11:425-431.
40. Gross KH, Wells CS, Radigan-Garcia A, Dietz PM. Correlates of self-reports of being very depressed in the months after delivery: results from the Pregnancy Risk Assessment Monitoring System. Matern Child Health J 2002; 6:247-253.
41. Astbury J, Brown S, Lumley J, Small R. Birth events, birth experiences and social differences in postnatal depression. Aust J Public Health 1994; 18:176-184.
42. Groer MW. Differences between exclusive breastfeeders, formula-feeders, and controls: a study of stress, mood, and endocrine variables. Biol Res Nurs 2005; 7:106- 117.
43. Hatton DC, Harrison-Hohner J, Coste S, Dorato V, Curet LB, McCarron DA. Symptoms of postpartum depression and breastfeeding. J Hum Lact 2005; 21:444- 454.
44. Mezzacappa ES, Katlin ES. Breast-feeding is associated with reduced perceived stress and negative mood in mothers. Health Psychol 2002; 21:187-193.
45. Lane A, Keville R, Morris M, Kinsella A, Turner M, Barry S. Postnatal depression and elation among mothers and their partners: prevalence and predictors. Br J Psychiatry 1997; 171:550-555.
46. Tammentie T, Tarkka MT, Astedt-Kurki P, Paavilainen E. Sociodemographic factors of families related to postnatal depressive symptoms of mothers. Int J Nurs Pract 2002; 8:240-246.
47. Çalık KY, Aktaş S. Gebelikte depresyon: sıklık, risk faktörleri ve tedavisi. Psikiyatride Güncel Yaklaşımlar-Current Approaches in Psychiatry 2011; 3:142-162.
48. Green J, Murray D. The use of the Edinburgh Postnatal Depression Scale in research to explore the relationship between antenatal and postnatal dysphoria. In Perinatal Psychiatry: Use and Misuse of the Edinburgh Postnatal Depression Scale (Eds J Cox, J Holden):180-198. London, United Kingdom, Gaskell, 1994.
49. Seimyr L, Edhborg M, Lundh W, Sjogren B. In the shadow of maternal depressed mood: experiences of parenthood during the first year after childbirth. J Psychosom Obstet Gynaecol 2004; 25:23-34.
50. Pippins JR, Brawarsky P, Jackson RA, Fuentes-Afflick E, Haas JS. Association of breastfeeding with maternal depressive symptoms. J Womens Health (Larchmt) 2006; 15:754-762.
51. Dunn S, Davies B, McCleary L, Edwards N, Gaboury I. The relationship between vulnerability factors and breastfeeding outcomes. J Obstet Gynecol Neonatal Nurs 2006; 35:87-97.
52. McLearn KT, Minkovitz CS, Strobino DM, Marks E, Hou W. Maternal depressive symptoms at 2 to 4 months post partum and early parenting practices. Arch Pediatr Adolesc Med 2006; 160:279-284.
53. Papinczak TA, Turner CT. An analysis of personal and social factors influencing initiation and duration of breastfeeding in a large Queensland maternity hospital. Breastfeed Rev 2000; 8:25-33.
54. Bick DE, MacArthur C, Lancashire RJ. What influences the uptake and early cessation of breast feeding? Midwifery 1998; 14:242-247.
55. Cooper PJ, Murray L, Stein A. Psychosocial factors associated with the early termination of breast-feeding. J Psychosom Res 1993; 37:171-176.
56. Misri S, Sinclair DA, Kuan AJ. Breast-feeding and postpartum depression: is there a relationship? Can J Psychiatry 1997; 42:1061-1065.
57. Dennis CL. The breastfeeding self-efficacy scale: psychometric assessment of the short form. J Obstet Gynecol Neonatal Nurs 2003; 32:734-744.
58. Dennis CL, McQueen K. Does maternal postpartum depressive symptomatology influence infant feeding outcomes? Acta Paediatr 2007; 96:590-594.
59. Dennis CL, McQueen K. The relationship between infant-feeding outcomes and postpartum depression: a qualitative systematic review. Pediatrics 2009; 123:736-751.
60. Dennis CL, Janssen PA, Singer J. Identifying women at-risk for postpartum depression in the immediate postpartum period. Acta Psychiatr Scand 2004; 110:338-346.
61. World Health Organization. Report of the Expert Consultation on the Optimal Duration of Exclusive Breastfeeding. Geneva, World Health Organization, 2001
62. United Nations Children’s Fund. Breastfeeding: Foundation for a Healthy Future. New York, NY, United Nations Children’s Fund, 1999.
63. Gartner LM, Morton J, Lawrence RA, Naylor AJ, O'Hare D, Schanler RJ et al. American Academy of Pediatrics Section on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics 2005; 115:496-506.
64. Dewey K, Nommsen-Rivers LA, Heinig J, Cohen RJ. Risk factors for suboptimal infant breastfeeding behaviour, delayed onset of lactation and excess neonatal weight gain. Pediatrics 2003; 112:607-619.
65. Manganaro R, Mami C, Marrone T, Marseglia L, Gemelli M. Incidence of dehydration and hypernatremia in exclusively breast-fed infants. J Pediatr 2001; 139:673-675.
66. Livingstone VH, Willis CE, Abdel-Wareth LO, Thiessen P, Lockitch G. Neonatal hypernatremic dehydration associated with breast-feeding malnutrition: a retrospective survey. CMAJ 2000; 162:647-652.
67. Kul M, Gürsel O, Kesik V, Duranoğlu L, Sarıcı Ü, Alpay F. Hipernatremik dehidratasyon tanısı ile takip edilen yenidoğan olgularımızın değerlendirilmesi. Gül- hane Tıp Dergisi 2006; 48:162-165.
68. Bilge Burçak Annagür, Yrd.Doç.Dr., Selçuk Üniversitesi Selçuklu Tıp Fakültesi Psikiyatri ABD, Konya; Ali
69. Annagür, Konya Üniversitesi Meram Tıp Fakültesi Neonatoloji Bölümü, Konya