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Maternal depression, psychosocial stress and race/ethnicity: examining barriers to breastfeeding for young mothers.
Ehmer, Amelia; Greisch, Catherine; Sonnen, Emily; Scott, Stephen; Carter, Debbie; Ashby, Bethany.
Afiliación
  • Ehmer A; Department of Psychiatry, University of Colorado School of Medicine, Aurora, USA.
  • Greisch C; Department of Pediatrics, University of Colorado School of Medicine, Aurora, USA.
  • Sonnen E; Department of Ob/Gyn, University of Colorado School of Medicine, Aurora, USA.
  • Scott S; Departments of Psychiatry and Pediatrics, Children's Hospital Colorado, Aurora, USA.
  • Carter D; Department of Psychiatry, University of Colorado School of Medicine, Aurora, USA.
  • Ashby B; Department of Ob/Gyn, University of Colorado School of Medicine, Aurora, USA.
J Reprod Infant Psychol ; : 1-13, 2024 Jun 03.
Article en En | MEDLINE | ID: mdl-38828541
ABSTRACT

BACKGROUND:

Breastfeeding has a positive impact on child and maternal health outcomes. Black and Latina women and adolescent mothers have lower rates of breastfeeding initiation and continuance in the U.S. Maternal depression and psychosocial stressors may contribute to reduced rates of breastfeeding. The current study aims to better understand behaviours and associated factors related to breastfeeding in a diverse group of adolescent mothers attending a teen-tot clinic for postpartum and infant well care.

METHODS:

Participants were 191 mother-infant dyads. Mother's age ranged from 13 to 25, and 54% of mothers identified as Latina, 22% Black, 11% more than one race and 5% white. Demographic information and breastfeeding behaviour were abstracted from the medical record. Rates of postpartum mood/anxiety symptoms and psychosocial stressors were obtained from screening measures completed at medical visits.

RESULTS:

Analyses revealed that 87% of adolescent mothers in the sample initiated breastfeeding at birth and the racial/ethnic breakdown of those mothers closely mirrored the overall population (58% Hispanic or Latina, 17% Black, 10% more than one race, 5% white). At 2 months postpartum, only 41% of the population was still breastfeeding. Mothers with significant mood/anxiety symptoms at the newborn visit were more likely to be breastfeeding at the 1- and 2-month visits. Mothers with psychosocial stressors at the newborn visit were less likely to be breastfeeding at the 1- and 2-month visits.

CONCLUSION:

Efforts to promote health equity through breastfeeding for at-risk mothers must occur within the first few weeks postpartum and must consider associated factors including postpartum mood/anxiety symptoms and psychosocial stressors.
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Texto completo: 1 Bases de datos: MEDLINE Idioma: En Revista: J Reprod Infant Psychol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Bases de datos: MEDLINE Idioma: En Revista: J Reprod Infant Psychol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos