The Correlation of Postpartum Depression, Breastfeeding Prevalence, and Milk Production in NICU
DOI:
https://doi.org/10.23917/bik.v18i2.10530Keywords:
breast milk feeding, breat milk production, neonatal intensive care unit, neonatesAbstract
Breastfeeding is essential, particularly for newborns with severe health issues in the neonatal intensive care unit (NICU), where they frequently have to be separated from their mothers. Breastfeeding in the NICU requires a sufficient supply of breast milk from the mother, and this can be influenced by the mother's psychological condition. This study aimed to examine the correlation of postpartum depression with breast milk feeding prevalence and production in mothers with neonates in the NICU. This cross-sectional quantitative study included 42 mothers and infant dyads in the NICU in Malang, East Java, and was conducted between September and November 2024. The questionnaire of mothers and infants characteristics, the Edinburgh Postpartum Depression Scale, and the breast milk feeding prevalence observational sheet were used for the investigation. The correlation of postpartum depression with breast milk prevalence and breast milk production was measured by the Rank Spearman Test. Breast milk feeding prevalence was 64.3%, partial breast milk feeding was 31%, and formula milk was 4.8%. The proportion of mild and severe postpartum depression was 35.7%, and the rest of them were without depression (28.5%). Postpartum depression was not associated with the prevalence of breast milk feeding (p=0.140), but there was a significant correlation with breast milk production (p=0.04; r= -0.319). We found that greater postpartum depression was associated with lower breast milk production, but there was no correlation with the prevalence of breast milk feeding in the NICU. These findings highlight the importance of sufficient support for mothers with neonates in the NICU to produce enough breast milk supply.
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Abdurehim, A., Melaku, Y., Hassen, H., Mosa, H., Jemal, M., Abawari, M. J., Kemal, A., Mohammed, T., Biru, B., Alemu, E., Ali, A. S., Mohammed, B., Mosa, B. D., Kedir, S., & Abate, K. H. (2024). Nexus between postpartum depression and exclusive breastfeeding practices among lactating mothers in Assosa Town, West Ethiopia. Frontiers in Nutrition, 11(April), 1–10. https://doi.org/10.3389/fnut.2024.1357264 PubMed: 38716070
Alves, E., Magano, R., Amorim, M., Nogueira, C., & Silva, S. (2016). Factors Influencing Parent Reports of Facilitators and Barriers to Human Milk Supply in Neonatal Intensive Care Units. Journal of Human Lactation, 32(4), 695–703. https://doi.org/10.1177/0890334416664071 PubMed: 27563012
Camacho-Morales, A., Caba, M., García-Juárez, M., Caba-Flores, M. D., Viveros-Contreras, R., & Martínez-Valenzuela, C. (2021). Breastfeeding Contributes to Physiological Immune Programming in the Newborn. Frontiers in Pediatrics, 9(October), 1–12. https://doi.org/10.3389/fped.2021.744104 PubMed: 34746058
Cristóbal-Cañadas, D., Bonillo-Perales, A., Casado-Belmonte, M. del P., Galera-Martínez, R., & Parrón-Carreño, T. (2021). Mapping the field in stress, anxiety, and postpartum depression in mothers of preterm infants in neonatal intensive care. Children, 8(9). https://doi.org/10.3390/children8090730 PubMed: 34572162
Degaga, G. T., Sendo, E. G., & Tesfaye, T. (2020).
Prevalence of Exclusive Breast Milk Feeding at Discharge and Associated Factors Among Preterm Neonates Admitted to a Neonatal Intensive Care Unit in Public Hospitals, Addis Ababa, Ethiopia: A Cross-Sectional Study
. Pediatric Health, Medicine and Therapeutics, Volume 11, 21–28. https://doi.org/10.2147/phmt.s215295Dimcea, D. A. M., Petca, R. C., Dumitrașcu, M. C., Șandru, F., Mehedințu, C., & Petca, A. (2024). Postpartum Depression: Etiology, Treatment, and Consequences for Maternal Care. Diagnostics, 14(9), 1–17. https://doi.org/10.3390/diagnostics14090865
Erbaba, H., & Pinar, G. (2021). Association of perceived social support and maternal adaptation with postpartum depression in mothers of infants hospitalized in neonatal intensive care units. Journal of Neonatal Nursing, 27(4), 251–256. https://doi.org/10.1016/j.jnn.2020.11.005
Heller, N., Rüdiger, M., Hoffmeister, V., & Mense, L. (2021). Mother’s own milk feeding in preterm newborns admitted to the neonatal intensive care unit or special-care nursery: Obstacles, interventions, risk calculation. International Journal of Environmental Research and Public Health, 18(8). https://doi.org/10.3390/ijerph18084140
Henninger, L. L., & Grimm, L. (2024). Postpartum depression (psychology) _ EBSCO Research Starters.
Hollen, R., Smith, A. G., & Smith-Gagen, J. (2019). Breastmilk Pumping for the Mental Health of the NICU Mother. Clinical Lactation, 10(2), 60–67. https://doi.org/10.1891/2158-0782.10.2.60
Izvoranu, S., Banariu, M. G., Chirila, S., Nour, C., Niculescu, C., Rus, M., Badiu, D., Delcea, C., & Tica-, V. (2024). Risk Factors in Postpartum Depression Among Women from South-East of Romania: Importance of Early Diagnosis. Archives of Pharmacy Practice, 15(1), 84–90. https://doi.org/10.51847/0omtmeujbe
Jiang, X., & Jiang, H. (2022). Factors associated with post NICU discharge exclusive breastfeeding rate and duration amongst first time mothers of preterm infants in Shanghai: a longitudinal cohort study. International Breastfeeding Journal, 17(1), 1–18. https://doi.org/10.1186/s13006-022-00472-x
Juriyah, Zakiyyah, M., & Rohmatin, H. (2024). Hubungan Pemberian Asi Dengan Kenaikan Berat Badan Pada Bayi Berat Badan Lahir Rendah (Bblr) Di Ruang Nicu Rsud Dr. Mohamad Saleh Kota Probolinggo. ASSYIFA : Jurnal Ilmu Kesehatan, 1(1), 181–190. https://doi.org/10.62085/ajk.v1i1.32
Kamity, R., Kapavarapu, P. K., & Chandel, A. (2021). Feeding problems and long-term outcomes in preterm infants—A systematic approach to evaluation and management. Children, 8(12). https://doi.org/10.3390/children8121158
Martin-Anderson, S., & Lee, H. C. (2015). Maternal determinants of breast milk feeding in a level III neonatal intensive careunit. Journal of Neonatal Nursing, 21(4), 150–156. https://doi.org/10.1016/j.jnn.2014.12.001
Nagel, E. M., Howland, M. A., Pando, C., Stang, J., Mason, S. M., Fields, D. A., & Demerath, E. W. (2022). Maternal psychological distress and lactation and breastfeeding outcomes: A narrative review Emily. Clin Ther, 44(2), 215–227. https://doi.org/10.1016/j.clinthera.2021.11.007.Maternal
Phukan, D., Ranjan, M., & Dwivedi, L. K. (2018). Impact of timing of breastfeeding initiation on neonatal mortality in India. International Breastfeeding Journal, 13(1), 1–10. https://doi.org/10.1186/s13006-018-0162-0
Sankar, M. N., Weiner, Y., Chopra, N., Kan, P., Williams, Z., & Lee, H. C. (2022). Barriers to optimal breast milk provision in the neonatal intensive care unit. Journal of Perinatology, 42(8), 1076–1082. https://doi.org/10.1038/s41372-021-01275-4
Seymour, M., Giallo, R., Cooklin, A., & Dunning, M. (2015). Maternal anxiety, risk factors and parenting in the first post-natal year. Child: Care, Health and Development, 41(2), 314–323. https://doi.org/10.1111/cch.12178
Sivanandan, S., & Sankar, M. J. (2023). Kangaroo mother care for preterm or low birth weight infants: A systematic review and meta-analysis. BMJ Global Health, 8(6), 1–13. https://doi.org/10.1136/bmjgh-2022-010728
Sokou, R., Parastatidou, S., Ioakeimidis, G., Tavoulari, E. F., Makrogianni, A., Isaakidou, E., Iacovidou, N., & Konstantinidi, A. (2022). Breastfeeding in Neonates Admitted to an NICU: 18-Month Follow-Up. Nutrients, 14(18), 1–15. https://doi.org/10.3390/nu14183841
Suhana Yahya, N. F., Teng, N. I. M. F., Das, S., & Juliana, N. (2021). Postpartum depression among Neonatal Intensive Care Unit mothers and its relation to postpartum dietary intake: A review. Journal of Neonatal Nursing, 27(4), 229–237. https://doi.org/10.1016/j.jnn.2020.09.005
Suryawanshi, O., & Pajai, S. (2022). A Comprehensive Review on Postpartum Depression. Cureus, 14(12), 1–8. https://doi.org/10.7759/cureus.32745
Tani, F., & Castagna, V. (2017). Maternal social support, quality of birth experience, and post-partum depression in primiparous women. Journal of Maternal-Fetal and Neonatal Medicine, 30(6), 689–692. https://doi.org/10.1080/14767058.2016.1182980
Tomlinson, C., & Haiek, L. N. (2023). Breastfeeding and human milk in the NICU: From birth to discharge. Paediatrics and Child Health (Canada), 28(8), 510–517. https://doi.org/10.1093/pch/pxad034
Worrall, S., Silverio, S. A., & Fallon, V. M. (2023). The relationship between prematurity and maternal mental health during the first postpartum year. Journal of Neonatal Nursing, 29(3), 511–518. https://doi.org/10.1016/j.jnn.2022.10.002
Zanardo, V., Volpe, F., Giustardi, A., Canella, A., Straface, G., & Soldera, G. (2016). Body image in breastfeeding women with depressive symptoms: A prospective study. Journal of Maternal-Fetal and Neonatal Medicine, 29(5), 836–840. https://doi.org/10.3109/14767058.2015.1020786
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