Maternal satisfaction with breastfeeding in the first month postpartum and associated factors

Background:Breastfeeding success has been measured based on its duration, disregarding satisfaction with thematernal experience. Studies to investigate maternal satisfaction with breastfeeding are rare, especially in Brazil, andlittle is known about their determinants. The aim of this study was to measure the level of satisfaction withbreastfeeding in a group of women in the first month of their child’s life, and to identify factors associated withhigher maternal satisfaction.Methods:A cross-sectional study nested within a cohort was conducted with 287 women recruited at two (onepublic, one private) maternity services in the city of Porto Alegre, southern Brazil, from January to July 2016. Womenresiding in the municipality who had given birth to a healthy singleton born at term, were rooming in, and hadinitiated breastfeeding were randomly included. During the week after the child was 30 days old, women wereinterviewed at their homes to measure the level of maternal satisfaction with breastfeeding, using the MaternalBreastfeeding Evaluation Scale (MBFES), validated for use in the Brazilian population. Associations between maternalsatisfaction and explanatory variables were estimated using multivariate Poisson regression with robust variance ina four-level hierarchical approach. Satisfaction level was categorized using as cutoff point the median scoreobtained with the MBFES. Women with scores equal to or above the median were considered to have higher levelsof satisfaction, whereas those scoring below the median were considered to be less satisfied.Results:Maternal satisfaction with breastfeeding in the first month postpartum was high, with a median score of124 on MBFES, close to the maximum score (145 points). The prevalence of more elevated levels of satisfactionwith breastfeeding was higher among women with brown (pardo) and black skin color (prevalence ratio [PR] 1.33,95%CI 1.05;1.69), those who lived with the partner (PR 1.75, 95%CI 1.05;2.94), who planned to breastfeed for 12months or more (PR 1.48, 95%CI 1.02;2.17), and who did not report low milk supply (PR 1.47, 95%CI 1.03;2.10) orcracked nipples (PR 1.29, 95%CI 1.01;1.65).Conclusions:The factors associated with maternal satisfaction with breastfeeding in the first month postpartuminclude individual factors and maternal expectations, family constitution, as well as breastfeeding-related problems

Association between maternal satisfaction with breastfeeding and postpartum depression symptoms

Background Due to the multiple health benefits of breastfeeding, it is essential to identify factors that may negatively interfere with this healthy practice. Among such factors are postpartum depression (PPD) and maternal satisfaction with breastfeeding. The objective of this study was to evaluate the association between maternal satisfaction with breastfeeding and symptoms of PPD in the first month after childbirth. Methods This cross-sectional study nested in a cohort study was conducted in Porto Alegre, Brazil, with 287 puerperal women selected at two maternity hospitals, one public and one private. Women were interviewed at their homes the week after the infant completed 30 days of life. A structured questionnaire was applied, as well as instruments to evaluate maternal satisfaction with breastfeeding (Maternal Breastfeeding Evaluation Scale) and to screen for PPD (Edinburgh Postnatal Depression Scale). The association between higher satisfaction with breastfeeding (outcome) and negative PPD screening test was assessed using Poisson regression with robust variance, adjusting for specific covariables. Adjusted prevalence ratios (aPR) and respective 95% confidence intervals (95%CI) were estimated. Results The prevalence of increased satisfaction with breastfeeding (defined as women with scores above the median) was 47% higher among women who screened negative for PPD when compared to those with a positive result (aPR 1.47; 95%CI 1.01–2.16). This result was adjusted for maternal age and skin color, cohabitation with the infant’s father, planned pregnancy, type of delivery, exclusive breastfeeding, and occurrence of breastfeeding problems. Conclusions The findings of this study showed an association between higher maternal satisfaction with breastfeeding and absence of PPD symptoms, reinforcing the importance of caring for the mental health of pregnant and puerperal women and paying attention to their satisfaction with breastfeeding.Telemedicin

Association between maternal satisfaction with breastfeeding and postpartum depression symptoms.

BackgroundDue to the multiple health benefits of breastfeeding, it is essential to identify factors that may negatively interfere with this healthy practice. Among such factors are postpartum depression (PPD) and maternal satisfaction with breastfeeding. The objective of this study was to evaluate the association between maternal satisfaction with breastfeeding and symptoms of PPD in the first month after childbirth.MethodsThis cross-sectional study nested in a cohort study was conducted in Porto Alegre, Brazil, with 287 puerperal women selected at two maternity hospitals, one public and one private. Women were interviewed at their homes the week after the infant completed 30 days of life. A structured questionnaire was applied, as well as instruments to evaluate maternal satisfaction with breastfeeding (Maternal Breastfeeding Evaluation Scale) and to screen for PPD (Edinburgh Postnatal Depression Scale). The association between higher satisfaction with breastfeeding (outcome) and negative PPD screening test was assessed using Poisson regression with robust variance, adjusting for specific covariables. Adjusted prevalence ratios (aPR) and respective 95% confidence intervals (95%CI) were estimated.ResultsThe prevalence of increased satisfaction with breastfeeding (defined as women with scores above the median) was 47% higher among women who screened negative for PPD when compared to those with a positive result (aPR 1.47; 95%CI 1.01-2.16). This result was adjusted for maternal age and skin color, cohabitation with the infant's father, planned pregnancy, type of delivery, exclusive breastfeeding, and occurrence of breastfeeding problems.ConclusionsThe findings of this study showed an association between higher maternal satisfaction with breastfeeding and absence of PPD symptoms, reinforcing the importance of caring for the mental health of pregnant and puerperal women and paying attention to their satisfaction with breastfeeding