Associations of Maternal Beliefs and Distress in Pregnancy and Postpartum With Breastfeeding Initiation and Early Cessation / Geneviève Ritchie Ewing in Journal of Human Lactation, Vol. 35, n°1 (Février 2019)

[article]  inJournal of Human Lactation > Vol. 35, n°1 (Février 2019) . - pp. 49-58 Titre : Associations of Maternal Beliefs and Distress in Pregnancy and Postpartum With Breastfeeding Initiation and Early Cessation Type de document : texte imprimé Auteurs : Geneviève Ritchie Ewing, Auteur ; Amanda M. Mitchell, Auteur ; Lisa M. Christian, Auteur Année de publication : 2019 Article en page(s) : pp. 49-58 Langues : Anglais (eng) Catégories : Analyse Angoisse Anxiété Comportement de la mère Données scientifiques Durée de l'allaitement Emotion Epidémiologie « Etude de la distribution et des déterminants des états ou des évènements liés à la santé dans des populations spécifiques, et l’utilisation de cette connaissance pour le contrôle de la santé » Last JM, A Dictionary of Epidemiology, 2001 Etude longitudinale Evaluation Grossesse Méthodologie Outil d'évaluation Période postnatale Période prénatale Phénomène démographique Physiologie Post-partum Pratique de l'allaitement Préparation prénatale Psychologie Questionnaire Sevrage (allaitement) Sevrage précoce(allaitement) Taux d'allaitement Résumé : "Background: Breastfeeding plays an important role in both maternal and infant health and well-being. While researchers have examined the relationship between postpartum psychological distress and breastfeeding behaviors, few have investigated links between prenatal distress, postpartum distress, and breastfeeding behaviors over time. Research Aim: We aimed to determine if prenatal breastfeeding beliefs and psychological distress during and after pregnancy were associated with initiation and early cessation rates of breastfeeding. Methods: In our secondary data analysis, a nonexperimental longitudinal one-group design was used. We assessed pregnant women (N = 70) during four perinatal visits (early, mid, and late pregnancy and 7-10 weeks postpartum). Participants completed self-report surveys about psychological distress and depressive symptoms at each visit, breastfeeding beliefs during the third visit, and breastfeeding behaviors at the postpartum visit. Results: Participants who breastfed for ⩾8 weeks had more positive beliefs about breastfeeding prior to delivery than participants with early cessation, who in turn had more positive beliefs than those who never initiated. Participants with early cessation reported heightened levels of pregnancy-specific distress in early pregnancy compared to those who continued breastfeeding or never initiated. Participants who continued breastfeeding for ⩾8 weeks reported less general anxiety and depressive symptoms in postpartum than those who discontinued or never initiated. Conclusions: Prenatal beliefs about breastfeeding, pregnancy-specific distress in early pregnancy, and general anxiety and depressive symptoms in postpartum are associated with breastfeeding initiation and continuation. Of clinical relevance, addressing prenatal and postpartum distress in the implementation of breastfeeding practice interventions could improve breastfeeding rates."[Résumé de l’auteur] Permalink : ./index.php?lvl=notice_display&id=1144 [article]

Postpartum Anxiety and Infant-Feeding Outcomes: A Systematic Review / Victoria Fallon in Journal of Human Lactation, Vol. 32 n° 4 (Novembre 2016)

[article]  inJournal of Human Lactation > Vol. 32 n° 4 (Novembre 2016) . - pp. 740-758 Titre : Postpartum Anxiety and Infant-Feeding Outcomes: A Systematic Review Type de document : texte imprimé Auteurs : Victoria Fallon, Auteur ; Rachael Groves, Auteur ; Jason Christian Grovenor Halford, Auteur Année de publication : 2016 Article en page(s) : pp. 740-758 Langues : Anglais (eng) Catégories : Angoisse Comportement de la mère Dépression et détresse psychologique Post-partum Psychologie Résumé : There is increasing evidence for the effect of postpartum anxiety (PPA) on maternal and infant health outcomes. Despite evidence linking suboptimal infant-feeding outcomes with other indices of maternal mental health, the relationship between PPA and infant feeding has not yet been reviewed. A systematic review with narrative synthesis was conducted to examine the relationship between PPA and infant-feeding outcomes. Electronic searches were performed using specific keywords (eg, “postnatal anxiet*”; “breastfeed*”). A hand search of selected journals and reference lists of included articles was then conducted. All studies were considered that provided information related to PPA and infant-feeding outcomes. One hundred and two studies were identified, of which 33 were eligible. Two authors independently extracted data including study design, participants, and results. Results indicated that women with symptoms of PPA are less likely to breastfeed exclusively and more likely to terminate breastfeeding earlier. Some evidence also suggests that those experiencing PPA are less likely to initiate breastfeeding and more likely to supplement with formula in the hospital. In those who do breastfeed, PPA reduces self-efficacy, increases breastfeeding difficulties, and may negatively affect breastfeeding behaviors and breast milk composition. Heterogeneous outcomes and methodological limitations somewhat limit the comparability of findings. However, in combination with a review linking depression with similar negative infant-feeding sequelae, the findings provide evidence for the effect of negative postpartum mood on breastfeeding. Additional support for breastfeeding mothers with PPA is warranted. [Résumé de l'auteur] Permalink : ./index.php?lvl=notice_display&id=634 [article]

Understanding Breastfeeding Women’s Behaviors Toward Medication: Healthcare Professionals’ Viewpoint / Laurence Spiesser Robelet in Journal of Human Lactation, Vol. 35, n°1 (Février 2019)

[article]  inJournal of Human Lactation > Vol. 35, n°1 (Février 2019) . - pp.137-153 Titre : Understanding Breastfeeding Women’s Behaviors Toward Medication: Healthcare Professionals’ Viewpoint Type de document : texte imprimé Auteurs : Laurence Spiesser Robelet, Auteur ; Aurélie Maurice, Auteur ; Rémi Gagnayre, Auteur Année de publication : 2019 Article en page(s) : pp.137-153 Langues : Anglais (eng) Catégories : Angoisse Apprentissage Bénéfices Choix d'un médicament Comportement de la mère Connaissance et enseignement sur l'allaitement Connaissances vis à vis de l'allaitement Contre indication Culpabilité Difficultés de l'allaitement Drogue Education à la santé Education personnel hospitalier Emotion Etude prospective Etude transversale Formation professionnelle France Hôpital Maine et Loire Médicament Pays de Loire Pédagogie Peur Professionnel de santé Recherche qualitative Soutien aux mères Soutien des familles Tristesse Résumé : "Background: Taking medication during breastfeeding is often a major concern for mothers. Knowledge, representations, and attitudes condition a mother’s behavior in this situation. Healthcare professionals, whose medication advice for breastfeeding women is often described in scientific literature as inappropriate, play a major role in counseling mothers. Healthcare professionals’ perceptions of mothers’ behaviors regarding medication use during breastfeeding may influence mothers’ behaviors. Research Aim: The aim of this study was to identify healthcare professionals’ perceptions of breastfeeding women’s knowledge, representations, and attitudes and behaviors about medication use. Method: A cross-sectional, prospective qualitative design was used. Semistructured interviews were conducted with a broad array of healthcare professionals (N = 20) in different practice settings in the Angers area (France). Thematic analysis of the interview transcripts was carried out using the planned behavior theory of Ajzen. Results: Seventy themes concerning medication use while breastfeeding were identified and then combined into 8 categories. Healthcare professionals perceived that maternal behaviors regarding medication were mostly focused on the child’s safety and were linked to poor knowledge and negative representations, attitudes, and feelings toward medication. Healthcare professionals also perceived significant negative influences from the mother’s friends and family in regard to breastfeeding. Relationships between healthcare professionals and women were problematic when it came to drug use during breastfeeding. Conclusion: Taking into account healthcare professionals’ perceptions of maternal behavior will help improve education for these professionals. Indeed, knowing precisely what difficulties are met by healthcare professionals when they encounter medication use during breastfeeding can help educators improve training for these professionals."[Résumé de l'auteur] Permalink : ./index.php?lvl=notice_display&id=1173 [article]

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