A comparison between late preterm and term infants on breastfeeding and maternal mental health

Sheila W. McDonald; Karen M. Benzies; Jenna E. Gallant; Deborah A. McNeil; Siobhan M. Dolan; Suzanne C. Tough

doi:10.1007/s10995-012-1153-1

A comparison between late preterm and term infants on breastfeeding and maternal mental health

Sheila W. McDonald, Karen M. Benzies, Jenna E. Gallant, Deborah A. McNeil, Siobhan M. Dolan, Suzanne C. Tough

Obstetrics & Gynecology and Women's Health

Research output: Contribution to journal › Article › peer-review

37 Scopus citations

Abstract

The objective of this study was to compare breastfeeding, postpartum mental health, and health service utilization between a group of late preterm (LP) maternal infant pairs and term counterparts. Data was drawn from a prospective community-based cohort in Calgary, Alberta. Bivariate and multivariable analyses were performed. LP infants were more likely to have had a longer median length of stay after birth (P < 0.001) and a higher re-hospitalization rate at 4-months (P < 0.001) compared to term infants. Mothers of LP infants were more likely to report immediate breastfeeding difficulties (P < 0.001) and earlier cessation of breastfeeding at 4-months postpartum (P = 0.008). Multivariable analyses revealed that LP status was an independent risk factor for excessive symptoms of maternal anxiety (OR = 2.07; 95 % CI = 1.08,3.98), but not for depression, stress, or low parenting morale. LP infants and their families are a vulnerable population with unique developmental trajectories. Further longitudinal research is required.

Original language	English (US)
Pages (from-to)	1468-1477
Number of pages	10
Journal	Maternal and child health journal
Volume	17
Issue number	8
DOIs	https://doi.org/10.1007/s10995-012-1153-1
State	Published - Oct 2013

Keywords

Breastfeeding
Late preterm
Maternal mental health
Postpartum

ASJC Scopus subject areas

Epidemiology
Pediatrics, Perinatology, and Child Health
Obstetrics and Gynecology
Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10995-012-1153-1

Cite this

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title = "A comparison between late preterm and term infants on breastfeeding and maternal mental health",

abstract = "The objective of this study was to compare breastfeeding, postpartum mental health, and health service utilization between a group of late preterm (LP) maternal infant pairs and term counterparts. Data was drawn from a prospective community-based cohort in Calgary, Alberta. Bivariate and multivariable analyses were performed. LP infants were more likely to have had a longer median length of stay after birth (P < 0.001) and a higher re-hospitalization rate at 4-months (P < 0.001) compared to term infants. Mothers of LP infants were more likely to report immediate breastfeeding difficulties (P < 0.001) and earlier cessation of breastfeeding at 4-months postpartum (P = 0.008). Multivariable analyses revealed that LP status was an independent risk factor for excessive symptoms of maternal anxiety (OR = 2.07; 95 % CI = 1.08,3.98), but not for depression, stress, or low parenting morale. LP infants and their families are a vulnerable population with unique developmental trajectories. Further longitudinal research is required.",

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note = "Funding Information: We are extremely grateful to all the families who took part in this study and the whole All Our Babies team. We are extremely grateful to the investigators, co-ordinators, research assistants, graduate and undergraduate students, volunteers, clerical staff and managers. Alberta Innovates Health Solutions provided funding for this cohort and additional funding from the Alberta Centre for Child, Family, and Community Research assisted with the analysis of data presented in this manuscript. Preterm Birth and Healthy Outcomes (PreHOT) Alberta Innovates Health Solutions Interdisciplinary Team Grant #200700595. ",

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N2 - The objective of this study was to compare breastfeeding, postpartum mental health, and health service utilization between a group of late preterm (LP) maternal infant pairs and term counterparts. Data was drawn from a prospective community-based cohort in Calgary, Alberta. Bivariate and multivariable analyses were performed. LP infants were more likely to have had a longer median length of stay after birth (P < 0.001) and a higher re-hospitalization rate at 4-months (P < 0.001) compared to term infants. Mothers of LP infants were more likely to report immediate breastfeeding difficulties (P < 0.001) and earlier cessation of breastfeeding at 4-months postpartum (P = 0.008). Multivariable analyses revealed that LP status was an independent risk factor for excessive symptoms of maternal anxiety (OR = 2.07; 95 % CI = 1.08,3.98), but not for depression, stress, or low parenting morale. LP infants and their families are a vulnerable population with unique developmental trajectories. Further longitudinal research is required.

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A comparison between late preterm and term infants on breastfeeding and maternal mental health

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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