Associations Between Postpartum Depression, Breastfeeding, and Oxytocin Levels in Latina Mothers

Lara-Cinisomo, Sandraluz; McKenney, Kathryn; Florio, Arianna Di; Meltzer‐Brody, Samantha

doi:10.1089/bfm.2016.0213

Cited by 107 publications

(93 citation statements)

References 42 publications

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“…Only one-third of the pregnant women in the study were diagnosed with PPD. The conclusion was that women who had PPD and who stopped breastfeeding at eight weeks after birth had significantly lower oxytocin levels than non-depressive mothers who have stopped breastfeeding at the same time (p <0.05) (16). Similar results have been reported in 2013 by Stuebe et al in a prospective cohort study performed on 47 pregnant women enrolled in the third trimester of pregnancy and who intended to breastfeed at least three months after birth.…”

Section: Abstract: Postpartum Depression Breastfeeding Mental Healthsupporting

confidence: 81%

"The consequences of the pastpartum depression on breastfeeding"

Petroaie¹,

Boloș²,

Slanina³

et al. 2020

BPI

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Postpartum depression (PPD) is a major health problem, and in recent years its prevalence has been increasing. The physiological changes and mood disorders associated with pregnancy and the postnatal period are mainly due to a hormonal imbalance. Destabilizing the mother's hypothalamic pituitary adrenal (HPA) axis increases the susceptibility to depression, probably by significantly increasing plasma cortisol. Stress and inflammation play a key role in postpartum. Also, lactogenic hormones have antidepressant and anxiolytic effects, the low concentration of oxytocin in the perinatal period being a triggering factor of PPD. Natural nutrition, ideal for every newborn and infant, positively influences the mother's mental health and may reduce the risk of developing PPD, possibly by attenuating cortisol response to stress. The link between breastfeeding and PPD has not been thoroughly approached. PPD is associated with early termination of breastfeeding, while long-term breastfeeding reduced the risk of PPD. The mother's willingness to breastfeed, her confidence in the ability to breastfeed, her mental health during pregnancy, her family's support, and trained medical staff are some of the mediators that can contribute to the maintenance of natural nutrition in PPD.

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Section: Abstract: Postpartum Depression Breastfeeding Mental Healthsupporting

confidence: 81%

"The consequences of the pastpartum depression on breastfeeding"

Petroaie¹,

Boloș²,

Slanina³

et al. 2020

BPI

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“…This exploratory study was conducted within the context of a larger program of research involving a birth cohort of Latinas - the S tudy of E xposure to stress, P ostpartum mood, A dverse life events, and H ormonal function among Latinas (SEPAH Latina). Because one of the primary aims of SEPAH Latina was to examine breastfeeding practices, oxytocin mechanisms and PND (results reported elsewhere –(Lara-Cinisomo, Plott, Grewen, & Meltzer-Brody, 2016; Lara-Cinisomo, McKenney, Di Florio, & Meltzer-Brody, in press), we intentionally recruited women who intended to breastfeed ≥2 months. Exclusion criteria included reported maternal or infant disorder that might interfere with breastfeeding, maternal substance use, and current or past severe psychiatric disorder other than unipolar depression or anxiety (e.g., bipolar disorder).…”

Section: Methodsmentioning

confidence: 99%

“…Participants remained in the chair and read home improvement magazines for the 10-minute habituation period. The first condition involved an infant feeding session where women were asked to either breast- or bottle-feed their infant for at least 10 minutes (results reported elsewhere; Lara-Cinisomo et al, in press). …”

Section: Methodsmentioning

confidence: 99%

Perinatal Depression, Adverse Life Events, and Hypothalamic–Adrenal–Pituitary Axis Response to Cold Pressor Stress in Latinas: An Exploratory Study

Lara-Cinisomo

Grewen

Girdler

et al. 2017

Women's Health Issues

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Background Latinas are disproportionately affected by perinatal depression (PND) as well as by adverse life events (ALEs), an independent predictor of PND. Dysregulation of the hypothalamic-adrenal-pituitary (HPA) axis has been seen both in women with PND and with a history of ALEs in non-Latinas. Though some evidence suggests that HPA axis dysregulation may mediate the link between ALEs and PND, this has received little attention and there are no studies that have examined these pathways in Latinas. The primary aim of the present study was to explore, in a Latina sample, associations between ALEs, PND, and HPA axis stress reactivity to a physical stressor-the cold pressor test (CPT). The secondary aim was to explore whether HPA axis reactivity and PND were associated with pain sensitivity to the CPT. Methods Thirty-four Latinas were enrolled in their third trimester of pregnancy and interviewed at 4 and 8 weeks postpartum. Depression status was determined using the Edinburgh Postnatal Depression Scale (≥ 10). At 8 weeks postpartum, 27 women underwent laboratory-induced pain testing using the cold pressor test (CPT). Plasma adrenocorticotropic hormone (ACTH) and cortisol (CORT) were sampled pre- and post-CPT to generate a stress reactivity score (post-pre). Pain sensitivity and ALEs were also assessed. Results At enrollment, 26% of women were depressed and 18% were depressed at 8 weeks postpartum. Forty-eight percent reported at least one childhood ALE. There was a significant and positive association between any childhood ALE and prenatal depression scores (p = 0.025). Infant-related ALEs were significantly associated with greater ACTH reactivity to the CPT (p = 0.030). Women with a history of any childhood ALE exhibited a blunted CORT response to the CPT (p = 0.045). Women with a history of PND at 4 weeks had greater ACTH stress reactivity to the CPT (p = 0.027). No significant effects of PND were seen for pain sensitivity measures in response to the CPT, though there was a positive and significant correlation between pain tolerance and CORT response to the CPT in the whole sample. Conclusions Given the associations between ALEs and PND and their individual effect on HPA axis stress reactivity, future studies on perinatal depression should include a larger sample of Latinas to test mediating effects of HPA axis reactivity on associations between ALEs and PND.

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“…Eine besondere Rolle scheint dabei das Stillen einzunehmen. Erste Studienergebnisse deuten darauf hin, dass die mit dem Stillen in Verbindung stehende Ausschüttung von Oxytocin sich präventiv auf postpartale Depressionen auswirken könnte [40]. Eine gezielte Förderung des Stillens sollte allerdings immer mit Bedacht erfolgen, da bei Müttern mitunter starke Insuffizienzgefühle entstehen, wenn das Stillen nur teilweise oder nicht gelingt.…”

Section: Behandlung Postpartaler Psychischer Störungenunclassified

Postpartale psychische Störungen und ihre Bedeutung für die Wochenbettbetreuung

Weigl¹

2019

Hebamme

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Hebammen sind in der Zeit des Wochenbetts einfühlsame Ansprechpartnerinnen für Frauen mit postpartalen psychischen Störungen. Sie bieten den Müttern die Möglichkeit, vertraulich über schambehaftete Themen, Ängste und unangenehme Erinnerungen an die Geburt zu sprechen. So können sie früh einschätzen, ob eine postpartale psychische Störung vorliegt. Eine wichtige Grundlage, um betroffene Frauen in den ersten Wochen und Monaten nach der Geburt zu motivieren, bei Bedarf die Hilfe anderer Professionen zu suchen und anzunehmen.

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Associations Between Postpartum Depression, Breastfeeding, and Oxytocin Levels in Latina Mothers

Abstract: Lower levels of OT were observed in women who had PPD at 8 weeks and who had stopped breastfeeding their infant by 8 weeks postpartum. Future studies should investigate the short- and long-term effects of lower OT levels and early breastfeeding cessation on maternal and child well-being.

Cited by 107 publications

References 42 publications

"The consequences of the pastpartum depression on breastfeeding"

"The consequences of the pastpartum depression on breastfeeding"

Perinatal Depression, Adverse Life Events, and Hypothalamic–Adrenal–Pituitary Axis Response to Cold Pressor Stress in Latinas: An Exploratory Study

Postpartale psychische Störungen und ihre Bedeutung für die Wochenbettbetreuung

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