Difficult Temperament, Breastfeeding, and Their Mutual Prospective Effects: The Norwegian Mother and Child Cohort Study

Niegel, Susan; Ystrøm, Eivind; Hagtvet, Knut A.; Vollrath, Margarete E.

doi:10.1097/dbp.0b013e3181877a88

Cited by 41 publications

(37 citation statements)

References 20 publications

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“…Infant early temperament and behavior have been demonstrated to have an impact on breastfeeding during the first 6 months of life. 40 The poorer regulation and organization of state observed in our series and others 27 may negatively influence adherence to breastfeeding, which has been proved to be a protective mechanism with respect to neurodevelopmental outcomes at 2 years for SGA infants, independent of the presence of signs of placental insufficiency. 41 Therefore, promoting and supporting breastfeeding may be of special importance for these infants.…”

Section: Discussionmentioning

confidence: 86%

Neurobehavior in Term, Small-for-Gestational Age Infants With Normal Placental Function

Orós²,

et al. 2009

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Section: Discussionmentioning

confidence: 86%

Neurobehavior in Term, Small-for-Gestational Age Infants With Normal Placental Function

Orós²,

et al. 2009

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“…The literature on this topic is small and results have been mixed, 18,19,29 likely because of differences in dietary measurement and categorization of the exposure rather than true differences in the underlying phenomenon. Two studies, one in a predominately middle-class US sample 18 and the other from northeastern United Kingdom, 19 published similar findings that infant feeding, defined as breastfeeding versus bottle-feeding, was not associated with perception of fussy infant temperament.…”

Section: Discussionmentioning

confidence: 99%

“…29 In a large sample of 6-month-old Norwegian infants, Niegel et al 29 found an inverse association between full breastfeeding and maternal perception of fussy infant temperament (r ϭ Ϫ0.11; P ϭ .0000) as measured by the Infant Characteristics Questionnaire. 43 That our study found, in a very different population, a similar direction of association between perception of fussiness and early CF lends support to the notion that feeding is influenced by maternal perceptions of infant characteristics.…”

Section: Figurementioning

confidence: 99%

“…18,19,22 This suggested causal mechanism has support in qualitative research on maternal infant-feeding decisions; several studies have found that mothers use infant fussing or crying to determine when their infant is hungry or when to first begin CF, particularly with solid food. [23][24][25][26][27][28] Yet, few studies have quantitatively examined the relationship between maternal perception of fussy infant temperament and early CF, and in those that have, 18,19,29 dietary measurement was suboptimal and/or the sample consisted of predominately middleclass and white subjects. No studies were identified that examined this relationship among low-income black mothers and infants, a population in which overweight and early CF are disproportionately high.…”

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confidence: 99%

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Infants Perceived as “Fussy” Are More Likely to Receive Complementary Foods Before 4 Months

Wasser¹,

Bentley²,

et al. 2011

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WHAT'S KNOWN ON THIS SUBJECT:Several qualitative studies have revealed that caregivers use infant fussing as a cue for beginning complementary feeding (CF). Despite a higher prevalence of early CF among black infants, few studies have quantitatively examined the role of maternal perception of infant fussiness. WHAT THIS STUDY ADDS:Results of this study show that in a cohort of low-income, black, first-time mothers, early CF was highly prevalent and that maternal perception of infant temperament, breastfeeding, and maternal obesity and depression were important factors related to early CF. abstract OBJECTIVE: Our purpose was to assess early infant-feeding patterns in a cohort of low-income black mothers and to examine associations between maternal perception of infant temperament and complementary feeding (CF) before 4 months. METHODS:We used cross-sectional data from the 3-month visit (n ϭ 217) of the Infant Care, Feeding and Risk of Obesity Study to assess relationships between early feeding of solids or juice and 6 dimensions of perceived infant temperament. Descriptive statistics were used to assess infant-feeding patterns, and logistic regression models were fit for each diet-temperament relationship found significant in the bivariate analyses. RESULTS: Seventy-seven percent of the infants were fed solid foods at 3 months, 25% were fed juice, and 6% were exclusively breastfed. In multivariable analyses, 2 dimensions of perceived infant temperament were associated with early feeding of solid foods (distress-tolimitations odds ratio [OR]: 1.97 [95% confidence interval (CI): 1.12-3.44]; activity-level OR: 1.75 [95% CI: 1.07-2.85]), whereas 1 dimension, low-intensity pleasure, was associated with early feeding of juice (OR: 0.51 [95% CI: 0.34 -0.78]). Maternal characteristics significantly associated with early CF included breastfeeding, obesity, and depressive symptoms. CONCLUSIONS: Low-income black mothers may represent a priority population for interventions aimed at improving adherence to optimal infant feeding recommendations. That maternal perceptions of several domains of perceived infant temperament are related to early CF suggests that this is an important factor to include in future observational research and in the design of interventions. Pediatrics 2011;127:229-237 AUTHORS:

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“…102,103 The role of infant temperament in feeding outcomes is not well understood, but there is evidence of a relationship between difficult temperament and reduced breastfeeding during the first half-year of life. 104,105 Jones et al 106 assessed maternal-infant behavior and development in cohorts of depressed and nondepressed women who were breastfeeding and bottle-feeding, and they concluded that maternal depression affects both infant temperament and infant EEG asymmetry, which, in turn, reduced breastfeeding duration. Thus, gestation in the setting of maternal depression or anxiety may impact infant development, leading to breastfeeding difficulties and early weaning.…”

Section: Infant Developmentmentioning

confidence: 99%

Failed Lactation and Perinatal Depression: Common Problems with Shared Neuroendocrine Mechanisms?

Stuebe

Grewen

Pedersen

et al. 2012

Journal of Women's Health

122

106

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In the early postpartum period, mother and infant navigate a critical neuroendocrine transition from pregnancy to lactation. Two major clinical problems that occur during this transition are failed lactation and perinatal mood disorders. These disorders often overlap in clinical settings. Failed lactation is common. Although all major medical organizations recommend 6 months of exclusive breastfeeding, only 13% of women in the United States achieve this recommendation. Perinatal mood disorders affect 10% of mothers, with substantial morbidity for mother and child. We hypothesize that shared neuroendocrine mechanisms contribute to both failed lactation and perinatal mood disorders. In this hypothesis article, we discuss data from both animal models and clinical studies that suggest neuroendocrine mechanisms that may underlie these two disorders. Research to elucidate the role of these underlying mechanisms may identify treatment strategies both to relieve perinatal depression and to enable women to achieve their infant feeding goals.

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Difficult Temperament, Breastfeeding, and Their Mutual Prospective Effects: The Norwegian Mother and Child Cohort Study

Abstract: Difficult temperament and reduced breastfeeding seem to be associated only during the first half-year of the child's life. After that, we found no evidence of codevelopment between difficult temperament and breastfeeding.

Cited by 41 publications

References 20 publications

Neurobehavior in Term, Small-for-Gestational Age Infants With Normal Placental Function

Neurobehavior in Term, Small-for-Gestational Age Infants With Normal Placental Function

Infants Perceived as “Fussy” Are More Likely to Receive Complementary Foods Before 4 Months

Failed Lactation and Perinatal Depression: Common Problems with Shared Neuroendocrine Mechanisms?

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