A Meta-analysis of the association between postpartum depression and exclusive breastfeeding in the Chinese population

LI Xuan; Obore Nathan; TAO Yuchen; HU Yan; WANG Yixiao; HONG Xiang; WANG Bei; YU Hong

doi:10.16462/j.cnki.zhjbkz.2023.11.014

Volume 27 Issue 11

Nov. 2023

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LI Xuan, Obore Nathan, TAO Yuchen, HU Yan, WANG Yixiao, HONG Xiang, WANG Bei, YU Hong. A Meta-analysis of the association between postpartum depression and exclusive breastfeeding in the Chinese population[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(11): 1329-1335. doi: 10.16462/j.cnki.zhjbkz.2023.11.014

Citation:

LI Xuan, Obore Nathan, TAO Yuchen, HU Yan, WANG Yixiao, HONG Xiang, WANG Bei, YU Hong. A Meta-analysis of the association between postpartum depression and exclusive breastfeeding in the Chinese population[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(11): 1329-1335. doi: 10.16462/j.cnki.zhjbkz.2023.11.014

Citation:

LI Xuan, Obore Nathan, TAO Yuchen, HU Yan, WANG Yixiao, HONG Xiang, WANG Bei, YU Hong. A Meta-analysis of the association between postpartum depression and exclusive breastfeeding in the Chinese population[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(11): 1329-1335. doi: 10.16462/j.cnki.zhjbkz.2023.11.014

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A Meta-analysis of the association between postpartum depression and exclusive breastfeeding in the Chinese population

doi: 10.16462/j.cnki.zhjbkz.2023.11.014

1.
Department of Clinical Medicine, Southeast University School of Medicine, Nanjing 210009, China
2.
Department of Obstetrics and Gynecology, Southeast University Affiliated Zhongda Hospital, Nanjing 210009, China
3.
Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing 210009, China

Funds:

Medical Scientific Research Project of Jiangsu Provincial Health Commission 2021, NO. 47

More Information

Corresponding author: YU Hong, E-mail: yuhong650325@sina.com
Received Date: 2022-06-14
Rev Recd Date: 2022-09-24

Available Online: 2023-11-20

Publish Date: 2023-11-10

Abstract

Abstract

Objective To explore the relationship between postpartum depression and exclusive breastfeeding (EBF) in the Chinese population. Methods Observational studies about postpartum depression and feeding patterns were searched in databases including Wanfang, SinoMed, CNKI, and so on. Stata 12.0 was used for meta-analysis. Subgroup analysis for both the control and depression populations was performed according to region, postpartum time, and the groups and populations. Results A total of 16 observational studies were included. The rate of EBF in the postpartum depression group was lower than that in the control group, and the difference was statistically significant (OR=0.44, 95% CI: 0.36-0.54, P < 0.001). Subgroup analysis showed that the depression group had a lower EBF rate than the control group in eastern China (OR=0.45, 95% CI: 0.36-0.56, P < 0.001), as well as in central and western China (OR=0.41, 95% CI: 0.25-0.66, P < 0.001). There was a decreased rate of EBF among mothers that had depression within 42 days postpartum (OR=0.48, 95% CI: 0.37-0.61, P < 0.001) and more significantly between 42 days and 6 months postpartum (OR=0.35, 95% CI: 0.21-0.60, P < 0.001). Exclusion of some studies among the different groups and populations did not significantly alter the overall results and the differences were statistically significant (OR=0.45, 95% CI: 0.36-0.56, P < 0.001). Meta-regression analysis suggested that the source of heterogeneity among studies may not be related to the region (P=0.906), postpartum time(P=0.528), or the groups and populations (P=0.722). Conclusions The rate of EBF is lower in the postpartum depression population compared with the control group. To increase the EBF rate within 6 months and reduce the prevalence of postpartum depression in China, we recommend screening for depression during pregnancy and multidisciplinary collaborative intervention starting from the prenatal period.
- Depression,
- Postpartum,
- Breast Feeding,
- Meta-analysis

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References(27)

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