Association between exclusive breastfeeding and postpartum post-traumatic stress disorder

• DOI: 10.1186/s13006-022-00519-z
• Publication Date: 2022-11-24T17:33:15Z
• Authors: Jingfen Chen; Xiaolu Lai; Lepeng Zhou; Ravi Retnakaran; Shi Wu Wen; Daniel Krewski; Liping Huang; Meng Li; Ri-hua Xie
• Keywords: Traumatic stress

Abstract Background Research on the association between breastfeeding and postpartum post-traumatic stress disorder (PTSD) is sparse. This study aimed to examine exclusive up 42 days after childbirth PTSD. Methods An epidemiologic was conducted in a tertiary hospital China October 2019 2020. Eligible mothers were recruited at 3 assessed using Post-Traumatic Stress Disorder Checklist – Civilian version (PCL-C) for PTSD postpartum. The independent estimated log-binomial regression models, adjusting potential confounders. Results Ninety-two of 759 (12.1%) developed within childbirth. Compared with partially mothers, exclusively had lower risks (relative risk [RR] 0.28; 95% confidence interval [CI] 0.13, 0.59), re-experience (RR 0.48; CI 0.30, 0.76), avoidance 0.55; 0.32, 0.97), hyperarousal 0.52; 0.34, 0.78). After adjustment family support, parity, mode delivery, perceived birth trauma, early contact / suckling, rooming-in, associations remained significant: overall adjusted relative [aRR] 0.31; (95% 0.15, 0.66), aRR 0.77) 0.56; 0.37, 0.85). Conclusion Exclusive associated reduced While reverse causation cannot be ruled out, strategies improve rates through teaching, counselling, support may benefit their infants by reducing