Published in:
Open Access
01-10-2013
A Comparison Between Late Preterm and Term Infants on Breastfeeding and Maternal Mental Health
Authors:
Sheila W. McDonald, Karen M. Benzies, Jenna E. Gallant, Deborah A. McNeil, Siobhan M. Dolan, Suzanne C. Tough
Published in:
Maternal and Child Health Journal
|
Issue 8/2013
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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.