Antepartum Desire to Breastfeed The authors of the article entitled New Evidence on Breastfeeding and Postpartum Depression (2014) include Cristina Borra, Maria Iacovou, and Almudena Sevilla. The study aimed to identify the causal effect of breastfeeding on postpartum depression. This studies utilizes the Avon Longitudinal study Study of Parents and Children, and includes a sample of 14,000 British women and children. The postpartum assessments that were gathered for data were done at 8 weeks after delivery, in addition to 8, 21, and 32 months after delivery. The study uses multivariate linear and logistic regressions and utilized the Edinburgh Postnatal Depression Scale to assess depression. The purpose of this scale was to …show more content…
The study classified as a Level II type of study, as the evidence was from well-designed controlled studies and results consistently supported a specific intervention. The methods the researcher utilized included logistic regression in a secondary analysis of data from the Infant Feeding Practices Study II. The study also used several scales including the Edinburgh Depression scale, a Likert scale and a general 0-10 pain scale. The Likert scale determined the how much the mothers enjoyed breastfeeding, the Edinburgh Depression Scale determined feelings of depressive symptoms, and the 0-10 pain scale determined feelings of pain during breastfeeding. To measurably asseess these feelings, the Likert scale was a 1-5 scale, 1-3 being “liked breastfeeding” and 4-5 translating to “disliked breastfeeding”. The pain scale was broken into 4 categories; no pain, mild pain, moderate pain, and severe pain. Pain was an important indicator in assessing the biochemical effects of breastfeeding on mood, and raises the question of the potential effect of pain on neurotransmitters and negative attitudes that could influence PPD. The article concludes that women with negative early breastfeeding experiences were more likely …show more content…
As a systematic review, the paper served as highly structured summary of research studies, avoids bias and is characterized by objectivity. This study reviewed 75 articles, 49 with specific data about postpartum depressive symptomatology and feeding outcomes. The study is categorized as a Level IV grading of evidence as it is a systematic review of qualitative studies. These studies were found from different countries, with sample sizes ranging from 22 to 14,609 and performed between 1981 and 2007. The strength in the systematic review is that it explores a broad range of studies across global populations. The review determined that PPD is a serious condition that affects women from cultures worldwide, and women with PPD symptoms are at greater risk for worse infant-feeding outcomes and failure to both initiate and continue