Citation

Miller-Graff LE, Ahmed AH, Paulson JL. J. Hum. Lact. 2018; 34(3): 494-502.

Affiliation

Department of Psychology, University of Notre Dame, Notre Dame, IN, USA.

Copyright

(Copyright © 2018, SAGE Publishing)

DOI

10.1177/0890334418776217

PMID

29928829

Abstract

BACKGROUND: Intimate partner violence has been related to breastfeeding difficulties. Few studies, however, have also accounted for other biopsychosocial risk factors associated with women's breastfeeding. Research aim: This study aimed to examine how prenatal intimate partner violence affects women's breastfeeding initiation, early cessation, and exclusivity at 6 weeks postpartum, controlling for perinatal health problems, prenatal depression, childhood adverse experiences, and prenatal breastfeeding education.

METHODS: A longitudinal, prospective one-group study was conducted. Data were collected via interview and survey from a sample of low-income pregnant women ( N = 101) during pregnancy and at 6 weeks postpartum. The Pregnancy Risk Assessment Monitoring System was used to assess breastfeeding behaviors, prenatal breastfeeding education, and perinatal health problems. Intimate partner violence was assessed using the Conflict Tactics Scales-Revised; adverse childhood experiences and depression were assessed using the Adverse Childhood Experiences and Center for Epidemiologic Studies Depression Scale, respectively.

RESULTS: Women's breastfeeding initiation was predicted by prenatal breastfeeding education (adjusted odds ratio [ OR] = 3.21, p <.05). Early breastfeeding cessation was predicted by prenatal exposure to intimate partner violence (adjusted OR = 0.22, p <.05), preterm labor (adjusted OR = 0.33, p <.05), and prenatal breastfeeding education (adjusted OR = 1.80, p <.05).

CONCLUSION: These findings highlight the importance of addressing biopsychosocial risk factors, particularly adversity and perinatal health, in efforts to promote women's breastfeeding success. Future research should evaluate mechanisms that may explain the link between intimate partner violence and breastfeeding cessation.

Language: en

Keywords

breastfeeding; breastfeeding barriers; breastfeeding duration; breastfeeding initiation