Maternal emotional regulation strategy is associated with newborn feeding practices within 72 h after delivery: Cross sectional analyses of a multi-center study in China

作者全名："Li, Hui; Lin, Shunna; Shen, Xinran; Amaerjiang, Nubiya; Shu, Wen; Li, Menglong; Xiao, Huidi; Segura-Perez, Sofia; Perez-Escamilla, Rafael; Fan, Xin; Hu, Yifei"

作者地址："[Li, Hui; Shen, Xinran; Amaerjiang, Nubiya; Shu, Wen; Li, Menglong; Xiao, Huidi; Hu, Yifei] Capital Med Univ, Sch Publ Hlth, Dept Child & Adolescent Hlth & Maternal Care, 10 Youanmenwai Xitoutiao, Beijing 100069, Peoples R China; [Lin, Shunna] Tianhe Dist Maternal & Child Hosp Guangzhou, Dept Pediat, Guangzhou 510620, Peoples R China; [Segura-Perez, Sofia] Hispan Hlth Council, 175 Main St, Hartford, CT 06106 USA; [Perez-Escamilla, Rafael] Yale Univ, Yale Sch Publ Hlth, New Haven, CT 06510 USA; [Fan, Xin] Chongqing Med Univ, Women & Childrens Hosp, Dept Pediat, 120 Longshan Rd, Chongqing 401147, Peoples R China; [Fan, Xin] 120 Longshan Rd, Chongqing 400042, Peoples R China; [Hu, Yifei] 10 Youanmenwai Xitoutiao, Beijing 100069, Peoples R China"

通信作者："Fan, X (通讯作者)，120 Longshan Rd, Chongqing 400042, Peoples R China.; Hu, YF (通讯作者)，10 Youanmenwai Xitoutiao, Beijing 100069, Peoples R China."

来源：JOURNAL OF AFFECTIVE DISORDERS

ESI学科分类：PSYCHIATRY/PSYCHOLOGY

WOS号：WOS:000987947100001

JCR分区：Q1

影响因子：6.6

年份：2023

卷号：333

期号：　

开始页：202

结束页：208

文献类型：Article

关键词：Feeding practices; Exclusive breastfeeding; Mixed feeding; Emotion regulation; Breastfeeding-related knowledge; China

摘要："Background: Early feeding practices have a great impact on the growth and development of infants, and the health of mothers. Maternal emotional regulation (ER) is closely related to infant feeding practices. Exploring the relationship between ER strategy and feeding practice can inform early exclusive breastfeeding (EBF) interventions. Methods: Using baseline survey of a longitudinal study, 965 mothers in Chongqing municipality, Guangzhou city, and Huizhou city were enrolled. At baseline, the study used self-administrated questionnaires to investigate the socio-demographic characteristics, maternal ER strategies and feeding practice within 72 h of delivery. Chisquare test and logistic regression were used to determine the associations of the mothers' ER and feeding practices within 72 h postpartum. Results: Among 965 participants, 27.8 % of mothers practiced EBF, and 69.5 % of mothers reported getting breastfeeding education from health providers. The average scores on the cognitive reappraisal and the expressive suppression of the ERQ were 29.95 +/- 7.24 and 14.47 +/- 5.16 respectively. Multivariable analysis showed women with expressive suppression were less likely to practice EBF (aOR = 0.96, 95%CI: 0.93-0.98, p = 0.002), while receiving breastfeeding education was positively associated with EBF (aOR = 1.52, 95%CI: 1.09-2.12, p = 0.013). Limitations: Because the study started during the COVID-19 pandemic, the lock-down measures paused recruitments for quite some time reducing the enrollment of participation. The data we used was within 72 h postpartum, hence the period of time to study feeding practices was short. Conclusion: Mothers' ER strategy and breastfeeding education need to be addressed as part of interventions designed to improve EBF rates during the newborn period in China."

基金机构：National Natural Science Foundation of China [82073574]; Beijing Municipal Natural Science Foundation [7202009]; Chongqing Municipal Health Commission Maternal and Child Health Research and Cultivation Special Project [2022FY104]

基金资助正文："This work was supported in part by the National Natural Science Foundation of China (grant No. 82073574 to Y.H.) and the Beijing Municipal Natural Science Foundation (grant No. 7202009 to Y.H.) . Chongqing Municipal Health Commission Maternal and Child Health Research and Cultivation Special Project (grant No. 2022FY104 to X.F.) . Funders had no role in the design and implementation of the study, analysis, and interpretation of data, or writing of this study."