Breastfeeding and depression

Purpose and necessity of breastfeeding for the health and well-being of mother and child are well documented. Although breastfeeding is for both mother and child an inborn capability, it is also a learned skills and therefore open to disruption. Maternal depression is known to be an inhibiting factor for initiation and duration of breastfeeding. Dennis et al found in their review of the literature that women with depressive symptomatology in the early postpartum period may be at increased risk for decreased breastfeeding duration and increased breastfeeding difficulties. There is also beginning evidence to suggest that depressed women may be less likely to initiate breastfeeding and do so exclusively. Bogen c.s. found a strong correlation between the use of antidepressants during pregnancy, but hardly any between being depressed and breastfeeding outcomes. Use of SRI’s during pregnancy led to a decreased intention to start breastfeeding.
Dennis CL, McQueen K: The relationship between infant-feeding outcomes and postpartum depression: a qualitative systematic review. Pediatrics. 2009 Apr;123(4):e736-51.
Bogen DL, Hanusa BH, Moses-Kolko E, Wisner KL: Are maternal depression or symptom severity associated with breastfeeding intention or outcomes? J Clin Psychiatry. 2010 Aug;71(8):1069-78. Epub 2010 Jun 15.