The Mental Health Effects and Experiences of Breastfeeding Decision-Making Among Postpartum Women Living with HIV.
Prior to January 2023, women living with HIV (WLWH) in the United States (US) were discouraged from breastfeeding due to the potential risk of mother-to-child HIV transmission through breastfeeding. Lack of breastfeeding decision-making and experience among WLWH may negatively affect maternal mental...
| Publicado en: | AIDS & Behavior Vol. 28; no. 4; pp. 1186 - 1197 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176081864&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176081864 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Apr2024 vid: 28 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 176081864 167359575 176081864 176081864 10.1007/s10461-023-04142-9 176081864 ppf: 1186 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The Mental Health Effects and Experiences of Breastfeeding Decision-Making Among Postpartum Women Living with HIV. aug: au: Harris, Leah R. Lee, Do H. Mareuil, Joanna W. Rakhmanina, Natella Y. Koay, Wei Li A. affil: https://ror.org/03wa2q724 Division of Infectious Diseases, Children's National Hospital, Washington, DC, USA sug: subj: HIV Infections Psychosocial Factors Depression, Postpartum Prevention and Control Mental Health Evaluation Mothers Psychosocial Factors Breast Feeding Psychosocial Factors Decision Making Evaluation Life Experiences Evaluation Maternal Attitudes Evaluation Attitude to Breast Feeding Evaluation Quality Improvement Postnatal Care Human Female HIV-Positive Persons Psychosocial Factors Funding Source Health Screening Edinburgh Postnatal Depression Scale Psychological Tests Descriptive Statistics Adult Emotions United States Adult: 19-44 years Female ab: Prior to January 2023, women living with HIV (WLWH) in the United States (US) were discouraged from breastfeeding due to the potential risk of mother-to-child HIV transmission through breastfeeding. Lack of breastfeeding decision-making and experience among WLWH may negatively affect maternal mental health. We implemented a quality improvement initiative to screen WLWH for postpartum depression (PPD), evaluate their attitudes toward breastfeeding, and assess their experience with breastfeeding decision-making. We collected quantitative data from WLWH using a voluntary, self-administered 6-item breastfeeding decision-making and experience survey (administered 1 month postpartum) and a 10-item Edinburgh Postnatal Depression Scale (EPDS, negative = 0–9; administered 1 and 4 months postpartum) tool. We conducted descriptive statistics and cross tabulation analysis. We analyzed 106 WLWH (93.4% non-Hispanic Black/African American; mean age 33.1 years; 82.1% HIV RNA < 200 copies/mL). One in five (19.1%) WLWH had a positive baseline EPDS screen, with the mean EPDS scores decreasing from 5.3 ± 5.4 (baseline) to 4.6 ± 4.8 (follow-up). Among 55 WLWH who provided baseline and follow-up EPDS scores, only 3/13 with a positive baseline EPDS screen had resolved depressive symptoms at follow-up. Over one-third (37.7%) of WLWH indicated feeling "sadness" when asked whether lack of breastfeeding negatively affected their feelings or emotions. Over half of WLWH (51.9%) were aware of the US breastfeeding recommendations, but the majority (60.4%) had never discussed breastfeeding options with a medical provider. Improved provider–patient discussions on infant feeding options among WLWH is needed to increase awareness of breastfeeding choices and promote informed, autonomous breastfeeding decision-making among WLWH. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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