title: The Relationship Between Infant Feeding Outcomes and Maternal Emotional Well-being Among Mothers of Late Preterm and Term Infants: A Secondary, Exploratory Analysis.
abstract: BACKGROUND
  Late preterm birth is associated with lower rates of breastfeeding and earlier breastfeeding cessation than term birth.
  
  
  OBJECTIVE
  The objectives of this secondary analysis were to compare the incidence of exclusive breastfeeding after late preterm and term childbirth and to examine the association between infant feeding outcomes and maternal emotional well-being.
  
  
  METHODS
  Participants were 105 mother-infant dyads (54 late preterm and 51 term) at a southeastern US medical center. Face-to-face data collection and telephone follow-up occurred during 2009-2012.
  
  
  RESULTS
  Late preterm mothers were less likely to exclusively provide their milk than were term mothers during hospitalization. Feeding at 1 month did not differ between late preterm and term infants. Among late preterm mothers, (1) formula supplementation during hospitalization was associated with greater severity of anxiety than among those exclusively providing formula and (2) exclusive provision of human milk at 1 month was associated with less severe depressive symptoms than among those supplementing or exclusively formula feeding. Among term mothers, feeding outcome was not related to emotional well-being measures at either time point.
  
  
  CONCLUSIONS
  Mothers of late preterm infants may particularly benefit from anticipatory guidance and early mental health screening, with integrated, multidisciplinary lactation teams to support these interrelated healthcare needs.
  
  
  CONCLUSIONS
  Prospective research is critical to document women's intentions for infant feeding and how experiences with childbirth and the early postpartum period impact achievement of their breastfeeding goals.
authors.affiliation: Center for Developmental Science and Carolina Global Breastfeeding Institute, University of North Carolina at Chapel Hill (Dr Tully); and School of Nursing, Duke University, Durham, North Carolina (Drs Holditch-Davis, Silva, and Brandon).
authors.forename: Kristin P
authors.initials: KP
authors.lastname: Tully
authors.forename: Diane
authors.initials: D
authors.lastname: Holditch-Davis
authors.forename: Susan
authors.initials: S
authors.lastname: Silva
authors.forename: Debra
authors.initials: D
authors.lastname: Brandon
mesh_terms: D000328:Adult; D001007:Anxiety / Q000453:epidemiology* / Q000523:psychology; D001942:Breast Feeding / Q000706:statistics & numerical data*; D003863:Depression / Q000453:epidemiology* / Q000523:psychology; D004644:Emotions; D005260:Female; D006801:Humans; D015994:Incidence; D041943:Infant Formula / Q000706:statistics & numerical data*; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D008895:Milk, Human; D009035:Mothers / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology* / Q000523:psychology; D047929:Term Birth; D014481:United States / Q000453:epidemiology; D055815:Young Adult