Prenatal Depression and Failure to Breastfeed

This study is not yet open for participant recruitment.

Verified September 2011 by Oklahoma State University Center for Health Sciences

Sponsor:

Information provided by:

Oklahoma State University Center for Health Sciences

ClinicalTrials.gov Identifier:

NCT01252602

First received: December 1, 2010

Last updated: September 19, 2011

Last verified: September 2011

History of Changes

Purpose

The purpose of this prospective cohort study is to search for a relationship between maternal depression in the third trimester, as indicated by a score of > 12 on the EPDS, and a choice not to breastfeed at all, defined as no breastfeeding after dismissal from the hospital. The investigators hypothesize that women who screen positive for prenatal depression will be significantly less likely to breastfeed their babies after discharge from the hospital following childbirth.

Condition
Breastfeeding After Discharge From Hospital Following Childbirth, Yes/no Depression Scale Score

Study Type:	Observational
Study Design:	Observational Model: Cohort Time Perspective: Prospective
Official Title:	Prospective Study of Maternal Prenatal Depression as a Risk Factor for Failure to Breastfeed

Resource links provided by NLM:

MedlinePlus related topics: Breast Feeding Depression Prenatal Care

U.S. FDA Resources

Further study details as provided by Oklahoma State University Center for Health Sciences:

Primary Outcome Measures:

EPDS score [ Time Frame: late third trimester - four weeks postpartum ] [ Designated as safety issue: No ]
Numerical value on maternal depression screening test

Estimated Enrollment:	200
Study Start Date:	December 2011
Estimated Study Completion Date:	July 2012
Estimated Primary Completion Date:	July 2012 (Final data collection date for primary outcome measure)

Groups/Cohorts
Prenatally depressed Women who tested positive for prenatal depression with a score of > 12 on the Edinburgh Postnatal Depression Scale
Not Prenatally Depressed Women who tested not depressed on the prenatal depression scale with a score < 13

Show Detailed Description

Eligibility

Ages Eligible for Study:	18 Years to 52 Years
Genders Eligible for Study:	Female
Accepts Healthy Volunteers:	Yes
Sampling Method:	Probability Sample

Study Population

Women receiving prenatal care at the OSU Houston Parke obstetrics clinic in Tulsa, Oklahoma, who are in their third trimester between 34 and 38 weeks gestation

Criteria

Inclusion Criteria:

1. Pregnant female in third trimester obtaining prenatal care through OSU Houston Parke obstetrics clinic 2. All questions of both EPDS assessments completed, one at 34 + 0 days-37 + 6 days weeks gestation and one at the standard four-week postnatal examination 3. Breastfeeding status noted on chart at four-week postpartum examination, yes/no, with yes defined as any activity, exclusive or partial, after dismissal from the hospital

Exclusion Criteria:

1. Use of anti-depressive medication after initial prenatal EPDS administration 2. Mothers of stillborn infants, infants with an illness that prevented breastfeeding, or of infants with birth defects 3. Incomplete EPDS questionnaire, either prenatal or postnatal

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01252602

Locations

United States, Oklahoma
Oklahoma State University Houston Parke Clinic	Not yet recruiting
Tulsa, Oklahoma, United States, 74127
Contact: Pamela McCool, DO 918-346-0644 wantabelikeu@yahoo.com
Principal Investigator: Pamela McCool, DO
Sub-Investigator: Sarah J McCoy, PhD

Sponsors and Collaborators

Oklahoma State University Center for Health Sciences

More Information

Publications:

Hatton DC, Harrison-Hohner J, Coste S, Dorato V, Curet LB, McCarron DA. Symptoms of postpartum depression and breastfeeding. J Hum Lact. 2005 Nov;21(4):444-9; quiz 450-4.

Kim JJ, Gordon TE, La Porte LM, Adams M, Kuendig JM, Silver RK. The utility of maternal depression screening in the third trimester. Am J Obstet Gynecol. 2008 Nov;199(5):509.e1-5. Epub 2008 Jun 4.

Henderson JJ, Evans SF, Straton JA, Priest SR, Hagan R. Impact of postnatal depression on breastfeeding duration. Birth. 2003 Sep;30(3):175-80. Erratum in: Birth. 2004 Mar;31(1):76.

McCoy SJ, Beal JM, Shipman SB, Payton ME, Watson GH. Risk factors for postpartum depression: a retrospective investigation at 4-weeks postnatal and a review of the literature. J Am Osteopath Assoc. 2006 Apr;106(4):193-8. Review. Erratum in: J Am Osteopath Assoc. 2006 Dec;106(12):687. J Am Osteopath Assoc. 2008 Apr;108(4):217.

McCoy SJ, Beal JM, Saunders B, Hill EN, Payton ME, Watson GH. Risk factors for postpartum depression: a retrospective investigation. J Reprod Med. 2008 Mar;53(3):166-70.

McCarter-Spaulding D, Horowitz JA. How does postpartum depression affect breastfeeding? MCN Am J Matern Child Nurs. 2007 Jan-Feb;32(1):10-7.

Responsible Party:	Pamela McCool, Oklahoma State University Center for Health Sciences Dept of Obstetrics/Gynecology
ClinicalTrials.gov Identifier:	NCT01252602 History of Changes
Other Study ID Numbers:	2010-024
Study First Received:	December 1, 2010
Last Updated:	September 19, 2011
Health Authority:	United States: Institutional Review Board

Keywords provided by Oklahoma State University Center for Health Sciences:

breastfeeding, EPDS, prenatal depression

Additional relevant MeSH terms:

Depression
Depressive Disorder
Behavioral Symptoms
Mood Disorders
Mental Disorders

ClinicalTrials.gov processed this record on May 19, 2013

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