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Article

Responsive Feeding, Infant Growth, and Postpartum Depressive Symptoms during 3 Months Postpartum

1
Department of Nursing, School of Nursing, National Yang-Ming University, Taipei 11221, Taiwan
2
Department of Nursing, Chang Gung University of Science and Technology, Taoyuan 33303, Taiwan
3
Department of Obstetrics and Gynecology, Taipei City Hospital, Taipei 10629, Taiwan
4
Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Taipei 22056, Taiwan
5
Institute of Community Health Care, School of Nursing, National Yang-Ming University, Taipei 11221, Taiwan
*
Author to whom correspondence should be addressed.
Nutrients 2020, 12(6), 1766; https://doi.org/10.3390/nu12061766
Received: 21 April 2020 / Revised: 29 May 2020 / Accepted: 9 June 2020 / Published: 12 June 2020
(This article belongs to the Section Nutrition and Public Health)
Responsive feeding is crucial to the formation of life-long healthy eating behavior. Few studies have examined maternal responsive feeding in early infancy among a Chinese population. This prospective study describes maternal responsive feeding and factors associated with maternal responsive feeding, with emphasis on infant growth and maternal depressive symptoms, during the first 3 months postpartum in Taiwan. From 2015 to 2017, 438 pregnant women were recruited and followed at 1 and 3 months postpartum. Maternal responsive feeding at 3 months was measured on a 10-item 5-point Likert-type scale. Maternal depressive symptoms were measured using the Edinburgh Postnatal Depression Scale with a cutoff score of 10. Infant growth was categorized into four groups based on weight-for-length Z scores from birth to 3 months: no change, increase but in the normal range, increase to overweight, and decrease to underweight. Multiple regression revealed that postpartum depressive symptoms, primipara, and decreased infant weight-for-length Z score were negatively associated with maternal responsive feeding, while exclusive breastfeeding and maternal age younger than 29 years were positively associated with maternal responsive feeding. Heath professionals should educate mothers on responsive feeding, with emphases on first-time and non-exclusive breastfeeding mothers, as well as those with depressive symptoms, advanced maternal age, and infants who are becoming underweight. View Full-Text
Keywords: postpartum; responsive feeding; postpartum depressive symptoms; infant growth postpartum; responsive feeding; postpartum depressive symptoms; infant growth
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MDPI and ACS Style

Chen, T.-L.; Chen, Y.-Y.; Lin, C.-L.; Peng, F.-S.; Chien, L.-Y. Responsive Feeding, Infant Growth, and Postpartum Depressive Symptoms during 3 Months Postpartum. Nutrients 2020, 12, 1766. https://doi.org/10.3390/nu12061766

AMA Style

Chen T-L, Chen Y-Y, Lin C-L, Peng F-S, Chien L-Y. Responsive Feeding, Infant Growth, and Postpartum Depressive Symptoms during 3 Months Postpartum. Nutrients. 2020; 12(6):1766. https://doi.org/10.3390/nu12061766

Chicago/Turabian Style

Chen, Tzu-Ling, Yi-Ying Chen, Chen-Li Lin, Fu-Shiang Peng, and Li-Yin Chien. 2020. "Responsive Feeding, Infant Growth, and Postpartum Depressive Symptoms during 3 Months Postpartum" Nutrients 12, no. 6: 1766. https://doi.org/10.3390/nu12061766

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