PDF(Pubmed)
Abstract：
(1) Background: Infantile colic (IC) is a functional gastrointestinal disorder that affects around 20% of infants, and postpartum (PPD) depression is a common disorder that affects between 15 and 22% of mothers. In this study, our objective was to evaluate the relationship between the maternal psychological state in the first postpartum year and IC, with the aim of assessing the importance of feeding type in infants and maternal well-being. (2) Methods: A cross-sectional study was conducted in women in their first year postpartum. Demographic, medical, and obstetric data of the mothers and infants were collected, and the type of feeding was identified. The emotional status of the mother was evaluated using the Edinburgh Postnatal Depression Scale (EPDS), and the Infant Colic Severity Questionnaire (ICSQ) was used for IC diagnosis. (3) Results: A total of 528 women were analyzed, of which 170 (32%) were diagnosed with possible PPD. Two-thirds of the women without depression breastfed their babies on demand; therefore, we report that exclusive breastfeeding (EBF) appears to reduce the risk of possible PPD (p < 0.001; OR = 2.353). IC was present in 39% of babies, and around 70% of babies without colic were breastfed on demand. Infants who were not exclusively breastfed showed almost double the risk of developing colic (p = 0.016; OR = 1.577). There was a significant association between the EPDS and ICSQ scores (p < 0.001). More than half of the women with PPD had babies with colic. However, our results show that 75% of babies without colic had mothers who reported optimal postpartum emotional well-being (p < 0.001; OR = 2.105). (4) Conclusions: The results of this study suggest that postpartum maternal psychological well-being reduces the risk of IC. Therefore, we report that EBF on demand, together with a healthy emotional state in new mothers, may be a protective factor against colic in infants.
摘要：
（1）背景：婴儿绞痛（IC）是一种功能性胃肠病，影响约20％的婴儿，产后（PPD）抑郁症是一种常见疾病，影响15％至22％的母亲。在这项研究中,我们的目的是评估产妇产后第一年的心理状态与IC之间的关系，目的是评估喂养类型对婴儿和产妇健康的重要性。（2）方法：对产后第一年的妇女进行了横断面研究。人口统计,medical,收集了母亲和婴儿的产科数据，并确定了喂养的类型。使用爱丁堡产后抑郁量表（EPDS）评估母亲的情绪状态，婴儿绞痛严重程度问卷（ICSQ）用于IC诊断。(3)结果:共对528名女性进行分析,其中170例（32%）被诊断为可能的PPD。三分之二的无抑郁症妇女按需母乳喂养婴儿；因此，我们报道,纯母乳喂养(EBF)可降低可能发生PPD的风险(p<0.001;OR=2.353).39%的婴儿出现IC，大约70%的无绞痛婴儿是按需母乳喂养的。非完全母乳喂养的婴儿患绞痛的风险几乎增加了一倍（p=0.016；OR=1.577）。EPDS和ICSQ评分之间存在显著关联(p<0.001)。超过一半的PPD女性患有绞痛。然而,我们的结果显示,75%的无绞痛婴儿的母亲报告产后情绪健康状况最佳(p<0.001;OR=2.105).（4）结论：本研究结果表明，产后产妇心理幸福感降低了IC的风险。因此,我们报告EBF按需，以及新妈妈健康的情绪状态，可能是防止婴儿绞痛的保护因素。
