Postpartum Anxiety, Breastfeeding and Infant Health Among Taiwanese Women

Study Overview
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Brief Summary
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This is a prospective, longitudinal and observational study designed to investigate the trajectories of postpartum anxiety and its determinants in the first year after childbirth. This study also examine the associations between postpartum anxiety and infant health outcome, including breastfeeding patterns, excessive crying and body weight growth. Primipara aged 20-49 with term baby will be invited. Demographics, maternal-newborn characteristics, and anxiety symptoms will be collected during the first week postpartum (T1). Questionnaires will be follow-up by mail and telephone reminder in 1 (T2), 3 (T3), 6 (T4) and 12 months (T5) postpartum. The primary outcome is postpartum anxiety using the Spielberger's State-Trait Anxiety Inventory (STAI); the secondary outcomes are infant health outcomes including breastfeeding patterns, excessive crying and body weight growth. A linear mixed model (LMM) is used to determine the trajectories of postpartum anxiety over time and to examine whether specific demographic and maternal characteristics predict the trajectories of postpartum anxiety. The key findings may contribute to promote early identification and secondary preventive interventions for women with postpartum anxiety.

Detailed Description
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Ditto

Official Title
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Effects of Postpartum Anxiety on Breastfeeding and Infant Health Among Taiwanese Women: a Longitudinal Study

Conditions
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Postpartum Anxiety, Breastfeeding, Infant Conditions

Intervention / Treatment
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* Other: Postpartum Anxiety


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 20-49 years old Primipara Exclusion Criteria: Preterm birth Infants with severe congenital malformations/medical conditions or Fetal/neonatal death Current use of antidepressant or antipsychotics Thoughts of self-harm or suicide

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 49 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Postpartum Anxiety<br>Postpartum anxiety will be assessed at 1-3 days (T1), 1(T2), 3 (T3), 6 (T4) and 12 months (T5) postpartum by using the State-Trait Anxiety Inventory (STAI). | Other: Postpartum Anxiety<br>* Postpartum anxiety will be assessed at 1-3 days (T1), 1(T2), 3 (T3), 6 (T4) and 12 months (T5) postpartum by using the State-Trait Anxiety Inventory (STAI) with a score ≥40 serving as a positive screen.<br>* Other names: PPA;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postpartum anxiety | Assessments using the Spielberger's State-Trait Anxiety Inventory (STAI) for self-reported anxiety symptoms | Baseline | 
| Postpartum anxiety | Assessments using the Spielberger's State-Trait Anxiety Inventory (STAI) for self-reported anxiety symptoms | One month from baseline | 
| Postpartum anxiety | Assessments using the Spielberger's State-Trait Anxiety Inventory (STAI) for self-reported anxiety symptoms | Three months from baseline | 
| Postpartum anxiety | Assessments using the Spielberger's State-Trait Anxiety Inventory (STAI) for self-reported anxiety symptoms | Six months from baseline | 
| Postpartum anxiety | Assessments using the Spielberger's State-Trait Anxiety Inventory (STAI) for self-reported anxiety symptoms | Twelve months from baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Infant health outcomes | Including breastfeeding patterns, excessive crying and body weight growth | Baseline | 
| Infant health outcomes | Including breastfeeding patterns, excessive crying and body weight growth | One month from baseline | 
| Infant health outcomes | Including breastfeeding patterns, excessive crying and body weight growth | Three months from baseline | 
| Infant health outcomes | Including breastfeeding patterns, excessive crying and body weight growth | Six months from baseline | 
| Infant health outcomes | Including breastfeeding patterns, excessive crying and body weight growth | Twelve months from baseline |