We investigated whether postpartum anxiety (PPA) and breastfeeding self‐efficacy and bonding at the early postpartum period can be used to predict postpartum depression and the breastfeeding method, and we sought to identify factors related to postpartum depression. Of the 510 eligible women, 185 (36%) returned the questionnaire on all three occasions (1 day, 3 days, and 1 month after childbirth). The mothers' progress on the State‐Trait Anxiety Inventory (STAI), Breastfeeding Self‐Efficacy Scale Short Form (BFSES‐SF), and Postnatal Bonding Questionnaire (PBQ) was observed over three periods. A repeated‐measures ANOVA revealed that the mothers at high risk of developing postpartum depression (PPD) were those who did not show an increase in BFSES‐SF score at early postpartum, and mothers whose bonding disorders have deteriorated rapidly. The results of the logistic regression analysis revealed a significant difference in employment as a factor related to postpartum depression. Compared to Regular, Part‐time status was 4.4 times more likely and Unemployed status was 2.3 times more likely to cause postpartum depression. For the early detection of PPD, it is necessary to identify (1) mothers who do not show an increase in the BFSES‐SF score, (2) mothers whose bonding disorders have deteriorated rapidly, and (3) part‐time or unemployed mothers as characteristic of postpartum depression.

中文翻译：

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产后早期的产后焦虑和母乳喂养的自我效能和结合是否可以预测产后抑郁和母乳喂养方法？

我们调查了产后早期是否可以使用产后焦虑（PPA）和母乳喂养的自我效能感和结合力来预测产后抑郁症和母乳喂养方法，并试图找出与产后抑郁症相关的因素。在510名合格妇女中，有185名（36％）在所有三种情况下（分娩后1天，3天和1个月）都返回了调查表。在三个阶段中观察到母亲的状态-特质焦虑量表（STAI），母乳喂养自我效能量表（BFSES-SF）和产后邦定问卷（PBQ）的进步。一项重复测量的方差分析显示，产后抑郁症高发风险的母亲是那些在产后早期BFSES-SF评分未升高的母亲，以及其结合障碍迅速恶化的母亲。Logistic回归分析的结果表明，就业是与产后抑郁相关的重要因素。与正常人相比，兼职状态导致产后抑郁的可能性高4.4倍，而失业状态则导致产后抑郁的可能性高2.3倍。为了及早发现PPD，有必要确定（1）BFSES-SF得分未增加的母亲;（2）结合障碍迅速恶化的母亲;（3）兼职或失业的母亲作为产后抑郁症的特征。