J Korean Soc Matern Child Health.  2019 Jul;23(3):162-174. 10.21896/jksmch.2019.23.3.162.

Effects of Breast-Feeding Adaptation and Quality of Sleep on Postpartum Depression in Puerperal Women

  • 1Yeon & Nature Women's Clinic, Seoul, Korea.
  • 2College of Nursing, Kosin University, Busan, Korea. hhuna@kosin.ac.kr


This study aimed to provide preliminary data for a nursing intervention plan for puerperal women to reduce postpartum depression by investigating factors that affect depressive disorder during the puerperal period.
A total of 153 pregnant women were recruited from a university hospital in Gimhae city in Korea. Data were collected using self-report questionnaires.
Mothers' quality of sleep, breast-feeding confidence, discomfort with breastfeeding, depressive feeling during pregnancy, and baby's feeding capability and growth were significant predictors of postpartum depression. These variables explained 36.1% of the variance in postpartum depression in puerperal women.
The aforementioned results indicate that puerperal women are less likely to experience postpartum depression when their quality of sleep is higher, breast-feeding confidence is higher, discomfort with breast-feeding is lower, when they did not feel depressed during pregnancy, and when baby's feeding capability and growth is better. Therefore, to decrease puerperal women's depression, a nursing intervention program and a research study to verify the effects of the program are necessary to increase mother's sleep quality and breast-feeding adaptation and prevent depression during pregnancy.


Puerperium period; Postpartum depression; Breast feeding; Sleep

MeSH Terms

Breast Feeding
Depression, Postpartum*
Depressive Disorder
Postpartum Period*
Pregnant Women

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