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Western Journal of Nursing Research
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Psychological Distress and Milk Volume in Lactating Mothers

Pamela D. Hill

College of Nursing, University of Illinois at Chicago

Jean C. Aldag

College of Medicine, University of Illinois at Peoria

Robert T. Chatterton

Northwestern University

Michael Zinaman

Loyola University of Chicago

The purpose of this article is twofold: (a) to compare psychological distress as measured via self-reported perceived stress, sleep, and fatigue levels in lactating mothers of a term infant and mothers of a preterm infant and(b) to determine whether the addition of psychological distress to a previous model predicts milk volume at Postpartum Week 6 by gestation group. The convenience sample of 95 mothers of a preterm infant (31 weeks) and 98 mothers of a term infant completed the Perceived Stress Visual Analogue Scale, Richards-Campbell Sleep Questionnaire, and the Fatigue Visual Analog Scale. Stress, sleep difficulty, and fatigue levels decreased during the 6-week study period for mothers of a term but not for mothers of a preterm infant. Perceived stress, sleep difficulty, and fatigue during the first 6 weeks postpartum were not related to milk volume; thus, the mother’s perceived psychological distress had no apparent effect on lactation.

Key Words: psychological distress • lactation • preterm infants • stress

Western Journal of Nursing Research, Vol. 27, No. 6, 676-693 (2005)
DOI: 10.1177/0193945905277154
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[Abstract] [PDF]