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001). SRQ-20 symptom scores in the postpartum period were not associated with breastfeeding in the past 24h reported at 7months postpartum (p = 0.08). Women in rural South Africa, like women in many settings, may be vulnerable to worsening postpartum mental health when they lack sufficient socioeconomic resources and when they have pre-existing depressive/anxiety symptoms. Women in rural South Africa, like women in many settings, may be vulnerable to worsening postpartum mental health when they lack sufficient socioeconomic resources an