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Breastfeeding experiences and perspectives among women with postnatal depression : a qualitative evidence synthesis
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Da Silva Tanganhito, Daniela, Bick, Debra and Chang, Yan-Shing (2020) Breastfeeding experiences and perspectives among women with postnatal depression : a qualitative evidence synthesis. Women and Birth, 33 (3). pp. 231-239. doi:10.1016/j.wombi.2019.05.012
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Official URL: http://dx.doi.org/10.1016/j.wombi.2019.05.012
Abstract
Background
Studies show that postnatal depression affects around 10–16% of women globally. It is associated with earlier cessation of breast feeding, which can negatively impact infants’ long-term development. Mechanisms underpinning associations between mental health and women’s decision to commence and continue to breastfeed are complex and poorly understood.
Aim
The aim of this review was to investigate breastfeeding experiences, perspectives, and support needs of women with postnatal depression. No previous reviews were identified which had addressed this aim.
Method
A systematic search was conducted of six databases to identify relevant qualitative studies. Six included studies were critically appraised and synthesised using thematic synthesis.
Findings
Five themes were identified: (1) desire to breastfeed and be a ‘good mother’, (2) struggles with breastfeeding, (3) mixed experiences of support from healthcare professionals, (4) importance of practical and social support, (5) support for mental health and breastfeeding. Most women with postnatal depression expressed strong intentions to breastfeed, although some perceived ‘failure’ to breastfeed triggered their mental health problems. Practical and non-judgemental support for their mental health needs and for successful breastfeeding from healthcare professionals, family and friends are needed.
Conclusion
Most women with postnatal depression desired to breastfeed but experienced breastfeeding difficulties that could impact on their mental health. By offering women with postnatal depression tailored and timely support, healthcare professionals could help women minimize breastfeeding problems which could consequently impact on their mental well-being and ensure they and their infants have opportunity to benefit from the advantages that breastfeeding offers.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RG Gynecology and obstetrics | ||||||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Prenatal care, Postpartum depression, Women -- Mental health, Breastfeeding | ||||||||
| Journal or Publication Title: | Women and Birth | ||||||||
| Publisher: | Elsevier | ||||||||
| ISSN: | 1871-5192 | ||||||||
| Official Date: | May 2020 | ||||||||
| Dates: |
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| Volume: | 33 | ||||||||
| Number: | 3 | ||||||||
| Page Range: | pp. 231-239 | ||||||||
| DOI: | 10.1016/j.wombi.2019.05.012 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access |
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