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A mixed methods systematic review exploring infant feeding experiences and support in women with severe mental illness
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Baker, Natasha, Bick, Debra, Bamber, Louise, Wilson, Claire A., Howard, Louise M., Bakolis, Ioannis, Soukup, Tayana and Chang, Yan‐Shing (2023) A mixed methods systematic review exploring infant feeding experiences and support in women with severe mental illness. Maternal & Child Nutrition, 19 (4). e13538. doi:10.1111/mcn.13538 ISSN 1740-8695.
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Official URL: https://doi.org/10.1111/mcn.13538
Abstract
There are many benefits of breastfeeding to women and their infants but meeting the recommended 6 months of exclusive breastfeeding is likely to be more challenging for women with severe mental illness (SMI). This is the first systematic review that aims to examine evidence of (a) infant feeding outcomes in women with SMI and the factors associated with this, (b) the experiences of infant feeding and infant feeding support for women with SMI, (c) interventions for supporting infant feeding among these women and (d) health care professionals' attitudes toward supporting infant feeding in women with SMI. Mixed methods systematic review was carried out using the principles of Joanna Briggs Institute's (JBI) 'convergent integrated' methodology. CINAHL, PsycINFO, Medline and MIDIRS were used to search literature between 1994 and 2022. The quality of selected articles was assessed using JBI critical appraisal tools and thematic synthesis was undertaken to obtain findings. Eighteen papers were included in the final review. Women with SMI were less likely to initiate and continue breastfeeding than women without SMI. Several challenges with breastfeeding were highlighted, and while these were often linked to women's mental health difficulties, inconsistent advice from health care professionals and poor support with breastfeeding further compounded these challenges. This review highlights that policy and practice need to take into account the individual challenges women with SMI face when planning, initiating and maintaining breastfeeding. Education and training for health care professionals are needed to enable them to provide tailored infant feeding support to women with SMI, which reflects their individual needs.
Item Type: | Journal Article | |||||||||
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Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RG Gynecology and obstetrics |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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SWORD Depositor: | Library Publications Router | |||||||||
Journal or Publication Title: | Maternal & Child Nutrition | |||||||||
Publisher: | Wiley-Blackwell Publishing Ltd. | |||||||||
ISSN: | 1740-8695 | |||||||||
Official Date: | October 2023 | |||||||||
Dates: |
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Volume: | 19 | |||||||||
Number: | 4 | |||||||||
Article Number: | e13538 | |||||||||
DOI: | 10.1111/mcn.13538 | |||||||||
Status: | Peer Reviewed | |||||||||
Publication Status: | Published | |||||||||
Access rights to Published version: | Open Access (Creative Commons) | |||||||||
Date of first compliant deposit: | 6 June 2023 | |||||||||
Date of first compliant Open Access: | 6 June 2023 | |||||||||
RIOXX Funder/Project Grant: |
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