NDLI: Efficacy of behavioral interventions to improve maternal mental health and breastfeeding outcomes: a systematic review

Content Provider	Springer Nature : BioMed Central
Author	Pezley, Lacey Cares, Kate Duffecy, Jennifer Koenig, Mary Dawn Maki, Pauline Odoms-Young, Angela Clark Withington, Margaret H. Lima Oliveira, Manoela Loiacono, Bernardo Prough, Jilian Tussing-Humphreys, Lisa Buscemi, Joanna
Abstract	Background Despite extensive benefits and high intentions, few mothers breastfeed exclusively for the recommended duration. Maternal mental health is an important underlying factor associated with barriers and reduced rates of breastfeeding intent, initiation, and continuation. Given evidence of a bidirectional association between maternal mental health and breastfeeding, it is important to consider both factors when examining the efficacy of interventions to improve these outcomes. The purpose of this manuscript is to review the literature on the efficacy of behavioral interventions focused on both maternal mental health and breastfeeding outcomes, examining the intersection of the two. Methods This systematic review was completed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines. Studies were selected if they were available in English, used primary experimental design, and used a behavioral intervention type to examine maternal mental health and breastfeeding outcomes. Articles were identified from PubMed, CINAHL, Embase, and PsycINFO from database inception to 3 March 2022. Study quality was assessed using the Cochrane Risk of Bias tool. Results were synthesized by intervention success for 1. Mental health and breastfeeding, 2. Breastfeeding only, 3. Mental health only, and 4. No intervention effect. PROSPERO CRD42021224228. Results Thirty interventions reported in 33 articles were identified, representing 15 countries. Twelve studies reported statistically significant positive effect of the intervention on both maternal mental health and breastfeeding; most showing a decrease in self-report depressive and/or anxiety symptoms in parallel to an increase in breastfeeding duration and/or exclusivity. Common characteristics of successful interventions were a) occurring across pregnancy and postpartum, b) delivered by hospital staff or multidisciplinary teams, c) offered individually, and d) designed to focus on breastfeeding and maternal mental health or on breastfeeding only. Our results are not representative of all countries, persons, experiences, circumstances, or physiological characteristics. Conclusions Interventions that extend the perinatal period and offer individualized support from both professionals and peers who collaborate through a continuum of settings (e.g., health system, home, and community) are most successful in improving both mental health and breastfeeding outcomes. The benefits of improving these outcomes warrant continued development and implementation of such interventions. Systematic review registration PROSPERO CRD42021224228.
Related Links	https://internationalbreastfeedingjournal.biomedcentral.com/counter/pdf/10.1186/s13006-022-00501-9.pdf
Ending Page	24
Page Count	24
Starting Page	1
File Format	HTM / HTML
ISSN	17464358
DOI	10.1186/s13006-022-00501-9
Journal	International Breastfeeding Journal
Issue Number	1
Volume Number	17
Language	English
Publisher	BioMed Central
Publisher Date	2022-09-05
Access Restriction	Open
Subject Keyword	Maternal and Child Health Behavioral interventions Depression Anxiety Mental health Breastfeeding Chestfeeding Lactation
Content Type	Text
Resource Type	Review
Subject	Obstetrics and Gynecology Pediatrics, Perinatology and Child Health
Journal Impact Factor	2.9/2023
5-Year Journal Impact Factor	3.6/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Perinatal psychological interventions to promote breastfeeding: a narrative review

Postpartum women’s use of medicines and breastfeeding practices: a systematic review

Postnatal mental health, breastfeeding beliefs, and breastfeeding practices in rural China

Health professionals’ competencies regarding breastfeeding beyond 12 months: a systematic review

Interventions to promote exclusive breastfeeding among young mothers: a systematic review and meta-analysis

Prevalence and multivariable predictors of breastfeeding outcomes in the United Arab Emirates: a prospective cohort study

Counselling interventions to enable women to initiate and continue breastfeeding: a systematic review and meta-analysis

Commentary on the article “Postpartum women’s use of medicines and breastfeeding practices: a systematic review”

Interventions and Programs to Promote Breastfeeding in Arabic-Speaking Countries: A Scoping Review.

Efficacy of behavioral interventions to improve maternal mental health and breastfeeding outcomes: a systematic review

Similar Documents

Perinatal psychological interventions to promote breastfeeding: a narrative review

Postpartum women’s use of medicines and breastfeeding practices: a systematic review

Postnatal mental health, breastfeeding beliefs, and breastfeeding practices in rural China

Health professionals’ competencies regarding breastfeeding beyond 12 months: a systematic review

Interventions to promote exclusive breastfeeding among young mothers: a systematic review and meta-analysis

Prevalence and multivariable predictors of breastfeeding outcomes in the United Arab Emirates: a prospective cohort study

Counselling interventions to enable women to initiate and continue breastfeeding: a systematic review and meta-analysis

Commentary on the article “Postpartum women’s use of medicines and breastfeeding practices: a systematic review”

Interventions and Programs to Promote Breastfeeding in Arabic-Speaking Countries: A Scoping Review.

Efficacy of behavioral interventions to improve maternal mental health and breastfeeding outcomes: a systematic review