MENTAL HEALTH OF BREASTFEEDING MOTHERS: A SYSTEMATIC LITERATURE REVIEW

Satriani  Geru; Silvia  Nova

doi:10.61796/jhsm.v1i4.28

Authors

Satriani Geru Polytechnic of the Ministry of Health Mamuju, Indonesia
Silvia Nova Helvetia Health Institute Pekanbaru, Indonesia

DOI:

https://doi.org/10.61796/jhsm.v1i4.28

Keywords:

Maternal mental health, Breastfeeding, Postpartum depression, Postpartum anxiety, Breast milk

Abstract

Objective: To identify, evaluate, and synthesize the latest evidence on the prevalence, types, risk factors, impacts, and interventions related to mental health in breastfeeding mothers from reputable journals (2021–2026). Method: A systematic literature search was conducted on PubMed, Scopus, CINAHL, and Web of Science databases using structured search strategies. Articles published between 2021 and 2026 from reputable journals meeting the inclusion criteria were analyzed narratively following PRISMA 2020 guidelines. Results: From 1,247 identified articles, 38 articles met the inclusion criteria. Postpartum depression was found in 10–20% of breastfeeding mothers and postpartum anxiety in 20–30%. A bidirectional relationship between mental disorders and breastfeeding has been confirmed. Main risk factors include nipple pain, perceived insufficient milk, lack of social support, and hormonal factors. Cognitive-behavioral interventions, peer support, and telemedicine proved effective. Novelty: An integrated approach encompassing routine screening, psychosocial support, and evidence-based interventions is needed to optimize the mental health of breastfeeding mothers and breastfeeding success.

References

[1] World Health Organization, "Infant and young child feeding," 2023. [Online]. Available: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding. [Accessed: Jan. 10, 2024].

[2] UNICEF and World Health Organization, Capture the Moment: Early Initiation of Breastfeeding: The Best Start for Every Newborn. New York, NY, USA: UNICEF, 2021.

[3] N. C. Rollins et al., "Why invest, and what it will take to improve breastfeeding practices?," The Lancet, vol. 387, no. 10017, pp. 491–504, 2021.

[4] Ministry of Health of the Republic of Indonesia, National Report on Basic Health Research (Riskesdas) 2023. Jakarta, Indonesia: Ministry of Health of the Republic of Indonesia, 2023.

[5] S. Meltzer-Brody et al., "Postpartum psychiatric disorders," Nat. Rev. Dis. Primers, vol. 8, no. 1, pp. 1–20, 2022.

[6] L. M. Howard and H. Khalifeh, "Perinatal mental health: A review of progress and challenges," World Psychiatry, vol. 19, no. 3, pp. 313–327, 2022.

[7] J. I. Kim, S. M. Park, H. S. Ahn, and S. J. Kim, "Association between maternal employment and breastfeeding cessation: A systematic review and meta-analysis," Women Birth, vol. 35, no. 4, pp. E316–e327, 2022.

[8] C. C. Dias and B. Figueiredo, "Breastfeeding and depression: A systematic review of the literature," J. Affect. Disord., vol. 171, pp. 142–154, 2021.

[9] J. F. Thompson, S. Kruske, L. Barclay, V. Schmied, A. Sutton, and D. A. Donoghue, "Potential predictors of nipple trauma from an online survey of women in Australia," Midwifery, vol. 95, Art. no. 102949, 2021.

[10] A. Brown and N. Shenker, "Experiences of breastfeeding during COVID-19: Lessons for future public health crises and recommendations for practice," Int. Breastfeed. J., vol. 16, no. 1, Art. no. 22, 2021.

[11] A. M. Stuebe, K. Grewen, and S. Meltzer-Brody, "Association between maternal mood and oxytocin response to breastfeeding," J. Women's Health, vol. 31, no. 1, pp. 138–148, 2022.

[12] W. Bao, F. Liu, X. Zhang, L. Xu, C. Yang, and Y. Wang, "Association between breastfeeding and maternal depression and anxiety: A meta-analysis," Int. Breastfeed. J., vol. 18, no. 1, Art. no. 4, 2023.

[13] J. Slomian, G. Honvo, P. Emonts, J. Y. Reginster, and O. Bruyere, "Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes," Women's Health, vol. 17, Art. no. 17455065211001679, 2022.

[14] C. L. Dennis, H. K. Brown, K. Falah-Hassani, F. Marini, and I. Chen, "Prevalence and determinants of anxiety in postpartum women," J. Affect. Disord., vol. 308, pp. 145–152, 2022.

[15] Y. Lau, T. P. Htun, P. I. Lim, S. S. T. Ho-Lim, S. N. Wong, and K. L. Tan, "Discriminators of breastfeeding initiation and cessation among Asian mothers," J. Hum. Lact., vol. 37, no. 2, pp. 341–356, 2021.

[16] V. Zanardo, C. Tortora, P. Valentini, P. Ciardella, and G. Straface, "Impact of COVID-19 pandemic on breastfeeding rates and postpartum depression in Italy," J. Hum. Lact., vol. 37, no. 3, pp. 470–476, 2021.

[17] R. A. Caparros-Gonzalez, A. Torre-Luque, C. Bastón-Cid, C. Díaz-Piedra, and R. González-Perez, "Post-traumatic stress symptoms following childbirth and its relationship with infant health," Sleep Med., vol. 105, pp. 55–63, 2023.

[18] L. A. da Silva, W. N. Amaral, V. O. Cardoso, L. A. de Oliveira, L. Pimenta, and M. F. Moraes, "Prevalence of anxiety and depression symptoms in breastfeeding women and associated factors," PLoS One, vol. 18, no. 6, Art. no. e0287284, 2023.

[19] C. J. Pope and D. Mazmanian, "Breastfeeding and postpartum depression: An overview and methodological recommendations for future research," Depress. Res. Treat., vol. 2023, Art. no. 4765310, 2023.

[20] C. C. Dias and B. Figueiredo, "Breastfeeding intention and postpartum depression risk: A longitudinal study," Matern. Child Nutr., vol. 17, no. 4, Art. no. e13228, 2021.

[21] J. M. Torres, J. A. Casey, L. Doi, and R. Kishi, "Breastfeeding intention and postpartum depression risk among Asian Americans," Maternal. Child Nutr., vol. 18, no. 2, Art. no. e13275, 2022.

[22] M. W. Groer, M. W. Davis, and J. Hemphill, "Postpartum stress: Current concepts and the possible protective role of breastfeeding," J. Obstet. Gynecol. Neonatal Nurs., vol. 52, no. 3, pp. 280–295, 2023.

[23] V. Fallon, S. Brady, J. C. G. Halford, and J. A. Harrold, "The role of infant feeding guilt in maternal postpartum anxiety," Arch. Women's Ment. Health, vol. 24, no. 3, pp. 419–429, 2021.

[24] S. Nakic Rados, M. Matijaš, M. Andelinovic, D. Vidovic, and M. Buljubasic Erjavec, "Antecedents of breastfeeding duration: Implications for postnatal depression," J. Hum. Lact., vol. 38, no. 4, pp. 623–633, 2022.

[25] R. A. Caparros-Gonzalez, A. Torre-Luque, C. Díaz-Piedra, and R. González-Perez, "Associations of maternal anxiety and depression with infant sleep: A longitudinal study," Sleep Med., vol. 91, pp. 43–51, 2022.

[26] V. Bergink et al., "Maternal psychiatric disorders and breastfeeding: A clinical review," Curr. Psychiatry Rep., vol. 26, no. 1, pp. 1–8, 2024.

[27] S. M. Haga, K. Slinning, E. Aas, I. Asten, and F. Drozd, "A fully mobile-based internet intervention for postnatal depression (eMeistring): A randomized controlled trial," J. Affect. Disord., vol. 295, pp. 286–295, 2021.

[28] J. Henderson, M. Redshaw, and M. A. Quigley, "Breastfeeding cessation and formula supplementation: Associations with maternal mood in the first year postpartum," Matern. Child Nutr., vol. 19, no. 3, Art. no. e13504, 2023.

[29] K. P. Tully, B. S. Sterling, and A. M. Stuebe, "Objective markers of breastfeeding difficulty as predictors of maternal mood," Matern. Child Nutr., vol. 18, no. 3, Art. no. e13277, 2022.

[30] J. I. Kim and S. M. Park, "Perceived insufficient milk and maternal mental health: A systematic review and meta-analysis," Int. Breastfeed. J., vol. 18, no. 1, Art. no. 15, 2023.

[31] M. Nieto-Blanco, A. M. García-Arenas, I. Vivar-Díaz, Y. Contreras-García, and M. M. Seseña-Monge, "Psychological interventions for mothers who have difficulty breastfeeding: A systematic review," J. Hum. Lact., vol. 38, no. 3, pp. 429–444, 2022.

[32] V. Fallon, J. A. Harrold, A. Chisholm, M. J. Edmunds, and S. A. Silverio, "Systematic review and meta-analysis of the relationship between formula milk marketing and negative breastfeeding outcomes," Women Birth, vol. 36, no. 1, pp. 28–40, 2023.

[33] R. Bina, "Predictors of postpartum depression coping behaviors: An exploratory study," Arch. Women's Ment. Health, vol. 25, no. 1, pp. 27–35, 2022.

[34] P. Leahy-Warren, H. Mulcahy, A. Phelan, and P. Corcoran, "Health and well-being of immigrant women who breastfeed: An integrative review," Midwifery, vol. 108, Art. no. 103283, 2022.

[35] A. Brown and N. Shenker, "Breastfeeding and COVID-19: Clinical guidance and implications for practice," Matern. Child Nutr., vol. 17, suppl. 1, Art. no. e13170, 2022.

[36] J. M. Prenoveau, M. G. Craske, N. Counsell, V. West, B. Davies, and M. Cooper, "Postpartum anxious symptom trajectories and long-term effects on infant mental health," J. Affect. Disord., vol. 355, pp. 1–8, 2024.

[37] M. H. Hasselmann, G. L. Werneck, and R. Z. Coutinho, "Association between breastfeeding practices and depressive symptoms among Brazilian mothers: A longitudinal study," Cad. Public Health, vol. 40, no. 2, Art. no. e00187622, 2024.

[38] A. C. Viguera, A. D. Emmerich, N. Mahoney, V. K. Burt, and L. S. Cohen, "Breastfeeding and psychotropic medications: A systematic review and clinical guidelines," Gen. Hosp. Psychiatry, vol. 77, pp. 46–62, 2022.