Breastfeeding practices in post partum mothers with mental health problems : scoping review

Mail Anita Dewi Lieskusumastuti(1*)
Mail Mufdlilah Mufdlilah(2)
Mail Sri Ratna Ningsih(3)
Mail Maria De Fatima Moniz(4)


(1) , Indonesia
(2) Master of Midwifery, Universitas ‘Aisyiyah Yogyakarta Jl. Siliwangi (Ring Road Barat) No. 63 Nogotirto Gamping Sleman Yogyakarta 55292, Indonesia
(3) Master of Midwifery, Universitas ‘Aisyiyah Yogyakarta Jl. Siliwangi (Ring Road Barat) No. 63 Nogotirto Gamping Sleman Yogyakarta 55292, Indonesia
(4) Servisu Municipal da Saude Covalima, Timor Leste, Timor-Leste
(*) Corresponding Author

Abstract


Background: Early postpartum breastfeeding practices are accompanied by more frequent oxytocin release and lower anxiety, which can contribute to exclusive breastfeeding. Objective: To determine breastfeeding practices in postpartum mothers with mental health problems. Method: Scoping review design using the PEO framework. Databases include EBSCO, Pubmed, and Wiley. Critical appraisal using the JBI tool. Results: 21 articles were obtained after conducting the scoping review stage. The results showed that breastfeeding practices were significant to the mental health status of postpartum mothers and even since pregnancy. Mental health problems experienced by postpartum mothers related to stress, anxiety, and depression significantly affected the sustainability of early breastfeeding and exclusive breastfeeding. Factors related to breastfeeding practices include age, occupation, education, knowledge, attitude, breastfeeding intention, BMI, postpartum depression, stress, planned pregnancy, breastfeeding sentiment, social support, professional support, grandmother and father support, type of delivery, breastfeeding problems, early skin contact, health literacy, hotline services, socio-cultural norms, exposure to formula milk. Conclusion: Based on the findings, including Lactation Counselor Support; antenatal and postpartum interventions; gifts/incentives; counseling; education, and peer support. These efforts are more focused on promotive and preventive and are adjusted to the capabilities of health facilities, but should be carried out optimally to increase breastfeeding considering its many benefits.


References


Abdulahi, M., Fretheim, A., Argaw, A., & Magnus, J. H. (2021). Breastfeeding Education and Support to Improve Early Initiation and Exclusive Breastfeeding Practices and Infant Growth: A Cluster Randomized Controlled Trial from a Rural Ethiopian Setting. Nutrients, 13(4). https://doi.org/10.3390/nu13041204

Akbarzadeh, M., Rad, S. K., Moattari, M., & Zare, N. (2018). Investigation of breastfeeding training based on BASNEF model on the intensity of postpartum blues. Eastern Mediterranean Health Journal = La Revue de Sante de La Mediterranee Orientale = Al-Majallah Al-Sihhiyah Li-Sharq Al-Mutawassit, 23(12), 830–835. https://doi.org/10.26719/2017.23.12.830

Ara, G., Khanam, M., Papri, N., Nahar, | Baitun, Md, |, Haque, A., Kabir, I., Michael, |, & Dibley, J. (2018). Peer counselling improves breastfeeding practices: A cluster randomized controlled trial in urban Bangladesh. https://doi.org/10.1111/mcn.12605

AS, T., Barnett, J., & Bonuck, K. (2014). Women’s perceptions of breastfeeding barriers in early postpartum period: a qualitative analysis nested in two randomized controlled trials. Breastfeeding Medicine : The Official Journal of the Academy of Breastfeeding Medicine, 9(1), 9–15. https://doi.org/10.1089/bfm.2013.0063

Balbierz, A., Bodnar-Deren, S., Wang, J. J., & Howell, E. A. (2015). Maternal depressive symptoms and parenting practices 3-months postpartum. Maternal and Child Health Journal, 19(6), 1212–1219. https://doi.org/10.1007/s10995-014-1625-6

Chang, Y.-S., Li, K. M. C., Chien, L.-Y., Lee, E. Y., Hong, S. A., & Coca, K. P. (2023). Associations between breastfeeding intention, breastfeeding practices and post-natal depression during the COVID-19 pandemic: A multi-country cross-sectional study. Maternal & Child Nutrition, 19(1), e13450. https://doi.org/https://doi.org/10.1111/mcn.13450

Chen, J., Lai, X., Zhou, L., Retnakaran, R., Wen, S. W., Krewski, D., Huang, L., Li, M., & Xie, R. hua. (2022). Association between exclusive breastfeeding and postpartum post-traumatic stress disorder. International Breastfeeding Journal, 17(1), 1–8. https://doi.org/10.1186/s13006-022-00519-z

Dagla, M., Mrvoljak-Theodoropoulou, I., Karagianni, D., Dagla, C., Sotiropoulou, D., Kontiza, E., Kavakou, A. T., & Antoniou, E. (2021). Women’s mental health as a factor associated with exclusive breastfeeding and breastfeeding duration: Data from a longitudinal study in Greece. Children, 8(2), 1–18. https://doi.org/10.3390/children8020150

Duan, Y., Yang, Z., Bi, Y., Wang, J., Pang, X., Jiang, S., Zhang, H., Xu, L., & Lai, J. (2022). What are the determinants of low exclusive breastfeeding prevalence in China? A cross-sectional study. Maternal & Child Nutrition, 18(2), e13324. https://doi.org/https://doi.org/10.1111/mcn.13324

Grzeskowiak, L. E., Saha, M. R., Nordeng, H., Ystrom, E., & Amir, L. H. (2022). Perinatal antidepressant use and breastfeeding outcomes: Findings from the Norwegian Mother, Father and Child Cohort Study. Acta Obstetricia et Gynecologica Scandinavica, 101(3), 344–354. https://doi.org/https://doi.org/10.1111/aogs.14324

Hamade, H., Chaaya, M., Saliba, M., Chaaban, R., & Osman, H. (2013). Determinants of exclusive breastfeeding in an urban population of primiparas in Lebanon: a cross-sectional study. BMC Public Health, 13, 702. https://doi.org/10.1186/1471-2458-13-702

Huang, R., Wan, Y., Yao, X., Wang, H., Cai, C., Xu, Y., & Jiang, H. (2022). Predictive factors of exclusive breastfeeding attrition at Week 6 post-partum among mothers of preterm infants based on the theory of planned behaviour. Maternal & Child Nutrition, n/a(n/a), e13470. https://doi.org/https://doi.org/10.1111/mcn.13470

Isiguzo, C., Mendez, D. D., Demirci, J. R., Youk, A., Mendez, G., Davis, E. M., & Documet, P. (2022). Stress, social support, and racial differences: Dominant drivers of exclusive breastfeeding. Maternal & Child Nutrition, n/a(n/a), e13459. https://doi.org/https://doi.org/10.1111/mcn.13459

Javorski, M., Rodrigues, A. J., Dodt, R. C. M., Almeida, P. C. de, Leal, L. P., & Ximenes, L. B. (2018). Effects of an educational technology on self-efficacy for breastfeeding and practice of exclusive breastfeeding. Revista da Escola de Enfermagem da U S P, 52, e03329. https://doi.org/10.1590/S1980-220X2017031803329

Jiang, Q., Zhang, E., Cohen, N., Ohtori, M., Zhu, S., Guo, Y., Johnstone, H. F., Dill, S. E., Zhou, H., & Rozelle, S. D. (2022). Postnatal mental health, breastfeeding beliefs, and breastfeeding practices in rural China. International Breastfeeding Journal, 17(1), 1–9. https://doi.org/10.1186/s13006-022-00504-6

Johnson, M., Whelan, B., Relton, C., Thomas, K., Strong, M., Scott, E., & Renfrew, M. J. (2018). Valuing breastfeeding: a qualitative study of women’s experiences of a financial incentive scheme for breastfeeding. BMC Pregnancy and Childbirth, 18(1), 20. https://doi.org/10.1186/s12884-017-1651-7

Karp, S. M., Howe-Heyman, A., Dietrich, M. S., & Lutenbacher, M. (2013). Breastfeeding initiation in the context of a home intervention to promote better birth outcomes. Breastfeeding Medicine : The Official Journal of the Academy of Breastfeeding Medicine, 8(4), 381–387. https://doi.org/10.1089/bfm.2012.0151

Kementerian Kesehatan Republik Indonesia. (2023). Profil Kesehatan Indonesia 2022 (F. Sibuea (ed.)). Kementerian Kesehatan Republik Indonesia. https://www.kemkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-2021.pdf

Li, J., Zhao, C., Wang, Y., Wang, Y. P., Chen, C. Y., Huang, Y., Gao, Y. Q., Fang, J., & Zhou, H. (2021). Factors associated with exclusive breastfeeding practice among mothers in nine community health centres in Nanning city, China: a cross-sectional study. International Breastfeeding Journal, 16(1), 1–14. https://doi.org/10.1186/s13006-021-00416-x

Lorenc, T., Petticrew, M., Whitehead, M., Neary, D., Clayton, S., Wright, K., Thomson, H., Cummins, S., Sowden, A., & Renton, A. (2014). Crime, fear of crime and mental health: synthesis of theory and systematic reviews of interventions and qualitative evidence. Public Health Research, 2(2), 1–398. https://doi.org/10.3310/phr02020

Mulyani, S. (2017). Maternal Health Literacy Towards the Readiness of Exlusive Breastfeeding. Internasional Seminar on Global Health (ISGH), 1(1), 117–121.

Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology, 18(1), 1–8. https://doi.org/10.1186/s12874-018-0611-x

Nagahashi-Araki, M., Tasaka, M., Takamura, T., Eto, H., Sasaki, N., Fujita, W., Miyazaki, A., Morifuji, K., Honda, N., Miyamura, T., & Nishitani, S. (2022). Endogenous oxytocin levels in extracted saliva elevates during breastfeeding correlated with lower postpartum anxiety in primiparous mothers. BMC Pregnancy and Childbirth, 22(1), 1–10. https://doi.org/10.1186/s12884-022-05026-x

Page, A. E., Emmott, E. H., & Myers, S. (2022). Testing the buffering hypothesis: Breastfeeding problems, cessation, and social support in the UK. American Journal of Human Biology, 34(2), e23621. https://doi.org/https://doi.org/10.1002/ajhb.23621

Patel, A., Kuhite, P., Puranik, A., Khan, S. S., Borkar, J., & Dhande, L. (2018). Effectiveness of weekly cell phone counselling calls and daily text messages to improve breastfeeding indicators. BMC Pediatrics, 18(1), 337. https://doi.org/10.1186/s12887-018-1308-3

Pham, M. T., Rajić, A., Greig, J. D., Sargeant, J. M., Papadopoulos, A., & Mcewen, S. A. (2014). A scoping review of scoping reviews: Advancing the approach and enhancing the consistency. Research Synthesis Methods, 5(4), 371–385. https://doi.org/10.1002/jrsm.1123

Puharić, D., Malički, M., Borovac, J. A., Šparac, V., Poljak, B., Aračić, N., Marinović, N., Luetić, N., & Zakarija-Grković, I. (2020). The effect of a combined intervention on exclusive breastfeeding in primiparas: A randomised controlled trial. Maternal and Child Nutrition, 16(3), 1–12. https://doi.org/10.1111/mcn.12948

Radoš, S. N., Tadinac, M., & Herman, R. (2018). Anxiety during pregnancy and postpartum: Course, predictors and comorbidity with postpartum depression. Acta Clinica Croatica, 57(1), 39–51. https://doi.org/10.20471/acc.2018.57.01.05

Rahman, A., Hafeez, A., Bilal, R., Sikander, S., Malik, A., Minhas, F., Tomenson, B., & Creed, F. (2016). The impact of perinatal depression on exclusive breastfeeding: a cohort study. Maternal & Child Nutrition, 12(3), 452–462. https://doi.org/10.1111/mcn.12170

Teich, A. S., Barnett, J., & Bonuck, K. (2014). Women’s perceptions of breastfeeding barriers in early postpartum period: a qualitative analysis nested in two randomized controlled trials. Breastfeeding Medicine : The Official Journal of the Academy of Breastfeeding Medicine, 9(1), 9–15. https://doi.org/10.1089/bfm.2013.0063

Valero-Chillerón, M. J., González-Chordà, V. M., Cervera-Gasch, Á., Vila-Candel, R., Soriano-Vidal, F. J., & Mena-Tudela, D. (2021). Health literacy and its relation to continuing with breastfeeding at six months post-partum in a sample of Spanish women. Nursing Open, 8(6), 3394–3402. https://doi.org/https://doi.org/10.1002/nop2.885

World Health Organization. (2020). The best start in life Breastfeeding for the prevention of noncommunicable diseases and the achievement of the Sustainable Development Goals in the WHO European Region (p. 66). World Health Organization. http://www.euro.who.int/pubrequest

Abdulahi, M., Fretheim, A., Argaw, A., & Magnus, J. H. (2021). Breastfeeding Education and Support to Improve Early Initiation and Exclusive Breastfeeding Practices and Infant Growth: A Cluster Randomized Controlled Trial from a Rural Ethiopian Setting. Nutrients, 13(4). https://doi.org/10.3390/nu13041204

Akbarzadeh, M., Rad, S. K., Moattari, M., & Zare, N. (2018). Investigation of breastfeeding training based on BASNEF model on the intensity of postpartum blues. Eastern Mediterranean Health Journal = La Revue de Sante de La Mediterranee Orientale = Al-Majallah Al-Sihhiyah Li-Sharq Al-Mutawassit, 23(12), 830–835. https://doi.org/10.26719/2017.23.12.830

Ara, G., Khanam, M., Papri, N., Nahar, | Baitun, Md, |, Haque, A., Kabir, I., Michael, |, & Dibley, J. (2018). Peer counselling improves breastfeeding practices: A cluster randomized controlled trial in urban Bangladesh. https://doi.org/10.1111/mcn.12605

AS, T., Barnett, J., & Bonuck, K. (2014). Women’s perceptions of breastfeeding barriers in early postpartum period: a qualitative analysis nested in two randomized controlled trials. Breastfeeding Medicine : The Official Journal of the Academy of Breastfeeding Medicine, 9(1), 9–15. https://doi.org/10.1089/bfm.2013.0063

Balbierz, A., Bodnar-Deren, S., Wang, J. J., & Howell, E. A. (2015). Maternal depressive symptoms and parenting practices 3-months postpartum. Maternal and Child Health Journal, 19(6), 1212–1219. https://doi.org/10.1007/s10995-014-1625-6

Chang, Y.-S., Li, K. M. C., Chien, L.-Y., Lee, E. Y., Hong, S. A., & Coca, K. P. (2023). Associations between breastfeeding intention, breastfeeding practices and post-natal depression during the COVID-19 pandemic: A multi-country cross-sectional study. Maternal & Child Nutrition, 19(1), e13450. https://doi.org/https://doi.org/10.1111/mcn.13450

Chen, J., Lai, X., Zhou, L., Retnakaran, R., Wen, S. W., Krewski, D., Huang, L., Li, M., & Xie, R. hua. (2022). Association between exclusive breastfeeding and postpartum post-traumatic stress disorder. International Breastfeeding Journal, 17(1), 1–8. https://doi.org/10.1186/s13006-022-00519-z

Dagla, M., Mrvoljak-Theodoropoulou, I., Karagianni, D., Dagla, C., Sotiropoulou, D., Kontiza, E., Kavakou, A. T., & Antoniou, E. (2021). Women’s mental health as a factor associated with exclusive breastfeeding and breastfeeding duration: Data from a longitudinal study in Greece. Children, 8(2), 1–18. https://doi.org/10.3390/children8020150

Duan, Y., Yang, Z., Bi, Y., Wang, J., Pang, X., Jiang, S., Zhang, H., Xu, L., & Lai, J. (2022). What are the determinants of low exclusive breastfeeding prevalence in China? A cross-sectional study. Maternal & Child Nutrition, 18(2), e13324. https://doi.org/https://doi.org/10.1111/mcn.13324

Grzeskowiak, L. E., Saha, M. R., Nordeng, H., Ystrom, E., & Amir, L. H. (2022). Perinatal antidepressant use and breastfeeding outcomes: Findings from the Norwegian Mother, Father and Child Cohort Study. Acta Obstetricia et Gynecologica Scandinavica, 101(3), 344–354. https://doi.org/https://doi.org/10.1111/aogs.14324

Hamade, H., Chaaya, M., Saliba, M., Chaaban, R., & Osman, H. (2013). Determinants of exclusive breastfeeding in an urban population of primiparas in Lebanon: a cross-sectional study. BMC Public Health, 13, 702. https://doi.org/10.1186/1471-2458-13-702

Huang, R., Wan, Y., Yao, X., Wang, H., Cai, C., Xu, Y., & Jiang, H. (2022). Predictive factors of exclusive breastfeeding attrition at Week 6 post-partum among mothers of preterm infants based on the theory of planned behaviour. Maternal & Child Nutrition, n/a(n/a), e13470. https://doi.org/https://doi.org/10.1111/mcn.13470

Isiguzo, C., Mendez, D. D., Demirci, J. R., Youk, A., Mendez, G., Davis, E. M., & Documet, P. (2022). Stress, social support, and racial differences: Dominant drivers of exclusive breastfeeding. Maternal & Child Nutrition, n/a(n/a), e13459. https://doi.org/https://doi.org/10.1111/mcn.13459

Javorski, M., Rodrigues, A. J., Dodt, R. C. M., Almeida, P. C. de, Leal, L. P., & Ximenes, L. B. (2018). Effects of an educational technology on self-efficacy for breastfeeding and practice of exclusive breastfeeding. Revista da Escola de Enfermagem da U S P, 52, e03329. https://doi.org/10.1590/S1980-220X2017031803329

Jiang, Q., Zhang, E., Cohen, N., Ohtori, M., Zhu, S., Guo, Y., Johnstone, H. F., Dill, S. E., Zhou, H., & Rozelle, S. D. (2022). Postnatal mental health, breastfeeding beliefs, and breastfeeding practices in rural China. International Breastfeeding Journal, 17(1), 1–9. https://doi.org/10.1186/s13006-022-00504-6

Johnson, M., Whelan, B., Relton, C., Thomas, K., Strong, M., Scott, E., & Renfrew, M. J. (2018). Valuing breastfeeding: a qualitative study of women’s experiences of a financial incentive scheme for breastfeeding. BMC Pregnancy and Childbirth, 18(1), 20. https://doi.org/10.1186/s12884-017-1651-7

Karp, S. M., Howe-Heyman, A., Dietrich, M. S., & Lutenbacher, M. (2013). Breastfeeding initiation in the context of a home intervention to promote better birth outcomes. Breastfeeding Medicine : The Official Journal of the Academy of Breastfeeding Medicine, 8(4), 381–387. https://doi.org/10.1089/bfm.2012.0151

Kementerian Kesehatan Republik Indonesia. (2023). Profil Kesehatan Indonesia 2022 (F. Sibuea (ed.)). Kementerian Kesehatan Republik Indonesia. https://www.kemkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-2021.pdf

Li, J., Zhao, C., Wang, Y., Wang, Y. P., Chen, C. Y., Huang, Y., Gao, Y. Q., Fang, J., & Zhou, H. (2021). Factors associated with exclusive breastfeeding practice among mothers in nine community health centres in Nanning city, China: a cross-sectional study. International Breastfeeding Journal, 16(1), 1–14. https://doi.org/10.1186/s13006-021-00416-x

Lorenc, T., Petticrew, M., Whitehead, M., Neary, D., Clayton, S., Wright, K., Thomson, H., Cummins, S., Sowden, A., & Renton, A. (2014). Crime, fear of crime and mental health: synthesis of theory and systematic reviews of interventions and qualitative evidence. Public Health Research, 2(2), 1–398. https://doi.org/10.3310/phr02020

Mulyani, S. (2017). Maternal Health Literacy Towards the Readiness of Exlusive Breastfeeding. Internasional Seminar on Global Health (ISGH), 1(1), 117–121.

Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology, 18(1), 1–8. https://doi.org/10.1186/s12874-018-0611-x

Nagahashi-Araki, M., Tasaka, M., Takamura, T., Eto, H., Sasaki, N., Fujita, W., Miyazaki, A., Morifuji, K., Honda, N., Miyamura, T., & Nishitani, S. (2022). Endogenous oxytocin levels in extracted saliva elevates during breastfeeding correlated with lower postpartum anxiety in primiparous mothers. BMC Pregnancy and Childbirth, 22(1), 1–10. https://doi.org/10.1186/s12884-022-05026-x

Page, A. E., Emmott, E. H., & Myers, S. (2022). Testing the buffering hypothesis: Breastfeeding problems, cessation, and social support in the UK. American Journal of Human Biology, 34(2), e23621. https://doi.org/https://doi.org/10.1002/ajhb.23621

Patel, A., Kuhite, P., Puranik, A., Khan, S. S., Borkar, J., & Dhande, L. (2018). Effectiveness of weekly cell phone counselling calls and daily text messages to improve breastfeeding indicators. BMC Pediatrics, 18(1), 337. https://doi.org/10.1186/s12887-018-1308-3

Pham, M. T., Rajić, A., Greig, J. D., Sargeant, J. M., Papadopoulos, A., & Mcewen, S. A. (2014). A scoping review of scoping reviews: Advancing the approach and enhancing the consistency. Research Synthesis Methods, 5(4), 371–385. https://doi.org/10.1002/jrsm.1123

Puharić, D., Malički, M., Borovac, J. A., Šparac, V., Poljak, B., Aračić, N., Marinović, N., Luetić, N., & Zakarija-Grković, I. (2020). The effect of a combined intervention on exclusive breastfeeding in primiparas: A randomised controlled trial. Maternal and Child Nutrition, 16(3), 1–12. https://doi.org/10.1111/mcn.12948

Radoš, S. N., Tadinac, M., & Herman, R. (2018). Anxiety during pregnancy and postpartum: Course, predictors and comorbidity with postpartum depression. Acta Clinica Croatica, 57(1), 39–51. https://doi.org/10.20471/acc.2018.57.01.05

Rahman, A., Hafeez, A., Bilal, R., Sikander, S., Malik, A., Minhas, F., Tomenson, B., & Creed, F. (2016). The impact of perinatal depression on exclusive breastfeeding: a cohort study. Maternal & Child Nutrition, 12(3), 452–462. https://doi.org/10.1111/mcn.12170

Teich, A. S., Barnett, J., & Bonuck, K. (2014). Women’s perceptions of breastfeeding barriers in early postpartum period: a qualitative analysis nested in two randomized controlled trials. Breastfeeding Medicine : The Official Journal of the Academy of Breastfeeding Medicine, 9(1), 9–15. https://doi.org/10.1089/bfm.2013.0063

Valero-Chillerón, M. J., González-Chordà, V. M., Cervera-Gasch, Á., Vila-Candel, R., Soriano-Vidal, F. J., & Mena-Tudela, D. (2021). Health literacy and its relation to continuing with breastfeeding at six months post-partum in a sample of Spanish women. Nursing Open, 8(6), 3394–3402. https://doi.org/https://doi.org/10.1002/nop2.885

World Health Organization. (2020). The best start in life Breastfeeding for the prevention of noncommunicable diseases and the achievement of the Sustainable Development Goals in the WHO European Region (p. 66). World Health Organization. http://www.euro.who.int/pubrequest




DOI: https://doi.org/10.36419/jki.v16i1.1307

Refbacks

  • There are currently no refbacks.




Copyright (c) 2025 Jurnal Kebidanan Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.