Perceived pressure to breastfeed negatively impacts postpartum mental health outcomes over time

IntroductionPositive maternal mental health is associated with improved outcomes for infants, and yet the consideration of maternal mental health is often neglected in breastfeeding interventions. Breastfeeding interventions typically focus on breastfeeding promotion, and do not always include suppo...

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Main Authors: Rebecca E. Grattan, Sophie M. London, Georgia E. Bueno
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1357965/full
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author Rebecca E. Grattan
Sophie M. London
Georgia E. Bueno
author_facet Rebecca E. Grattan
Sophie M. London
Georgia E. Bueno
author_sort Rebecca E. Grattan
collection DOAJ
description IntroductionPositive maternal mental health is associated with improved outcomes for infants, and yet the consideration of maternal mental health is often neglected in breastfeeding interventions. Breastfeeding interventions typically focus on breastfeeding promotion, and do not always include supports for the mother. This may result in isolated perceived pressure to breastfeed, the mental health impacts of which are not well understood.MethodsThis mixed-methods, longitudinal study examined whether perceived pressure to breastfeed was associated with depression, suicide ideation, anxiety, birth trauma and stress concurrently and 4 weeks later for postpartum mothers. It also examined qualitative experiences of feeding.ResultsPerceived pressure to breastfeed was associated with increased anxiety, stress and birth trauma symptoms four weeks later. Thematic analysis suggested this may be due to difficulties living up to the “breast is best” ideal, believing breastfeeding was part of success as a mother, lack of choices and autonomy in feeding choices for infants and general lack of support.DiscussionAs such it appears we may be doing more harm than good by focusing our interventions for breastfeeding primarily on increasing pressure to breastfeed, and interventions should consider strategies for promoting positive maternal mental health alongside breastfeeding.
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spelling doaj.art-6b0ebc8e60214449ba49303dd23fcff82024-04-04T04:23:20ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-04-011210.3389/fpubh.2024.13579651357965Perceived pressure to breastfeed negatively impacts postpartum mental health outcomes over timeRebecca E. GrattanSophie M. LondonGeorgia E. BuenoIntroductionPositive maternal mental health is associated with improved outcomes for infants, and yet the consideration of maternal mental health is often neglected in breastfeeding interventions. Breastfeeding interventions typically focus on breastfeeding promotion, and do not always include supports for the mother. This may result in isolated perceived pressure to breastfeed, the mental health impacts of which are not well understood.MethodsThis mixed-methods, longitudinal study examined whether perceived pressure to breastfeed was associated with depression, suicide ideation, anxiety, birth trauma and stress concurrently and 4 weeks later for postpartum mothers. It also examined qualitative experiences of feeding.ResultsPerceived pressure to breastfeed was associated with increased anxiety, stress and birth trauma symptoms four weeks later. Thematic analysis suggested this may be due to difficulties living up to the “breast is best” ideal, believing breastfeeding was part of success as a mother, lack of choices and autonomy in feeding choices for infants and general lack of support.DiscussionAs such it appears we may be doing more harm than good by focusing our interventions for breastfeeding primarily on increasing pressure to breastfeed, and interventions should consider strategies for promoting positive maternal mental health alongside breastfeeding.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1357965/fullpostpartum mental healthmaternal mental healthbreastfeedingbreastfeeding interventionmental health
spellingShingle Rebecca E. Grattan
Sophie M. London
Georgia E. Bueno
Perceived pressure to breastfeed negatively impacts postpartum mental health outcomes over time
Frontiers in Public Health
postpartum mental health
maternal mental health
breastfeeding
breastfeeding intervention
mental health
title Perceived pressure to breastfeed negatively impacts postpartum mental health outcomes over time
title_full Perceived pressure to breastfeed negatively impacts postpartum mental health outcomes over time
title_fullStr Perceived pressure to breastfeed negatively impacts postpartum mental health outcomes over time
title_full_unstemmed Perceived pressure to breastfeed negatively impacts postpartum mental health outcomes over time
title_short Perceived pressure to breastfeed negatively impacts postpartum mental health outcomes over time
title_sort perceived pressure to breastfeed negatively impacts postpartum mental health outcomes over time
topic postpartum mental health
maternal mental health
breastfeeding
breastfeeding intervention
mental health
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1357965/full
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