Association between postpartum depression and breastfeeding self-efficacy in mothers: a systematic review and meta-analysis

Abstract Background Depression is one of the most common mental disorders in the postpartum period. Depression can decrease self-efficacy in breastfeeding by reducing the mother’s self-confidence. Considering the conflicting results regarding the relationship between postpartum depression and breast...

Full description

Bibliographic Details
Main Authors: Golnaz Sadat Ahmadinezhad, Fatemeh Zahra Karimi, Mahboobeh Abdollahi, Elham NaviPour
Format: Article
Language:English
Published: BMC 2024-04-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-024-06465-4
_version_ 1827248355341762560
author Golnaz Sadat Ahmadinezhad
Fatemeh Zahra Karimi
Mahboobeh Abdollahi
Elham NaviPour
author_facet Golnaz Sadat Ahmadinezhad
Fatemeh Zahra Karimi
Mahboobeh Abdollahi
Elham NaviPour
author_sort Golnaz Sadat Ahmadinezhad
collection DOAJ
description Abstract Background Depression is one of the most common mental disorders in the postpartum period. Depression can decrease self-efficacy in breastfeeding by reducing the mother’s self-confidence. Considering the conflicting results regarding the relationship between postpartum depression and breastfeeding self-efficacy, this systematic review was conducted to investigate the relationship between breastfeeding self-efficacy and postpartum depression. Method In this systematic review, published articles in PubMed, Scopus, Web of Sciences, Cochrane Library, and Google Scholar databases were searched using English keywords “Self-efficacy, breastfeeding, breastfeeding Self-efficacy, depression, postpartum depression” without publication date limit. Data analysis was done with employing STATA14 software. Heterogeneity was assessed using I2 index which was 0%. Therefore, the fixed effects method was used to combine the data and perform meta-analysis. Result The results of the meta-analysis showed that based on the fixed effect method, depression was associated with decreased breastfeeding self-efficacy on the first day (SMD = 0.62, 95%CI: -0.830, -0.41, p = 0.0001) and on the third day (SMD = 0.84, 95% CI: -0.55,1.14, p = 0.0001). The Begg and Manzumdar test revealed no publication bias, with p = 0.317. Conclusion Postpartum depression may be associated with a decrease in the mother’s breastfeeding self-efficacy and placing mother in a condition to pay low attention to her maternal role. Therefore, healthcare providers should provide adequate support according to the needs of mothers and develop diagnostic and treatment protocols to improve the level of maternal health.
first_indexed 2024-04-24T09:47:55Z
format Article
id doaj.art-9a3b3a143ff84b0294ee4e246b8e1ef3
institution Directory Open Access Journal
issn 1471-2393
language English
last_indexed 2025-03-21T23:30:26Z
publishDate 2024-04-01
publisher BMC
record_format Article
series BMC Pregnancy and Childbirth
spelling doaj.art-9a3b3a143ff84b0294ee4e246b8e1ef32024-05-19T11:36:21ZengBMCBMC Pregnancy and Childbirth1471-23932024-04-0124111010.1186/s12884-024-06465-4Association between postpartum depression and breastfeeding self-efficacy in mothers: a systematic review and meta-analysisGolnaz Sadat Ahmadinezhad0Fatemeh Zahra Karimi1Mahboobeh Abdollahi2Elham NaviPour3School of Nursing and Midwifery, Mashhad university of medical sciencesNursing and Midwifery Care Research Center, Mashhad University of Medical SciencesDepartment of Public Health, Torbat Heydarieh University of Medical SciencesDepartment of Social Medicine, Faculty of Medicine, Sabzevar University of Medical SciencesAbstract Background Depression is one of the most common mental disorders in the postpartum period. Depression can decrease self-efficacy in breastfeeding by reducing the mother’s self-confidence. Considering the conflicting results regarding the relationship between postpartum depression and breastfeeding self-efficacy, this systematic review was conducted to investigate the relationship between breastfeeding self-efficacy and postpartum depression. Method In this systematic review, published articles in PubMed, Scopus, Web of Sciences, Cochrane Library, and Google Scholar databases were searched using English keywords “Self-efficacy, breastfeeding, breastfeeding Self-efficacy, depression, postpartum depression” without publication date limit. Data analysis was done with employing STATA14 software. Heterogeneity was assessed using I2 index which was 0%. Therefore, the fixed effects method was used to combine the data and perform meta-analysis. Result The results of the meta-analysis showed that based on the fixed effect method, depression was associated with decreased breastfeeding self-efficacy on the first day (SMD = 0.62, 95%CI: -0.830, -0.41, p = 0.0001) and on the third day (SMD = 0.84, 95% CI: -0.55,1.14, p = 0.0001). The Begg and Manzumdar test revealed no publication bias, with p = 0.317. Conclusion Postpartum depression may be associated with a decrease in the mother’s breastfeeding self-efficacy and placing mother in a condition to pay low attention to her maternal role. Therefore, healthcare providers should provide adequate support according to the needs of mothers and develop diagnostic and treatment protocols to improve the level of maternal health.https://doi.org/10.1186/s12884-024-06465-4Self -efficacyBreastfeedingBreastfeeding self -efficacyDepressionPostpartum depression
spellingShingle Golnaz Sadat Ahmadinezhad
Fatemeh Zahra Karimi
Mahboobeh Abdollahi
Elham NaviPour
Association between postpartum depression and breastfeeding self-efficacy in mothers: a systematic review and meta-analysis
BMC Pregnancy and Childbirth
Self -efficacy
Breastfeeding
Breastfeeding self -efficacy
Depression
Postpartum depression
title Association between postpartum depression and breastfeeding self-efficacy in mothers: a systematic review and meta-analysis
title_full Association between postpartum depression and breastfeeding self-efficacy in mothers: a systematic review and meta-analysis
title_fullStr Association between postpartum depression and breastfeeding self-efficacy in mothers: a systematic review and meta-analysis
title_full_unstemmed Association between postpartum depression and breastfeeding self-efficacy in mothers: a systematic review and meta-analysis
title_short Association between postpartum depression and breastfeeding self-efficacy in mothers: a systematic review and meta-analysis
title_sort association between postpartum depression and breastfeeding self efficacy in mothers a systematic review and meta analysis
topic Self -efficacy
Breastfeeding
Breastfeeding self -efficacy
Depression
Postpartum depression
url https://doi.org/10.1186/s12884-024-06465-4
work_keys_str_mv AT golnazsadatahmadinezhad associationbetweenpostpartumdepressionandbreastfeedingselfefficacyinmothersasystematicreviewandmetaanalysis
AT fatemehzahrakarimi associationbetweenpostpartumdepressionandbreastfeedingselfefficacyinmothersasystematicreviewandmetaanalysis
AT mahboobehabdollahi associationbetweenpostpartumdepressionandbreastfeedingselfefficacyinmothersasystematicreviewandmetaanalysis
AT elhamnavipour associationbetweenpostpartumdepressionandbreastfeedingselfefficacyinmothersasystematicreviewandmetaanalysis