Evaluation of the Impact of a Midwife-Led Breastfeeding Group Intervention on Prevention of Postpartum Depression: A Multicentre Randomised Clinical Trial

Rodríguez-Gallego, Isabel; Vila-Candel, Rafael; Corrales-Gutierrez, Isabel; Gomez-Baya, Diego; Leon-Larios, Fatima

doi:10.3390/nu16020227

Cited by 3 publications

(2 citation statements)

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“…These findings suggest that exclusive breastfeeding, like other healthy behaviors, is greatly influenced by some personality traits, such as extraversion Self-efficacy based on confidence helps with breastfeeding initiation and continuation. Participation in midwife-led breastfeeding support groups increases general self-efficacy and duration of breastfeeding [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…Breastfeeding self-efficacy refers to a woman’s confidence in her ability to breastfeed her infant. The role of breastfeeding self-efficacy towards achieving and sustaining both breastfeeding and EBF has been established in many studies [ 22 , 23 ]. Findings of one systematic review focused on affecting self-efficacy in successful breastfeeding.…”

Section: Introductionmentioning

confidence: 99%

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Five-factor model personality traits, exclusive breastfeeding, and self-efficacy: a mediational analysis

Yadollahi,

Padashian,

Doostfatemeh

2024

BMC Pregnancy Childbirth

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Background Despite the World Health Organization’s (WHO) emphasis on exclusive breastfeeding, the documents show a declining trend worldwide. Studies assert that the mother’s personality traits appear to have an impact on this issue. This study aimed to investigate the potential influence of personality traits on exclusive breastfeeding, which might be channeled by self-efficacy as a mediator variable. Methods Data were analyzed from the cross-sectional study. The exclusive breastfeeding scale, the breastfeeding self-efficacy questionnaire, and the Five-Factor Model questionnaire (as follows: neuroticism, extraversion, openness experience, agreeableness, and conscientiousness) were completed by120 Iranian volunteer mothers with an infant aged 6–12 months referred to health centers in Shiraz (a major city in southern Iran) between May to December 2019. The structural equation modeling (SEM) approach was used to obtain the direct and indirect effects of personality traits and self-efficacy on exclusive breastfeeding. Results The study showed the significant direct effect of some personality traits (agreeableness, extraversion, and consciousness) and self-efficacy on exclusive breastfeeding. The indirect effect of extraversion on exclusive breastfeeding through self-efficacy was also obtained from the result of SEM analysis. The model fit the data satisfactorily, according to the fit indices criteria extracted from the mediational analysis. Conclusions Self-efficacy appears to be a significant predictor of exclusive breastfeeding. Therefore, exclusive breastfeeding could be enhanced by safe education in pregnancy, reinforcing the self-efficacy of pregnant women and considering their personality traits.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Five-factor model personality traits, exclusive breastfeeding, and self-efficacy: a mediational analysis

Yadollahi,

Padashian,

Doostfatemeh

2024

BMC Pregnancy Childbirth

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Gelesen und kommentiert: Evaluierung der Wirksamkeit einer von Hebammen geleiteten Stillgruppe zur Prävention postpartaler Depression: Eine multizentrische, randomisierte klinische Studie

2024

Hebamme

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Ziel der Studie9,6% bis 19,2% aller Frauen erleben eine kleinere oder größere depressive Episode innerhalb der ersten 12 Monate nach der Geburt ihres Kindes. Studien gehen davon aus, dass zwischen dem Stillen und dem Risiko, an einer postpartalen Depression zu erkranken, ein Zusammenhang besteht.Ziel dieser Studie war es, die Wirksamkeit einer von Hebammen geleiteten Stillgruppe auf kontinuierliches Stillen, auf die Prävention von postpartaler Depression (PPD) und auf das Selbstwirksamkeitserleben von Müttern zu untersuchen.

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The Relationship between Breastfeeding Practices and Support with Severity of Postpartum Depression: A Systematic Review and Meta-analysis

Adjie,

Kayika,

Pusponegoro

et al. 2024

Journal of South Asian Federation of Obstetrics and Gynaecology

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Introduction: Some evidence indicates that breastfeeding could offer protection in case of postnatal depression and support recovery from symptoms. This study investigates the relationship to identify which practices and forms of support prove beneficial. Materials and methods: Literature search was carried out in databases, such as Cochrane, EBSCOhost, EMBASE, ProQuest, PubMed, and Science Direct from 2013 to recent years. The criteria for inclusion are: (1) Randomized controlled trial or observational studies; (2) Study population, postpartum women at risk or having symptoms of postpartum depression (PPD); (3) Intervention, breastfeeding practice or breastfeeding support; (4) Comparison, women without breastfeeding practices or breastfeeding support; (5) Outcome, severity of PPD.Results: Nineteen studies were included in this review; 5 studies about breastfeeding practices and 14 studies about breastfeeding support. These studies were conducted in 11 countries, included a total of 79,303 participants. Breastfeeding exclusivity, duration, satisfaction, and early initiation contributed to the reduction of PPD severity. Breastfeeding educational (MD = -0.59 [95% CI, -0.62, -0.56]; p < 0.01), psychosocial (MD = -2.85 [95% CI, -4.03, -1.68]; p < 0.01; I 2 = 0%), and medication support (MD -1.66 [95% CI, -2.48, -0.83], p = 0.38; I 2 = 0%) reduced the severity of PPD. Moreover, educational support also decreases the risk of developing PPD (RR 0.84 [95% CI, 0.71-1.00], p = 0.05; I 2 = 20%). Conclusion: Breastfeeding practices have been shown to diminish the grading of PPD and serve as a preventive measure against the risk of depressive symptoms throughout the postpartum period. Additionally, breastfeeding support has been found to alleviate the severity of postnatal depression. It is worth noting that psychosocial support is recommended in this regard, further underscoring the importance of holistic support systems for new mothers. Therefore, early initiation of exclusive breastfeeding and maintaining mother satisfaction are beneficial to be encouraged and educated since pregnancy. Clinical significance: Breastfeeding has a vital role in reducing the severity of PPD and preventing the symptoms after childbirth. Supporting mothers through education and encouragement to start breastfeeding since pregnancy proves the importance of providing holistic care for mothers.

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Evaluation of the Impact of a Midwife-Led Breastfeeding Group Intervention on Prevention of Postpartum Depression: A Multicentre Randomised Clinical Trial

Cited by 3 publications

References 50 publications

Five-factor model personality traits, exclusive breastfeeding, and self-efficacy: a mediational analysis

Five-factor model personality traits, exclusive breastfeeding, and self-efficacy: a mediational analysis

Gelesen und kommentiert: Evaluierung der Wirksamkeit einer von Hebammen geleiteten Stillgruppe zur Prävention postpartaler Depression: Eine multizentrische, randomisierte klinische Studie

The Relationship between Breastfeeding Practices and Support with Severity of Postpartum Depression: A Systematic Review and Meta-analysis

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