Evidence map›Paper›PMID 33407656›Full record

ReviewInternational breastfeeding journal2021

Perinatal psychological interventions to promote breastfeeding: a narrative review.

Lidia Gómez, Sergio Verd, Gloria de-la-Banda, Esther Cardo, Mateu Servera, Ana Filgueira, Jaume Ponce-Taylor, Margarita Mulet

Open access · goldAbstract readReview
In one paragraph

Review in International breastfeeding journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Exclusive breastfeeding promotion policies: whose oxygen mask are we prioritizing?Journal of perinatology : official journal of the California Perinatal Association · 2022
    Review
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Lidia GómezDepartment of Child Psychiatry, Son Espases Hospital, Valldemossa road, 07120, Palma de Mallorca, Spain.
Sergio VerdBaleares Medical Research Council (IdISBa), Valldemossa road, 07120, Palma de Mallorca, Spain. drsverd@gmail.com.ORCID 0000-0002-2612-0794
Gloria de-la-BandaDepartment of Psychology, Baleares Islands University, Valldemossa road, 07122, Palma de Mallorca, Spain.
Esther CardoPediatric Unit, La Vileta Surgery, Department of Primary Care, Matamusinos street, 07013, Palma de Mallorca, Spain.
Mateu ServeraDepartment of Psychology, Baleares Islands University, Valldemossa road, 07122, Palma de Mallorca, Spain.
Ana FilgueiraDepartment of Paediatrics, Hospital Son Llatzer, Manacor road, 07128, Palma de Mallorca, Spain.
Jaume Ponce-TaylorAccidents & Emergency Unit, Department of Primary Care, Illes Balears street., 07014, Palma de Mallorca, Spain.
Margarita MuletMental Health Unit, Department of Primary Care, Simo Tort street, 07500, Mallorca, Manacor, Spain.
Hospital Son Llatzer · ESUniversitat de les Illes Balears · ESDemos · USHealth Research Institute of the Balearic Islands · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmotional distress in mothers inhibits the let-down reflex, thus affecting breastfeeding self-efficacy. A breastfeeding mother may have to cope with both physical discomfort and psychological distress. However, literature on initiatives to improve breastfeeding rates has focused mainly on providing community-based peer support, or social policies. The aim of this review is to assess evidence on the effectiveness of a broad range of psychological interventions to facilitate breastfeeding for mothers facing difficulties around the time of delivery.

methodsThe review of the literature is derived from a search on Cochrane Library, PubMed, EBSCOhost, and PsycINFO for papers published since 1980. The approach was to explore quantitative and qualitative parameters. Quantitative parameters included breastfeeding initiation, duration, and composition. Qualitative parameters recorded the evaluation of maternal perceptions on breastfeeding success. The high heterogeneity of the studies led to a narrative review; 20 selected papers that report on breastfeeding outcomes and psychological programs met the inclusion criteria.

resultsThe evidence on breastfeeding support through psychotherapy is heterogeneous and scant. Out of the included studies, 11 were randomized controlled trials, two were non-randomised trials, and two used a quasi-experimental design. None of the studies reported an increase in adverse breastfeeding outcomes. Three studies failed to report an association between psychological procedures and improved breastfeeding outcomes. A literature review showed that 17 (85%) analyses support stress-releasing techniques to facilitate breastfeeding.

conclusionsThis review suggests that relaxation interventions carefully tailored to address perinatal emotional distress may lead to important health benefits, including improvement in breastfeeding outcomes. There is also some indication that psychotherapy support while breastfeeding may have more impact than routine counselling. Conversely, this review did not find an association between self-hypnosis and breastfeeding outcomes. Data from this study can be used in designing prevention programs and future research with appropriate theoretical underpinning.

Indexed as

Breast FeedingPsychosocial InterventionFemaleHumansMothersParturitionPostnatal CarePregnancyAnxietyBreastfeedingDepressionNarrative reviewPerinatalPostpartumPregnancyPsychotherapy

Identifiers

PMID33407656
PMCPMC7789781
OpenAlexW3119188877

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.