Evidence map›Paper›PMID 42608444›Full record

ReviewJournal of perinatology : official journal of the California Perinatal Association2026

Antidepressants and breastfeeding behaviors: a systematic review.

Pierre Desaunay, Camille Blouet, Mélanie Alexandre, Fabian Guénolé

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Pierre DesaunayService de psychiatrie de l'enfant et de l'adolescent du Centre Hospitalier Universitaire de Caen, Caen, France.
Camille BlouetService de psychiatrie de l'enfant et de l'adolescent du Centre Hospitalier Universitaire de Caen, Caen, France.
Mélanie AlexandreService de gynécologie-obstétrique et de médecine de la reproduction du Centre Hospitalier Universitaire de Caen, Caen, France.
Fabian GuénoléService de psychiatrie de l'enfant et de l'adolescent du Centre Hospitalier Universitaire de Lille, Lille, France. guenole_fabian@yahoo.fr.ORCID http://orcid.org/0000-0002-5059-0948

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess whether antidepressant exposure during pregnancy or postpartum is associated with changes in breastfeeding behaviors STUDY

designSystematic review of interventional and observational studies; outcomes grouped as initiation/status at discharge, preterm/NICU contexts, duration, and nighttime feeding.

resultsLate-pregnancy exposure was consistently associated with lower initiation and reduced breastfeeding at discharge. In settings with intensive lactation support - such as among mothers of preterm infants or in NICUs-differences between exposed and unexposed dyads were small or nonsignificant. Effects on duration were context-dependent: in countries with high baseline breastfeeding, antenatal exposure was not linked to shorter duration and sometimes coincided with less early cessation; where baseline rates were lower, exposure was associated with earlier cessation. Evidence on nighttime feeding was sparse.

conclusionWhen antidepressant treatment is indicated, optimizing breastfeeding requires integrated perinatal care combining psychiatric monitoring, individualized medication counseling, and proactive lactation support. Prospective studies disentangling pharmacological from contextual effects are needed.

Identifiers

PMID42608444

What OpenQuestion holds

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Registered trials

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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.