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oai:repisalud.isciii.es:20.500.12105/231522024-11-29T00:25:49Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967
Repisalud author Gomez, Lidia author Verd, Sergio author de la Banda, GG author Cardo-Jalon, Esther author Servera, Mateu author Filgueira Posse, Ana author Ponce-Taylor, Jaume author Mulet, Margarita 2024-09-18T06:42:02Z 2024-09-18T06:42:02Z 2021-01-06 Gomez L, Verd S, De-la-Banda G, Cardo E, Servera M, Filgueira A, et al. Perinatal psychological interventions to promote breastfeeding: a narrative review. Int Breastfeed J. 2021 Jan 06;16(1):8. 1746-4358 http://hdl.handle.net/20.500.13003/10220 https://hdl.handle.net/20.500.12105/23152 33407656 10.1186/s13006-020-00348-y International Breastfeeding Journal 2-s2.0-85098761411 608251800005 L634063127 Background: Emotional 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. Results: The 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. Conclusions: This 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. eng Breastfeeding Postpartum Psychotherapy Pregnancy Depression Narrative review Anxiety Perinatal Perinatal psychological interventions to promote breastfeeding: a narrative review review article