Khulud Alhussain
University of Dundee, United KingdomTitle: The Influence of Perinatal Anxiety and Depression on Breastfeeding Behaviours: A Qualitative Systematic Review
Abstract
Background: Estimates shows that by year 2030, mental illness will account for more than half of the global economic burden second to non-communicable diseases. Often, perinatal period is characterised by psychological ambivalence and a mixed anxiety-depressive condition. Maternal mental disorder is associated with perinatal anxiety and depression and affects breastfeeding behaviours. Studies also indicate that maternal mental health can considerably influence a baby's health in numerous aspects and impact on the new-born health due to lack of adequate breastfeeding. However, studies reporting factors associated with breastfeeding behaviours are predominantly quantitative. Therefore, it is not clear what literature is available to understand the factors affecting breastfeeding and the perinatal women’s perspectives and experiences. Aim: This review aimed to explore the perceptions and experiences of women with perinatal anxiety and depression, as well as how these experiences influence their breastfeeding behaviours. Methods: A systematic literature review of qualitative studies in line with the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ). Four electronic databases (CINAHL, PsycINFO, Embase, and Google Scholar) were explored for relevant studies using a search strategy. The search was restricted to studies published in English language between 2000 and 2022. Findings from literature were screened using a pre-defined screening criterion and the quality of eligible studies were appraised using the Walsh and Downe (2006) checklist. Findings were extracted and synthesised based on Braun and Clark. The review protocol was registered on PROSPERO (Ref: CRD42022319609).
Result: A total of 4947 studies were identified from the four databases. Following duplicate removal and screening 16 studies meet the inclusion criteria. The studies included 87 pregnant and 302 post-partum women from 12 countries. The participants were from a variety of economic, regional, and religious backgrounds mainly from the age of 18 to 45 years old. Three main themes were identified. Breastfeeding duration is affected in women with mental health disorders, irrespective of their desire to breastfeed.
Biography
Khulud Abdullah Al-Hussain earned a Bachelor of Science in Nursing in 2012at Shaqra University. I worked in the labour and delivery room for six years. In 2018, I finished my Master of Midwifery Science at King Saud University in Riyadh, Saudi Arabia. In addition, after completing my master’s degree, I returned to Maternity and Children Hospital in Buraidah as a Nurse Educator and program director of midwifery diploma. I was also accredited as an obstetric emergency speaker by Saudi Commission for Health Specialties in Saudi Arabia. My career path is in midwifery because I believe that as a woman, I can alleviate other women who need her knowledge and skill to attain optimum health and wellness. Thus, in February 2021, I started PhD in Midwifery at the University of Dundee, Scotland, the United Kingdom. My interest in perinatal emotional disturbance and breastfeeding.
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