The effect of treatments for postpartum depression on breastfeeding practices: a systematic review and meta-analysis.
MidwiferyJun 1, 2026 (epub)
Shuyuan Shen, Bohan Wang, Yiwei Zhao et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the impact of treatments for postpartum depression (PPD) on breastfeeding practices among affected mothers. Thirteen studies, including 9 randomized controlled trials, were analyzed. Cognitive behavioural therapy (CBT) was associated with a significantly higher exclusive breastfeeding rate compared to usual care controls (RR=1.54, 95% CI 1.06-2.22).
Key findings
- Cognitive behavioural therapy led to a higher exclusive breastfeeding rate compared to usual care (RR=1.54, 95% CI 1.06-2.22).
- Combined interventions showed a non-significant pooled effect on exclusive breastfeeding (pooled RR=1.13, 95% CI 0.96-1.32).
- Mental health education and crocin showed a non-significant reduction in lactation insufficiency (pooled RR=0.81, 95% CI 0.65-1.01).
- There was a non-significant difference in unsuccessful breastfeeding experience (pooled RR=0.63, 95% CI 0.34-1.16).
Why it matters
Understanding the relationship between PPD treatments and breastfeeding practices is crucial, as effective breastfeeding supports infant health and maternal bonding. This study highlights the potential of CBT in improving breastfeeding outcomes for mothers with PPD.