Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, 72076, Tübingen, Germany.
Competence Center for Eating Disorders (KOMET), 72076, Tübingen, Germany.
Arch Womens Ment Health. 2021 Oct;24(5):693-708. doi: 10.1007/s00737-021-01103-w. Epub 2021 Apr 8.
Breastfeeding is an effective way to protect and promote the health of the infant and mother. Cultural, social, economic, medical, or psychological factors might interfere with successful breastfeeding. Therefore, maternal eating disorders (EDs) may have detrimental effects on the decision of breastfeeding initiation and on its continuation. There is limited knowledge about the breastfeeding practices of mothers with EDs. We performed a systematic review to generate more evidence in this area. A search was conducted in PubMed and PsycINFO, and several journals were hand searched for relevant publications. Of N = 3904 hits, 13 full texts were included in the qualitative analysis. The findings on total duration of BF between mothers with and without EDs were mixed, but women with EDs showed more negative experiences and emotional problems during BF. There was not enough evidence to conclude on breastfeeding initiation, or on the duration of exclusive breastfeeding. Maternal EDs might have a negative impact on BF practices with possible negative effects on the maternal-child feeding environment. Further studies with comparable data and information on the women's partners' attitudes about breastfeeding are needed.
母乳喂养是保护和促进婴儿和母亲健康的有效方法。文化、社会、经济、医学或心理因素可能会干扰母乳喂养的成功。因此，产妇饮食失调（ED）可能会对母乳喂养的开始和持续产生不利影响。关于 ED 母亲的母乳喂养做法知之甚少。我们进行了系统评价，以在该领域生成更多证据。在 PubMed 和 PsycINFO 中进行了检索，并对几个期刊进行了手工检索以获取相关出版物。在 N = 3904 次命中中，有 13 篇全文纳入了定性分析。ED 母亲与无 ED 母亲之间 BF 总持续时间的研究结果喜忧参半，但 ED 母亲在 BF 期间表现出更多的负面体验和情绪问题。没有足够的证据可以得出关于母乳喂养开始或纯母乳喂养持续时间的结论。产妇 ED 可能对 BF 实践产生负面影响，可能对母婴喂养环境产生负面影响。需要进一步开展具有可比数据和有关妇女伴侣对母乳喂养态度信息的研究。
