Experiences and Factors Associated With Exclusive Breastfeeding Among Women With Postpartum Depression

To explore the experiences and factors associated with exclusive breastfeeding among women with postpartum depression (PPD).

Following Arksey and O'Malley's methodological framework for scoping studies, searches were conducted in the PubMed, ScienceDirect, Scopus, EBSCO, Virtual Health Library, and Taylor & Francis databases.

Full-text articles published in English, Spanish, and Portuguese between 2015 and 2024 on breastfeeding experiences among women up to 6-months postpartum with PPD. In total, 14 articles met the inclusion criteria.

Data were charted using a spreadsheet matrix, which included the following information: authors, year of publication, country, study population, objectives, methods, and main findings.

Extracted data were collated and analyzed using thematic synthesis to group recurring patterns into conceptual themes. Consequently, a variety of experiences with exclusive breastfeeding were identified among women with PPD and classified into three main categories: (a) rewarding, characterized by emotional bonding and a sense of accomplishment; (b) frustrating, often involving latching difficulties, low supply, or feelings of inadequacy; or (c) supportive, highlighting the critical role of health care provider encouragement and perseverance. These experiences were influenced by sociocultural, physical, psycho-emotional, and health care-related factors.

The experiences of women with PPD who exclusively breastfeed are shaped by multiple interrelated factors that affect the breastfeeding process. Health care systems and public policies must integrate emotional and physical support strategies to strengthen breastfeeding, especially among women experiencing PPD.