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Receiving screened donor human milk for their infant supports parental wellbeing: a mixed-methods study

Amy Brown Orcid Logo, N. Shenker

BMC Pregnancy and Childbirth, Volume: 22, Issue: 1

Swansea University Author: Amy Brown Orcid Logo

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DOI (Published version): 10.1186/s12884-022-04789-7

Abstract

BackgroundAccess to donor human milk (DHM) has primarily been based on the health and development outcomes of premature infants but there has been little examination of the broader impact of an infant receiving it upon parental mental health. Breastfeeding and mental health are closely tied with wom...

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Published in: BMC Pregnancy and Childbirth
ISSN: 1471-2393
Published: Springer Science and Business Media LLC 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa60494
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fullrecord <?xml version="1.0" encoding="utf-8"?><rfc1807 xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema"><bib-version>v2</bib-version><id>60494</id><entry>2022-07-14</entry><title>Receiving screened donor human milk for their infant supports parental wellbeing: a mixed-methods study</title><swanseaauthors><author><sid>37aea6965461cb0510473d109411a0c3</sid><ORCID>0000-0002-0438-0157</ORCID><firstname>Amy</firstname><surname>Brown</surname><name>Amy Brown</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2022-07-14</date><deptcode>PHAC</deptcode><abstract>BackgroundAccess to donor human milk (DHM) has primarily been based on the health and development outcomes of premature infants but there has been little examination of the broader impact of an infant receiving it upon parental mental health. Breastfeeding and mental health are closely tied with women who experience breastfeeding difficulties or are unable to meet their own breastfeeding goals often experiencing feelings of guilt, sadness and anger, alongside an increased risk of postnatal depression. The aim of the current study was to explore how experience of receiving DHM for their baby affected the wellbeing of parents.MethodsUK parents of infants aged 0 – 12 months who had received screened DHM from a milk bank (typically on the neonatal unit or in some cases in the community) completed an online questionnaire exploring their experiences. The questionnaire included Likert scale items examining perceived impact upon infant health, own wellbeing and family functioning alongside open-ended questions exploring perceptions of how receiving DHM affected wellbeing.ResultsAlmost all of the 107 participants (women = 102) agreed that receiving DHM had a positive impact upon infant health and development, their own mental and physical health, and their family’s wellbeing. Parents felt relieved that their infant was receiving DHM for health reasons but also due to the experience of being listened to, supported and having their infant feeding decisions facilitated. Receiving DHM helped mothers to process some of their emotions at not being able to breastfeed, in part because knowing their baby was being fed gave them the space to focus on recovery and bonding with their baby. Some parents did experience challenges, feeling guilty at receiving DHM, insecure that another woman was able to feed their baby when they could not, or negative reactions from family. Although the impact of receiving DHM upon breastfeeding was not measured, some women who were working to build their own milk supply noted that it helped motivate them to continue.ConclusionsDHM may play an important role not only in protecting infant health and development but in supporting the mental health and wellbeing of mothers for whom their infant receiving human milk is important.</abstract><type>Journal Article</type><journal>BMC Pregnancy and Childbirth</journal><volume>22</volume><journalNumber>1</journalNumber><paginationStart/><paginationEnd/><publisher>Springer Science and Business Media LLC</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>1471-2393</issnElectronic><keywords>Donor human milk, Premature infant, Breastfeeding, Mental health, Infant, Mother, Qualitative research, Wellbeing</keywords><publishedDay>31</publishedDay><publishedMonth>5</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-05-31</publishedDate><doi>10.1186/s12884-022-04789-7</doi><url/><notes/><college>COLLEGE NANME</college><department>Public Health</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>PHAC</DepartmentCode><institution>Swansea University</institution><apcterm>External research funder(s) paid the OA fee (includes OA grants disbursed by the Library)</apcterm><funders>None received. NS is a UKRI Future Leaders Fellow at Imperial College London (grant p76489), and UKRI funding supported the writing and publication of this manuscript.</funders><projectreference/><lastEdited>2024-02-01T15:27:34.6011949</lastEdited><Created>2022-07-14T09:01:18.0604902</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Health and Social Care - Public Health</level></path><authors><author><firstname>Amy</firstname><surname>Brown</surname><orcid>0000-0002-0438-0157</orcid><order>1</order></author><author><firstname>N.</firstname><surname>Shenker</surname><order>2</order></author></authors><documents><document><filename>60494__24595__c17058bf290d4e9594376be73c3c374b.pdf</filename><originalFilename>Brown-Shenker2022_Article_ReceivingScreenedDonorHumanMil.pdf</originalFilename><uploaded>2022-07-14T09:04:04.7165113</uploaded><type>Output</type><contentLength>1639555</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>© The Author(s) 2022. This article is licensed under a Creative Commons Attribution 4.0 International License</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>http://creativecommons.org/licenses/by/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling v2 60494 2022-07-14 Receiving screened donor human milk for their infant supports parental wellbeing: a mixed-methods study 37aea6965461cb0510473d109411a0c3 0000-0002-0438-0157 Amy Brown Amy Brown true false 2022-07-14 PHAC BackgroundAccess to donor human milk (DHM) has primarily been based on the health and development outcomes of premature infants but there has been little examination of the broader impact of an infant receiving it upon parental mental health. Breastfeeding and mental health are closely tied with women who experience breastfeeding difficulties or are unable to meet their own breastfeeding goals often experiencing feelings of guilt, sadness and anger, alongside an increased risk of postnatal depression. The aim of the current study was to explore how experience of receiving DHM for their baby affected the wellbeing of parents.MethodsUK parents of infants aged 0 – 12 months who had received screened DHM from a milk bank (typically on the neonatal unit or in some cases in the community) completed an online questionnaire exploring their experiences. The questionnaire included Likert scale items examining perceived impact upon infant health, own wellbeing and family functioning alongside open-ended questions exploring perceptions of how receiving DHM affected wellbeing.ResultsAlmost all of the 107 participants (women = 102) agreed that receiving DHM had a positive impact upon infant health and development, their own mental and physical health, and their family’s wellbeing. Parents felt relieved that their infant was receiving DHM for health reasons but also due to the experience of being listened to, supported and having their infant feeding decisions facilitated. Receiving DHM helped mothers to process some of their emotions at not being able to breastfeed, in part because knowing their baby was being fed gave them the space to focus on recovery and bonding with their baby. Some parents did experience challenges, feeling guilty at receiving DHM, insecure that another woman was able to feed their baby when they could not, or negative reactions from family. Although the impact of receiving DHM upon breastfeeding was not measured, some women who were working to build their own milk supply noted that it helped motivate them to continue.ConclusionsDHM may play an important role not only in protecting infant health and development but in supporting the mental health and wellbeing of mothers for whom their infant receiving human milk is important. Journal Article BMC Pregnancy and Childbirth 22 1 Springer Science and Business Media LLC 1471-2393 Donor human milk, Premature infant, Breastfeeding, Mental health, Infant, Mother, Qualitative research, Wellbeing 31 5 2022 2022-05-31 10.1186/s12884-022-04789-7 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University External research funder(s) paid the OA fee (includes OA grants disbursed by the Library) None received. NS is a UKRI Future Leaders Fellow at Imperial College London (grant p76489), and UKRI funding supported the writing and publication of this manuscript. 2024-02-01T15:27:34.6011949 2022-07-14T09:01:18.0604902 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Amy Brown 0000-0002-0438-0157 1 N. Shenker 2 60494__24595__c17058bf290d4e9594376be73c3c374b.pdf Brown-Shenker2022_Article_ReceivingScreenedDonorHumanMil.pdf 2022-07-14T09:04:04.7165113 Output 1639555 application/pdf Version of Record true © The Author(s) 2022. This article is licensed under a Creative Commons Attribution 4.0 International License true eng http://creativecommons.org/licenses/by/4.0/
title Receiving screened donor human milk for their infant supports parental wellbeing: a mixed-methods study
spellingShingle Receiving screened donor human milk for their infant supports parental wellbeing: a mixed-methods study
Amy Brown
title_short Receiving screened donor human milk for their infant supports parental wellbeing: a mixed-methods study
title_full Receiving screened donor human milk for their infant supports parental wellbeing: a mixed-methods study
title_fullStr Receiving screened donor human milk for their infant supports parental wellbeing: a mixed-methods study
title_full_unstemmed Receiving screened donor human milk for their infant supports parental wellbeing: a mixed-methods study
title_sort Receiving screened donor human milk for their infant supports parental wellbeing: a mixed-methods study
author_id_str_mv 37aea6965461cb0510473d109411a0c3
author_id_fullname_str_mv 37aea6965461cb0510473d109411a0c3_***_Amy Brown
author Amy Brown
author2 Amy Brown
N. Shenker
format Journal article
container_title BMC Pregnancy and Childbirth
container_volume 22
container_issue 1
publishDate 2022
institution Swansea University
issn 1471-2393
doi_str_mv 10.1186/s12884-022-04789-7
publisher Springer Science and Business Media LLC
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
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description BackgroundAccess to donor human milk (DHM) has primarily been based on the health and development outcomes of premature infants but there has been little examination of the broader impact of an infant receiving it upon parental mental health. Breastfeeding and mental health are closely tied with women who experience breastfeeding difficulties or are unable to meet their own breastfeeding goals often experiencing feelings of guilt, sadness and anger, alongside an increased risk of postnatal depression. The aim of the current study was to explore how experience of receiving DHM for their baby affected the wellbeing of parents.MethodsUK parents of infants aged 0 – 12 months who had received screened DHM from a milk bank (typically on the neonatal unit or in some cases in the community) completed an online questionnaire exploring their experiences. The questionnaire included Likert scale items examining perceived impact upon infant health, own wellbeing and family functioning alongside open-ended questions exploring perceptions of how receiving DHM affected wellbeing.ResultsAlmost all of the 107 participants (women = 102) agreed that receiving DHM had a positive impact upon infant health and development, their own mental and physical health, and their family’s wellbeing. Parents felt relieved that their infant was receiving DHM for health reasons but also due to the experience of being listened to, supported and having their infant feeding decisions facilitated. Receiving DHM helped mothers to process some of their emotions at not being able to breastfeed, in part because knowing their baby was being fed gave them the space to focus on recovery and bonding with their baby. Some parents did experience challenges, feeling guilty at receiving DHM, insecure that another woman was able to feed their baby when they could not, or negative reactions from family. Although the impact of receiving DHM upon breastfeeding was not measured, some women who were working to build their own milk supply noted that it helped motivate them to continue.ConclusionsDHM may play an important role not only in protecting infant health and development but in supporting the mental health and wellbeing of mothers for whom their infant receiving human milk is important.
published_date 2022-05-31T15:27:35Z
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