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Receiving screened donor human milk as part of a community‐based lactation support programme reduces parental symptoms of anxiety and depression
Maternal & Child Nutrition, Volume: 20, Issue: 4, Start page: e13686
Swansea University Author: Amy Brown
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DOI (Published version): 10.1111/mcn.13686
Abstract
Infant feeding decisions and maternal mental health are closely tied. Donor human milk (DHM) protects premature infant health and development and can reduce hospital stays. Recent qualitative research has highlighted that having the option for an infant to receive DHM can also support parental wellb...
Published in: | Maternal & Child Nutrition |
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ISSN: | 1740-8695 1740-8709 |
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Wiley
2024
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URI: | https://cronfa.swan.ac.uk/Record/cronfa66757 |
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2024-11-01T14:22:41.8206743 v2 66757 2024-06-19 Receiving screened donor human milk as part of a community‐based lactation support programme reduces parental symptoms of anxiety and depression 37aea6965461cb0510473d109411a0c3 0000-0002-0438-0157 Amy Brown Amy Brown true false 2024-06-19 HSOC Infant feeding decisions and maternal mental health are closely tied. Donor human milk (DHM) protects premature infant health and development and can reduce hospital stays. Recent qualitative research has highlighted that having the option for an infant to receive DHM can also support parental wellbeing through reducing concerns about infant health and supporting feeding preferences. However, no quantitative study has examined this relationship. In this study, anxiety and depression scores were measured before and after receiving DHM using the Hospital Anxiety and Depression Scale for 80 parents (77 mothers, 3 fathers) who had sought DHM from a community-facing milk bank. Reasons for seeking DHM included maternal cancer, maternal and infant health complications, insufficient glandular tissue, and low milk supply. Open-ended questions explored the experience of receiving milk. Milk bank records were used to match details of milk given (volume, duration, exclusivity, lactation support given) with survey responses. Both anxiety and depression scores significantly reduced after receiving milk. Although greater lactation support and longer duration of milk predicted a greater decrease in scores, in a regression analysis, only volume of milk given remained a significant predictor. Almost all parents agreed that being able to access DHM supported their wellbeing predominantly through reducing anxieties around infant health but also through feeding choices being respected and the support given at difficult times. The findings add important considerations to the literature considering when and for whom DHM should be used and the complex interplay between infant feeding and mental health. Journal Article Maternal & Child Nutrition 20 4 e13686 Wiley 1740-8695 1740-8709 Anxiety, breastfeeding, depression, donor human milk, infant feeding, lactation support, mental health 1 10 2024 2024-10-01 10.1111/mcn.13686 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University SU Library paid the OA fee (TA Institutional Deal) The researchers were supported from funding by HEFCW Research Wales Innovation Fund. N. S. is an UKRI Future Leaders Fellow at Imperial College London (grant p76489), and UKRI funding supported the writing and publication of this manuscript. 2024-11-01T14:22:41.8206743 2024-06-19T17:31:31.2728539 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Amy Brown 0000-0002-0438-0157 1 Sam Griffin 2 Gillian Weaver 3 Natalie Shenker 0000-0002-8067-1079 4 66757__30776__d875dfa7c9b04e8faac06fd394f0498e.pdf 66757.VoR.pdf 2024-06-27T16:43:37.7815657 Output 1181855 application/pdf Version of Record true © 2024 The Author(s). This is an open access article under the terms of the Creative Commons Attribution License. true eng http://creativecommons.org/licenses/by/4.0/ |
title |
Receiving screened donor human milk as part of a community‐based lactation support programme reduces parental symptoms of anxiety and depression |
spellingShingle |
Receiving screened donor human milk as part of a community‐based lactation support programme reduces parental symptoms of anxiety and depression Amy Brown |
title_short |
Receiving screened donor human milk as part of a community‐based lactation support programme reduces parental symptoms of anxiety and depression |
title_full |
Receiving screened donor human milk as part of a community‐based lactation support programme reduces parental symptoms of anxiety and depression |
title_fullStr |
Receiving screened donor human milk as part of a community‐based lactation support programme reduces parental symptoms of anxiety and depression |
title_full_unstemmed |
Receiving screened donor human milk as part of a community‐based lactation support programme reduces parental symptoms of anxiety and depression |
title_sort |
Receiving screened donor human milk as part of a community‐based lactation support programme reduces parental symptoms of anxiety and depression |
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37aea6965461cb0510473d109411a0c3 |
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37aea6965461cb0510473d109411a0c3_***_Amy Brown |
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Amy Brown |
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Amy Brown Sam Griffin Gillian Weaver Natalie Shenker |
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Maternal & Child Nutrition |
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e13686 |
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10.1111/mcn.13686 |
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Infant feeding decisions and maternal mental health are closely tied. Donor human milk (DHM) protects premature infant health and development and can reduce hospital stays. Recent qualitative research has highlighted that having the option for an infant to receive DHM can also support parental wellbeing through reducing concerns about infant health and supporting feeding preferences. However, no quantitative study has examined this relationship. In this study, anxiety and depression scores were measured before and after receiving DHM using the Hospital Anxiety and Depression Scale for 80 parents (77 mothers, 3 fathers) who had sought DHM from a community-facing milk bank. Reasons for seeking DHM included maternal cancer, maternal and infant health complications, insufficient glandular tissue, and low milk supply. Open-ended questions explored the experience of receiving milk. Milk bank records were used to match details of milk given (volume, duration, exclusivity, lactation support given) with survey responses. Both anxiety and depression scores significantly reduced after receiving milk. Although greater lactation support and longer duration of milk predicted a greater decrease in scores, in a regression analysis, only volume of milk given remained a significant predictor. Almost all parents agreed that being able to access DHM supported their wellbeing predominantly through reducing anxieties around infant health but also through feeding choices being respected and the support given at difficult times. The findings add important considerations to the literature considering when and for whom DHM should be used and the complex interplay between infant feeding and mental health. |
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2024-10-01T08:31:37Z |
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