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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

Amy Brown Orcid Logo, Sam Griffin, Gillian Weaver, Natalie Shenker Orcid Logo

Maternal and Child Nutrition

Swansea University Author: Amy Brown Orcid Logo

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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...

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Published in: Maternal and Child Nutrition
ISSN: 1740-8695 1740-8709
Published: Wiley 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa66757
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first_indexed 2024-06-19T16:33:23Z
last_indexed 2024-06-19T16:33:23Z
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spelling 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 and Child Nutrition 0 Wiley 1740-8695 1740-8709 anxiety, breastfeeding, depression, donor human milk, infant feeding, lactation support, mentalhealth 19 6 2024 2024-06-19 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) Higher Education Funding Council for Wales 2024-06-27T16:44:50.5698688 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
author_id_str_mv 37aea6965461cb0510473d109411a0c3
author_id_fullname_str_mv 37aea6965461cb0510473d109411a0c3_***_Amy Brown
author Amy Brown
author2 Amy Brown
Sam Griffin
Gillian Weaver
Natalie Shenker
format Journal article
container_title Maternal and Child Nutrition
container_volume 0
publishDate 2024
institution Swansea University
issn 1740-8695
1740-8709
doi_str_mv 10.1111/mcn.13686
publisher Wiley
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
document_store_str 1
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description 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.
published_date 2024-06-19T16:44:50Z
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