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Table 1 Summary of the included studies

From: Association between postpartum depression and breastfeeding self-efficacy in mothers: a systematic review and meta-analysis

Author / year / reference

Study place

Questionnaire

Sample size

Study design

Results

The score obtained from the Newcastle-Ottawa scale

1. Sahin (2019)

[16]

Turkey

breastfeeding self-efficacy questionnaire

Edinburgh depression questionnaire

357 breastfeeding mothers

Descriptive-analytical

The mean score of breastfeeding self-efficacy in women was 56.41 ± 8.97. Based on the EPDS total score, mothers who scored 12 or more. were classified as a risk group. 72 mothers (20.2%) are at higher risk of depression.

Considering the increased risk of depression, it was found that women with depression have a lower breastfeeding self-efficacy score.

7

2. Zubaran et al(2013)

[23]

Australia

breastfeeding self-efficacy questionnaire

Edinburgh depression questionnaire

89 breastfeeding mothers

Cross-sectional

For the average breastfeeding self-efficacy, R2 = 0.123

The average score for breastfeeding self-efficacy was 63.51

6

3. Minamida et al(2020)

[24].

Japan

breastfeeding self-efficacy questionnaire

Edinburgh depression questionnaire

185 breastfeeding mothers

Cross-sectional

Self-efficacy is a protective factor for exclusive breastfeeding, while depression is a risk factor

Depression has an inverse relationship with self-efficacy in breastfeeding (p < 0.500).

5

4. Mercan and Selcuk (2021)

[19]

Turkey

breastfeeding self-efficacy questionnaire

Edinburgh depression questionnaire

398 women aged 15–49 in the first 42 days of the postpartum period

A cross-sectional

The average breastfeeding self-efficacy score of mothers was 55.13 ± 8.9. There is a negative statistical relationship between BSES-SF and EPDS scores, so that breastfeeding self-efficacy decreases as postpartum depression increases.

β = 0.194 for self-efficacy

β = 0.114 for depression

6

5. Aslan and Ege (2016) [25]

Turkey

breastfeeding self-efficacy questionnaire

Edinburgh depression questionnaire

265 postpartum women

Descriptive-Analytical

The average self-efficacy score of breastfeeding women is 58.92 ± 7.61 and the average score of the Edinburgh scale is 9.58 ± 5.10. The results of the study showed that one-third of mothers with a low breastfeeding self-efficacy score are at risk of developing depression symptoms.

6

6.Abuchaim ED (2018)

[26]

Brazil

breastfeeding self-efficacy questionnaire

Edinburgh depression questionnaire

208 women up to 60 days postpartum

Cross-sectional

Postpartum depression symptoms were present in 31.25% of women who presented medium (39.9%) and high (36.06%) levels of breastfeeding self-efficacy.

6

7. Vieira et al (2018) [27]

Brazil

breastfeeding self-efficacy questionnaire

Edinburgh depression questionnaire

83 breastfeeding mothers

prospective cohort

self-efficacy is considered a protective factor for exclusive breastfeeding, while depression is a risk factor.

Depression has an opposite relationship with self-efficacy in breastfeeding (p < 0.500).

5

8. Palancı and Aktaş (2021)

[28]

Turkey

breastfeeding self-efficacy questionnaire

Edinburgh depression questionnaire

254 mothers with babies aged 2–6 months

Cross-sectional

total mean Breastfeeding self-efficacy scores of mothers were 57.201 ± 7.612

And the average postpartum depression score was 8.516 ± 5.304. A significant relationship was found between breastfeeding self-efficacy and postpartum depression in mothers.

R2 = 0.330 for breastfeeding self-efficacy

R2=-0.338 for depression

5