| Bizon AMBL, Giugliani C & Giugliani ERJ, 2023(13) |
Brazil |
Cohort with dyads born in a public and a private maternity hospital in the city of Porto Alegre, RS, in 2016 |
213 dyads |
Based on the median satisfaction score: women with scores below the median (<124) and above (>124) |
Satisfaction with BF (measured by MBFES) in the first month and EBF rates |
Women with satisfaction scores above the median had a mean EBF duration of 120 days (95% CI: 109-131), and women with satisfaction below the median had an EBF duration of 26 days (95% CI: 19-33) (p <0.001)
Association between satisfaction and EBF discontinuation in the first month. |
Negative association between satisfaction and interruption of BF in the first month. |
11/11 |
| Ahmed AH & Rojjanasrirat W, 2021(19) |
United States |
Dyads participating in the Women, Infants, and Children project, which assessed BF and its effects in the United States of America from 2014 to 2017 |
270 dyads |
Dyads with late preterm birth (between 34 and 36 weeks and six days), early term birth (between 37 and 37 weeks and six days) and term birth (over 38 weeks) were compared. |
Satisfaction with BF (measured by MBFES). |
The mean satisfaction score was 116 (SD = 15.3) for the late preterm group, 114 (SD = 22.12) for the early term group, and 121.95 (SD = 16.86) for the full-term group.
There were significant differences between the late preterm and full-term groups and between the early term and full-term groups, with an association between EBF and higher satisfaction scores at two weeks, two months, and five months. |
Association with gestational age at birth and satisfaction with EBF. |
11/11 |
| Avilla et al., 2020(12) |
Brazil |
Cohort with dyads born in a public and a private maternity hospital in the city of Porto Alegre, RS |
287 dyads |
Based on average satisfaction scores: women with scores below average (<124) and above (>124) |
Satisfaction with BF (measured by MBFES). |
Satisfaction scores ranged from 63 to 145 (mean: 124). |
Association between satisfaction with BF and postpartum depression. Satisfaction is 47% higher among women with negative screening for postpartum depression (adjusted PR: 1.47; 95% CI 1.01–2.16). |
11/11 |
| Nabulsi et al., 2021(24) |
Lebanon |
Birth cohort from a public, university, tertiary care hospital in Lebanon from 2018 to 2020 |
485 dyads |
Type of BF in the third month: EBF (n = 172); mixed (n = 146) and artificial (n = 127) |
Satisfaction with BF (measured by MBFES) and EBF. |
Mean satisfaction score of 111.7 ± 13.6. The EBF rate during the study fell from 53.8% at two weeks to 38.4% at three months postpartum. |
Positive correlations with maternal attitude towards BF (r = 0.30, p < 0.001), EBF at one (r = 0.27) and three months (r = 0.26, p < 0.001 for both), as well as with the longest previous EBF period (r = 0.27, p < 0.001). |
11/11 |
| Gregory et al., 2015(20) |
United States |
Survey administered by the Center for Disease Control between 2005 and 2007, with women recruited during prenatal and postpartum follow-up. |
1,802 dyads |
Gestational expectations regarding BF met (n = 627) or not (n = 1,175) |
Satisfaction with BF measured by “yes” or “no” responses and fulfillment of prenatal expectations (“yes” or “no”). |
65.2% of women had their expectations not met, but 26.3% were satisfied with EBF duration;
34.8% had their expectations met; and 79.1% were satisfied with EBF duration.
EBF duration was longer in satisfied women (7.2 vs. 3.6 months; t 931 = 16.49; p < 0.001). |
Younger women, multiparous women, those who self-identified as Black or Hispanic, or who had completed high school had higher rates of satisfaction with duration.
Women with postpartum depression and obesity had lower rates of satisfaction.
Satisfaction was associated with meeting expectations (OR: 10.56; 95% CI: 7.67-14.55). |
11/11 |
| Cooke et al., 2003(16) |
Australia |
Cohort of women who gave birth in three Sydney public hospitals in 1999 |
241 dyads |
Intercurrences in the BF process |
Satisfaction with BF (measured by MBFES). |
Complications during BF significantly decreased the mean satisfaction score (maternal satisfaction: 52.8 ± 1.6 vs. 56.5 ± 1.6, p<0.01). |
Belief of insufficient milk (p < 0.01); sore nipples (p = 0.01); engorgement (p = 0.02) and other complications (p < 0.01). Lower satisfaction scores were associated with weaning, and the perception of insufficient milk was a predictor of weaning between two and six weeks. |
11/11 |
| Laberére et al., 2012(23) |
France |
Cohort of births occurring in eight French maternity hospitals in 2012 (public and private) |
907 dyads |
Women who indicated that they were very satisfied with BF (n = 822) and dissatisfied (n = 85) |
Satisfaction with BF (measured on a Likert scale – very dissatisfied/dissatisfied; very satisfied/satisfied). |
637 (70%) were very satisfied; 185 (21%) were satisfied; 58 (6%) were dissatisfied; and 27 (3%) were very dissatisfied. |
Dissatisfaction: duration shorter than expected; smokers; those who offered nipples since birth; and those who had complications during the BF process. |
11/11 |
| El-Shaer et al., 2024(17) |
Jordan |
Cohort of births occurring in an institution part of the BFHI from 2021 to 2023 |
160 dyads |
Comparison of indicators before and after implementation of the BFHI |
Satisfaction with BF (measured by MBFES). |
Satisfaction scores ranged from 26 to 124, with a mean of 93.59 ± 15.83. |
Higher satisfaction scores with BF were observed after the implementation of the BFHI. |
11/11 |
| Symon et al., 2012(22) |
Scotland |
Birth cohort from an eastern Scottish town |
292 dyads |
Scores compared according to BF intention |
Satisfaction with BF (measured by questionnaire by Leff et al., 1994, MBFES). |
The average satisfaction score was 50.3 ± 5.10, ranging from 18 to 59 points. |
Higher satisfaction scores were observed among women who had prenatal intentions to breastfeed their child for more than eight weeks. |
11/11 |
| Lamontagne et al., 2009(21) |
Canada |
Longitudinal study of Quebec lactating women |
86 dyads |
Women who sought BF support services due to complications (n = 52) and women who did not have access to the service (n = 34) |
Satisfaction with BF (measured using a Likert-type scale), with responses ranging from 1 to 5. |
In the group that received support, 59.6% were very satisfied; 19.2% were satisfied; and 21.2% were dissatisfied or very dissatisfied. In the group that did not receive support, 44.1% were satisfied; 17.7% were satisfied; and 38.2% were dissatisfied or very dissatisfied. |
Women who received professional support had greater chances of satisfaction with BF (OR = 4.17; 95% CI = 1.31-13.22). |
11/11 |
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Characteristics of prevalence studies included in the review (n = 02)
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Study
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Country
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Data collection year
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Participants
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Focus/method
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Main results
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Associated factors
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JBI risk of bias
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| De Senna et al., 2020(18) |
Brazil |
2016 |
287 dyads |
Satisfaction with BF (measured by MBFES)/cross-sectional study nested within the cohort |
Satisfaction scores in the first month postpartum ranged from 63 to 145, with a median of 124 and a mean score of 120 ± 14. |
Women with brown (pardo) and black skin (PR 1.33; 95% CI 1.05; 1.69) and those who lived with a partner (PR 1.75; 95% CI 1.05; 2.94), with higher scores, women who planned to breastfeed for 12 months or more were more satisfied (PR 1.48, 95% CI 1.02;2.17) and women who did not report low milk supply or cracked nipples had greater satisfaction (PR 1.47; 95% CI 1.03; 2.10; and PR 1.29, 95% CI 1.01; 1.65, respectively). |
9/9 |
|
| Puapornpong et al.(25) |
Thailand |
2017 |
152 post-cesarean dyads who were instructed to breastfeed laterally (n = 76) or maintain a dorsal position – laid back (n = 76) |
Satisfaction measured using a Likert scale from 1 to 5/randomized clinical trial |
Satisfaction scores for women BF sideways were higher (4.0 ± 0.5) than scores for the laid-back group (3.8 ± 0.7) for comfort, ease of positioning, and use of the position for a long period of time. |
Positioning and comfort during BF contributed to satisfaction. |
12/13 (due to the nature of the intervention, it was not possible to blind participants) |
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Maternal satisfaction with breastfeeding: a systematic review with meta-analysis
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