RNSystematic ReviewJournal of obstetric, gynecologic, and neonatal nursing : JOGNN2023

Integrative Review of Mental Health and Feeding Styles in Parents of Bottle-Fed Infants.

Taylor B Nelson, Courtney E Caiola, Deborah E Tyndall

PMID 36442519

WHAT IT FOUND

Evidence is inconclusive.

Depression symptoms in parents of bottle-fed infants may be associated with less responsive feeding. Anxiety was examined in only one study and did not predict feeding style.

Key findings

01The only included study that measured anxiety symptoms did not find that anxiety predicted responsive or non-responsive feeding practices.

02Two studies reported that parents with more depressive symptoms were more likely to put infants to bed with a bottle, and three studies reported that mothers with more depressive symptoms were more likely to add cereal to bottles.

03When both parents had depressive symptoms, the link to putting infants to bed with a bottle did not remain statistically significant after other factors were considered.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The review included only six studies, so it cannot be treated as strong evidence. The included studies were descriptive and correlational, and four were secondary analyses, so they show association, not cause. Feeding styles were often measured as practices such as adding cereal to bottles rather than with validated feeding-style tools. Only the study by Hellin and Waller measured anxiety, and it did not find that anxiety predicted feeding practices. Only Paulson et al. included fathers, and the bottle-to-bed item was collected from the mother's interview, so the parent performing the behavior is unclear. The review changed from formula-fed to bottle-fed infants because many studies did not specify whether bottles contained formula or expressed breastmilk. The search used four databases and did not include grey literature, so relevant studies may have been missed.

Declared interests

The authors report no conflicts of interest or relevant financial relationships.

The easy way to misread this

Do not conclude that treating parental depression will improve infant feeding or reduce obesity. The review only suggests possible associations from six mostly cross-sectional studies, and many feeding style measures were not validated.

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