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Mother's attitude to breastfeeding and its effect on oxytocin levels in mothers: a review article

  • Lalu Hamzi Fikri ,
  • Suryani As’ad ,
  • Mochammad Hatta ,
  • Saidah Syamsuddin ,
  • Hanung Prasetya ,
  • Martira Maddeppungeng ,
  • Aminuddin ,
  • Andi Alfian Zainuddin ,


Abstract

Link of Video Abstract: https://youtu.be/Rg5QfPqxtqA

Background. Breast emptying causes more milk to be released, which stimulates the production of breast milk. One of the crucial hormones that will rise with breastfeeding is oxytocin. This literature study aims to evaluate the mothers' attitudes toward giving breastfeeding and how it relates to the mother's oxytocin levels is reviewed in this study.

Methods. We used the phrases "mother's attitude," "breastfeeding," and "oxytocin level" in several databases, including PubMed (NIH), Scopus, EMBASE, and Google Scholar, as keywords for literature searching. Also manually searched were pertinent reference databases. This review article integrated any previously recognized relevant publications from the database, explained the findings in a narrative format, and offered a thorough evaluation and analysis of the literature findings.

Results. According to this study, oxytocin levels are linked to many mothers' attitudes toward nursing, most favorable. Several studies indicate that the oxytocin levels increase high empathy, reduce stress, reduce cortisol hormone, typical of bonding, and mother will feel confident.

Conclusion. The mother's mindset and the increase in oxytocin are related to breastfeeding.

Keywords: Breastfeeding Breastmilk Mother’s Attitude Oxytocin

References

  1. Borkhoff CM, Dai DWH, Jairam JA, Wong PD, Cox KA, Maguire JL, et al. Breastfeeding to 12 mo and beyond: nutrition outcomes at 3 to 5 y of age. Am J Clin Nutr. 2018;108(2):354-362.
  2. Hou L, Li X, Yan P, Li Y, Wu Y, Yang Q, et al. Impact of the Duration of Breastfeeding on the Intelligence of Children: A Systematic Review with Network Meta-Analysis. Breastfeed Med. 202;16(9):687-696.
  3. Beastfeeding. World Health Organization. 2023. [Available at: https://www.who.int/health-topics/breastfeeding#tab=tab_1] [Accessed on: 6th March 2023].
  4. Johnson DL, Swank PR, Howie VM, Baldwin CD, Owen M. Breast feeding and children's intelligence. Psychol Rep. 1996;79(3):1179-1185.
  5. Zong X, Wu H, Zhao M, Magnussen CG, Xi B. Global prevalence of WHO infant feeding practices in 57 LMICs in 2010-2018 and time trends since 2000 for 44 LMICs. EClinicalMedicine. 2021;37(1):100971.
  6. Gopalakrishna KP, Hand TW. Influence of Maternal Milk on the Neonatal Intestinal Microbiome. Nutrients. 2020;12(3):823.
  7. Fatimah, Massi MN, Febriani ADB, Hatta M, Karuniawati A, Rauf S, et al. The role of exclusive breastfeeding on sIgA and lactoferrin levels in toddlers suffering from Acute Respiratory Infection: A cross-sectional study. Ann Med Surg (Lond). 2022;77(1):103644.
  8. Fatimah, Massi MN, Febriani ADB, Hatta M, Permatasari TAE, Hidayati E, et al. Effect of breastfeeding on children's health and its relationship to NRAMP1 expression: A cross-sectional study. Ann Med Surg (Lond). 2021;71(1):103017.
  9. Isnaeni W, As’ad S, Hatta M, Syamsuddin S, Andiwijaya FR, Kadriyan H. OXTR Gene mRNA Expression is Correlated to Prosocial Behavior of Children in the Golden Generation Program of Nusa Tenggara Barat. Indonesia. Biomed J. 2022; 14(4): 421–428.
  10. Martin CR, Ling PR, Blackburn GL. Review of Infant Feeding: Key Features of Breast Milk and Infant Formula. Nutrients. 2016;8(5):279.
  11. Cascone D, Tomassoni D, Napolitano F, Di Giuseppe G. Evaluation of Knowledge, Attitudes, and Practices about Exclusive Breastfeeding among Women in Italy. Int J Environ Res Public Health. 2019;16(12):2118.
  12. Moher A, Liberati J, Tetzlaff DG, Altman, Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement, Int. J. Surg. 2010;1(1):336–341,
  13. Wojcicki JM, Gugig R, Tran C, Kathiravan S, Holbrook K, Heyman MB. Early exclusive breastfeeding and maternal attitudes towards infant feeding in a population of new mothers in San Francisco, California. Breastfeed Med. 2010;5(1):9-15.
  14. Stuebe AM, Bonuck K. What predicts intent to breastfeed exclusively? Breastfeeding knowledge, attitudes, and beliefs in a diverse urban population. Breastfeed Med. 2011;6(6):413-420.
  15. Hornsby PP, Gurka KK, Conaway MR, Kellams AL. Reasons for Early Cessation of Breastfeeding Among Women with Low Income. Breastfeed Med. 2019;14(6):375-381.
  16. Shohaimi NM, Mazelan M, Ramanathan K, Meor Hazizi MS, Leong YN, Cheong XB, et al. Intention and practice on breastfeeding among pregnant mothers in Malaysia and factors associated with practice of exclusive breastfeeding: A cohort study. PLoS ONE. 2022;17(1): e0262401.
  17. Uvnäs Moberg K, Ekström-Bergström A, Buckley S, Massarotti C, Pajalic Z, Luegmair K, et al. Maternal plasma levels of oxytocin during breastfeeding-A systematic review. PLoS One. 2020;15(8):e0235806.
  18. Babic A, Sasamoto N, Rosner BA, Tworoger SS, Jordan SJ, Risch HA, et al. Association Between Breastfeeding and Ovarian Cancer Risk. JAMA Oncol. 2020;6(6):e200421.
  19. Liu J, Leung P, Yang A. Breastfeeding and active bonding protects against children's internalizing behavior problems. Nutrients. 2013;6(1):76-89.
  20. Yasser Abulreesh R, Abdullah Alqahtani I, Yahya Alshehri Z, Ali Alsubaie M, Nasser Alburayh S, Mohammed Alzamil N, et al. Attitudes and Barriers to Breastfeeding among Mothers in Princess Nourah Bint Abdulrahman University, Riyadh, Kingdom of Saudi Arabia. Scientific World Journal. 2021;1(1):5585849.
  21. Aikawa T, Pavadhgul P, Chongsuwat R, Sawasdivorn S, Boonshuyar C. Maternal return to paid work and breastfeeding practices in Bangkok, Thailand. Asia Pac J Public Health. 2015;27(2):NP1253-1262.
  22. Topothai C, Topothai T, Suphanchaimat R, Waleewong O, Putthasri W, Patcharanarumol W, et al. Exclusive Breastfeeding Experiences of Thai Mothers in Metropolitan Bangkok. Int J Womens Health. 2022;14(1):155-166.
  23. Abdulahi M, Fretheim A, Argaw A, Magnus JH. Determinants of Knowledge and Attitude towards Breastfeeding in Rural Pregnant Women Using Validated Instruments in Ethiopia. Int J Environ Res Public Health. 2021;18(15):7930.
  24. Maud C, Ryan J, McIntosh JE, Olsson CA. The role of oxytocin receptor gene (OXTR) DNA methylation (DNAm) in human social and emotional functioning: a systematic narrative review. BMC Psychiatry. 2018;18(1):154.
  25. Deif R, Burch EM, Azar J, Yonis N, Abou Gabal M, El Kramani N, et al. Dysphoric Milk Ejection Reflex: The Psychoneurobiology of the Breastfeeding Experience. Front Glob Womens Health. 2021;2:669826.
  26. Shamay-Tsoory S, Young LJ. Understanding the Oxytocin System and Its Relevance to Psychiatry. Biol Psychiatry. 2016;79(3):150-152.
  27. Permatasari TAE, Syafruddin A. The relationship between oxytocin levels with empathy and breastfeeding intention in female medical students: A cross-sectional study. Ann Med Surg (Lond). 2022;81(1):104486.
  28. Krol KM, Grossmann T. Psychological effects of breastfeeding on children and mothers. Bundesgesundheitsbl. 2018;61(1):977–985.
  29. Whitley J, Wouk K, Bauer AE, Grewen K, Gottfredson NC, Meltzer-Brody S, et al. Oxytocin during breastfeeding and maternal mood symptoms. Psychoneuroendocrinology. 2020;113(1):104581.
  30. Buckley S, Uvnäs-Moberg K, Pajalic Z, Luegmair K, Ekström-Bergström A, Dencker A, et al. Maternal and newborn plasma oxytocin levels in response to maternal synthetic oxytocin administration during labour, birth and postpartum – a systematic review with implications for the function of the oxytocinergic system. BMC Pregnancy Childbirth. 2023;23(1):1-56.
  31. Abdoulahi M, Hemati Z, Mousavi Asl FS, Delaram M, Namnabati M. Association of Using Oxytocin during Labor and Breastfeeding Behaviors of Infants within Two Hours after Birth. Iranian Journal of Neonatology IJN. 2017;8(3):48-52.
  32. Fewtrell MS, Loh KL, Blake A, Ridout DA, Hawdon J. Randomised, double blind trial of oxytocin nasal spray in mothers expressing breast milk for preterm infants. Arch Dis Child Fetal Neonatal Ed. 2006;91(3):F169-174.
  33. Weaver JM, Schofield TJ, Papp LM. Breastfeeding duration predicts greater maternal sensitivity over the next decade. Dev Psychol. 2018;54(2):220-227.
  34. Feldman R, Weller A, Zagoory-Sharon O, Levine A. Evidence for a neuroendocrinological foundation of human affiliation: plasma oxytocin levels across pregnancy and the postpartum period predict mother-infant bonding. Psychol Sci. 2007;18(11):965-970.
  35. Else-Quest NM, Clark R, Owen MT. Stability in Mother-Child Interactions from Infancy through Adolescence. Parent Sci Pract. 2011;11(4):280-287.
  36. Triansyah A, Stang I, Indarty A, Tahir M, Sabir M, Nur R, et al. The effect of oxytocin massage and breast care on the increased production of breast milk of breastfeeding mothers in the working area of the public health center of Lawanga of Poso District. Gac Sanit. 2021;35(2):S168-S170.
  37. Hanafi MI, Hamid Shalaby SA, Falatah N, El-Ammari H. Impact of health education on knowledge of attitude to and practice of breastfeeding among women attending primary health care centres in Almadinah Almunawwarah, Kingdom of Saudi Arabia: Controlled pre–post study. Journal of Taibah University Medical Sciences. 2014;9(3):187–193.
  38. Draman N, Mohamad N, Yusoff HM, Muhamad R. The decision of breastfeeding practices among parents attending primary health care facilities in suburban Malaysia. J Taibah Univ Med Sci. 2017;12(5):412-417.
  39. Alnasser Y, Almasoud N, Aljohni D, Almisned R, Alsuwaine B, Alohali R, et al. Impact of attitude and knowledge on intention to breastfeed: Can mHealth based education influence decision to breastfeed exclusively? Ann Med Surg (Lond). 2018;35(1):6-12.
  40. Jackson KM, Nazar AM. Breastfeeding, the immune response, and long-term health. J Am Osteopath Assoc. 2006;106(4):203-207.
  41. Septianingrum Y, Hatmanti NM, Fitriasari A, Wijayanti L, Purwanti N. The Effectiveness of Hypnobreast feeding Massage on Anxiety and Breast Milk Production in Postpartum Mothers. Gaceta Médica De Caracas, 2022;130(1S), S299-S307.
  42. Yasser Abulreesh R, Abdullah Alqahtani I, Yahya Alshehri Z, Ali Alsubaie M, Nasser Alburayh S, Mohammed Alzamil N, et al. Attitudes and Barriers to Breastfeeding among Mothers in Princess Nourah Bint Abdulrahman University, Riyadh, Kingdom of Saudi Arabia. Sci World J. 2021;29(1):5585849.
  43. Ramzaa WIA, Sugumar M, Ahmad N, Lim PY. Factors associated with knowledge and attitude of breastfeeding among staff of Faculty of Medicine and Health Sciences, Universiti Putra Malaysia. Malaysian J Med Health Sci. 2019;15(SP3):51-57.
  44. Hamade H, Naja F, Keyrouz S, Hwalla N, Karam J, Al-Rustom L, et al. Breastfeeding knowledge, attitude, perceived behavior, and intention among female undergraduate university students in the Middle East: the case of Lebanon and Syria. Food Nutr Bull. 2014;35(2):179-190.
  45. Uvnäs-Moberg K, Prime DK. Oxytocin effects in mothers and infants during breastfeeding. Infant . 2013;9(1):201–206.
  46. Krol KM, Monakhov M, Lai PS, Ebstein RP, Heinrichs M, Grossmann T. Genetic Variation in the Maternal Oxytocin System Affects Cortisol Responsiveness to Breastfeeding in Infants and Mothers. Adaptive Human Behavior and Physiology. 2018;4(1):248–263.
  47. Nagahashi-Araki M, Tasaka M, Takamura T, Eto H, Sasaki N, Fujita W, et al. Endogenous oxytocin levels in extracted saliva elevates during breastfeeding correlated with lower postpartum anxiety in primiparous mothers. BMC Pregnancy Childbirth. 2022;22(1):711.
  48. Uvnäs-Moberg K, Ekström-Bergström A, Berg M, Buckley S, Pajalic Z, Hadjigeorgiou E, et al. Maternal plasma levels of oxytocin during physiological childbirth - a systematic review with implications for uterine contractions and central actions of oxytocin. BMC Pregnancy Childbirth. 2019;19(1):285.
  49. Olejnik A, Adamczewska A, Kossakowska, K. Factors affecting attitude towards breastfeeding in public: a cross-sectional web-based study on Polish women. J Public Health (Berl.) 2022;30(1):263–272.
  50. Čatipović M, Puharić Z, Puharić D, Čatipović P, Grgurić J. Behaviour, Attitudes and Knowledge of Healthcare Workers on Breastfeeding. Children (Basel). 2022;9(8):1173.
  51. Ghasemi V, Simbar M, Ghasemi E, Ebadi A, Kiani Z, Mahdizad Keyghobad F, et al. Predictor Factors of Breastfeeding Attitude in Iranian Breastfeeding Mothers: A Cross-Sectional Study. International Journal of Pediatrics. 2019;7(3):9103-9113.
  52. Figueiredo B, Canário C, Field T. Breastfeeding is negatively affected by prenatal depression and reduces postpartum depression. Psychol Med. 2014;44(5):927-936.
  53. Wiranata S, Adiputra PAT, Lestari AAW, Prabawa IPY, Supadmanaba IGP. Platelet Lymphocyte Ratio (PLR) Related with Clinicopathological Characteristics of Balinese Women Breast Cancer Patient. Annals of Oncology. 2019;30:vi144.
  54. Md Monoto EM, Hamzah Z, Mohamad Alwi NK, Abdul Wahab A. Breastfeeding Peer Counselor Program in Malaysia: Impact on Breastfeeding Duration and Exclusivity. Bali Medical Journal. 2020;9(3):876–883.
  55. Matsunaga M, Kikusui T, Mogi K, Nagasawa M, Ooyama R, Myowa M. Breastfeeding dynamically changes endogenous oxytocin levels and emotion recognition in mothers. Biol Lett. 2020;16(6):20200139.
  56. Yulyani L, Makiyah SNN, Sulistyaningsih S. Exclusive breastfeeding behavior of adolescent mothers: A qualitative study. Bali Medical Journal. 2021;10(3):1132–1137.
  57. Natalia MS, Yuliana W, Nulhakim B. The importance of husband support for breastfeeding during pandemic COVID-19. Bali Medical Journal. 2022;11(3):1354–1356.
  58. Quigley MA, Cumberland P, Cowden JM, Rodrigues LC .How protective is breast feeding against diarrhoeal disease in infants in 1990s England? A case-control study. Arch Dis Child 2006;91(1):245–250.

How to Cite

Fikri, L. H. ., Suryani As’ad, Mochammad Hatta, Saidah Syamsuddin, Hanung Prasetya, Martira Maddeppungeng, Aminuddin, & Andi Alfian Zainuddin. (2023). Mother’s attitude to breastfeeding and its effect on oxytocin levels in mothers: a review article. Bali Medical Journal, 12(2), 2330–2337. https://doi.org/10.15562/bmj.v12i2.4574
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Lalu Hamzi Fikri
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Suryani As’ad
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Mochammad Hatta
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Saidah Syamsuddin
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Hanung Prasetya
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Martira Maddeppungeng
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Aminuddin
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Andi Alfian Zainuddin
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