Evidence Summary for Breastfeeding in Postpartum Women with Hypertensive Disorders of Pregnancy

Authors

  • Jingjing Nie
  • Feng Luo
  • Ruohan Li
  • Qian Huang
  • Juan Liu
  • Lifei Xu
  • Rui Jiang

DOI:

https://doi.org/10.54097/3908bd85

Keywords:

Hypertensive Disorders of Pregnancy, Breastfeeding, Postpartum, Evidence Summary, Obstetric Nursing

Abstract

To systematically retrieve, extract, and synthesize the best available evidence on breastfeeding in the postpartum period for women with hypertensive disorders of pregnancy (HDP), and to provide an evidence-based foundation for clinical decision-making and interventions regarding postpartum breastfeeding in HDP patients. Based on the “6S” evidence model, a systematic search was conducted across domestic and international computerized decision support systems, guideline websites, databases, and professional association websites for evidence related to postpartum breastfeeding in HDP patients, including guidelines, evidence summaries, clinical decisions, expert consensus, and systematic reviews. The search period spanned from the inception of the databases to March 2025. A total of 12 articles were included, comprising 5 guidelines, 1 meta-analysis, 1 evidence summary, 3 randomized controlled trials, and 2 quasi-experimental studies. Through discussion among the two researchers, 19 relevant pieces of evidence were synthesized across six aspects: breastfeeding practices, recommendations for postpartum medication use, postpartum follow-up and screening, labor and delivery care, lifestyle interventions, and postpartum monitoring. This study provides a comprehensive summary of the best available evidence on postpartum breastfeeding for HDP patients, offering an evidence-based foundation for targeted clinical application.

Downloads

Download data is not yet available.

References

[1] Yang Tian, Yao Qiang. Interpretation of the Key Points of the Society of Obstetricians and Gynecologists of Canada Clinical Practice Guideline No. 426 (2022): Diagnosis, Prediction, Prevention, and Management of Hypertensive Disorders of Pregnancy [J]. Chinese Journal of Family Planning and Gynecology, 2023, 15(6): 3-5.

[2] Xia Jiaai, Lü Wenhua, Shan Yan, et al. A Qualitative Study on the Early Breastfeeding Experience of Parturients with Hypertensive Disorders of Pregnancy [J]. Chinese Journal of Nursing, 2023, 58(11): 1298-1303.

[3] Wang Huilin, Peng Zhiwei, Zhu Xianqin. Influence of Inflammation-Related Indicators in Pregnant Women with Hypertensive Disorders of Pregnancy on Delivery Outcomes [J]. Laboratory Medicine and Clinic, 2023, 20(19): 2893-2896.

[4] Wang Yanfei, Ni Yali. Short-Term and Long-Term Safety of Offspring of Pregnant Women with Hypertensive Disorders of Pregnancy [J]. Journal of Practical Obstetrics and Gynecology, 2024, 40(1): 4-6.

[5] Rosenberg E A, Seely E W. Update on Preeclampsia and Hypertensive Disorders of Pregnancy [J]. Endocrinol Metab Clin North Am, 2024, 53(3): 377-389.

[6] Zhao Xuefeng, Yang Wanjie. Research Progress on Severe Complications of Hypertensive Disorders of Pregnancy [J]. Medical Recapitulate, 2015, 21(12): 2209-2211.

[7] Wilkerson R G, Ogunbodede A C. Hypertensive Disorders of Pregnancy [J]. Emerg Med Clin North Am,2019, 37(2): 301-316.

[8] Magee L A, Pels A, Helewa M, et al. Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy: Executive Summary [J]. J Obstet Gynaecol Can, 2014, 36(5): 416-441.

[9] Antza C, Stabouli S, Kotsis V. Practical Guide for the Management of Hypertensive Disorders during Pregnancy [J]. J Hypertens, 2022, 40(7): 1257-1264.

[10] Wiciński M, Sawicka E, Gębalski J, et al. Human Milk Oligosaccharides: Health Benefits, Potential Applications in Infant Formulas, and Pharmacology [J]. Nutrients, 2020, 12(1).

[11] Li Xiaoxiao, Luo Huipan, Lan Yanping, et al. Research Progress on Nutritional Components and Immunomodulatory Factors of Human Milk [J]. Chinese Journal of Child Health Care, 2023, 31(10): 1106-1110.

[12] Pathirana M M, Andraweera P H, Aldridge E, et al. The Association of Breastfeeding for at Least Six Months with Hemodynamic and Metabolic Health of Women and Their Children Aged Three Years: An Observational Cohort Study [J]. International Breastfeeding Journal, 2023, 18(1): 1-12.

[13] Pu Congshan, Xia Jiaai, Wang Chunhua, et al. Status and Influencing Factors of Coping Difficulties in Postpartum Women with Hypertensive Disorders of Pregnancy after Discharge [J]. Chinese Journal of Nursing, 2023, 58(22): 2754-2760.

[14] Gao Zhimin, Zhang Weiyue, Chen Lifang, et al. Influence of Hypertensive Disorders of Pregnancy on Maternal Pregnancy Outcomes and Feeding Patterns [J]. Chinese Journal of Maternal and Child Health Research, 2021, 32(5): 758-762.

[15] Xiao Yuanyuan. Analysis of the Influence of Psychological Nursing Clinical Pathway on the Psychological State, Complications, and Breastfeeding Situation of Patients with Pregnancy-Induced Hypertension Syndrome [J]. Laboratory Medicine and Clinical, 2020, 17(7): 926-929.

[16] O'Kelly A C, Michos E D, Shufelt C L, et al. Pregnancy and Reproductive Risk Factors for Cardiovascular Disease in Women [J]. Circ Res, 2022, 130(4): 652-672.

[17] Ghelfi A M, Ferretti M V, Staffieri G J. Pharmacological Treatment of Non-Severe Hypertension during Pregnancy, Postpartum and Breastfeeding [J]. HIPERTENSION Y RIESGO VASCULAR, 2021, 38(3): 133-147

[18] van Baar P M, Bij D W J, Ten H E, et al. Hypertensive Disorders of Pregnancy after Multifetal Pregnancy Reduction: A Systematic Review and Meta-Analysis [J]. Hypertens Pregnancy, 2023, 42(1): 2225597.

[19] Peng Yufang, Wang Xiaoli, Gong Xuefen. Analysis of Influencing Factors of Adverse Pregnancy Outcomes in Elderly Pregnant Women with Hypertensive Disorders of Pregnancy [J]. South China Journal of Preventive Medicine, 2024, 50(6): 544-547.

[20] Thombre K M, Holzman C, Wasilevich E, et al. Pregnancy Hypertension and Its Associations with Pre-Pregnancy Depression, Anxiety, Antidepressants, and Anxiolytics [J]. Pregnancy Hypertens, 2019, 16: 67-74.

[21] Park S, Choi N K. Breastfeeding and Maternal Hypertension [J]. Am J Hypertens, 2018, 31(5): 615-621.

[22] Zhang Guifeng. Influence of Health Education Based on Behavior Change Model on Disease Cognition, Treatment Compliance, and Pregnancy Outcomes in Patients with Hypertensive Disorders of Pregnancy [J]. Chinese Journal of Maternal and Child Health Care, 2023, 38(15): 2876-2880.

[23] Xie Xiaoxia, Liu Chunfeng, Xiao Yuhong. Analysis of the Current Situation and Influencing Factors of Breastfeeding during Hospitalization of Mothers with Previous Failed Exclusive Breastfeeding [J]. Smart Healthcare, 2022, 8(10): 189-192.

[24] Countouris M E, Schwarz E B, Rossiter B C, et al. Effects of Lactation on Postpartum Blood Pressure among Women with Gestational Hypertension and Preeclampsia [J]. Am J Obstet Gynecol, 2016, 215(2): 241.

[25] Bonifacino E, Schwartz E B, Jun H, et al. Effect of Lactation on Maternal Hypertension: A Systematic Review [J]. Breastfeed Med, 2018, 13(9): 578-588.

[26] Huang Ling. Influence of Whole Course Nursing under Crisis Awareness on Delivery Outcomes and Lactation Function of Parturients with Hypertensive Disorders of Pregnancy [J]. The Medical Forum, 2023, 27(35): 78-80.

[27] Shi Shumin. Application Value of Psychological Nursing in Patients with Hypertensive Disorders of Pregnancy [J]. Chinese Community Doctors, 2023, 39(18): 133-135.

[28] Zhu Zheng, Hu Yan, Xing Weijie, et al. Composition of Different Types of Evidence-Based Questions [J]. Journal of Nurses Training, 2017, 32(21): 1991-1994.

[29] Dicenso A, Bayley L, Haynes R B. Accessing Pre-Appraised Evidence: Fine-Tuning the 5S Model into a 6S Model [J]. Evid Based Nurs, 2009, 12(4): 99-101.

[30] Brouwers M C, Kerkvliet K, Spithoff K. The AGREE Reporting Checklist: A Tool to Improve Reporting of Clinical Practice Guidelines [J]. BMJ, 2016, 352: i1152.

[31] Zhu Zheng, Hu Yan, Zhou Yingfeng, et al. Promoting Evidence Translation into Clinical Practice (V) Literature Quality Evaluation in Evidence-Based Clinical Translation Research [J]. Journal of Nurses Training, 2020, 35(11): 996-1000.

[32] Hu Yan. Evidence-Based Nursing [M]. People's Health Publishing House, 2012.

[33] Wei Dang, Wang Congyao, Xiao Xiaojuan, et al. Example Interpretation of the Guideline Research and Evaluation (AGREEⅡ) Tool [J]. Chinese Journal of Evidence-Based Pediatrics, 2013, 8(4): 316-319.

[34] Hypertension in Pregnancy Guideline [M]. Society of Obstetric Medicine of Australia and New Zealand, 2023.

[35] Breastfeeding - Promoting and Supporting the Initiation, Exclusivity, and Continuation of Breastfeeding in Newborns, Infants and Young Children [M]. Registered Nurses' Association of Ontario, 2018.

[36] Hypertension in pregnancy: diagnosis and management [M]. National Institute For Health and Care Excellence, 2023.

[37] Magee L A, Brown M A, Hall D R, et al. The 2021 International Society for the Study of Hypertension in Pregnancy Classification, Diagnosis & Management Recommendations for International Practice [J]. Pregnancy Hypertens, 2022, 27: 148-169.

[38] Pregnancy, Childbirth, Postpartum and Newborn Care: A Guide for Essential Practice [M]. Geneva: World Health Organization, 2015.

[39] Qu G, Wang L, Tang X, et al. Association Between Duration of Breastfeeding and Maternal Hypertension: A Systematic Review and Meta-Analysis [J]. Breastfeed Med, 2018, 13(5): 318-326.

[40] Sokou R, Parastatidou S, Iliodromiti Z, et al. Knowledge Gaps and Current Evidence Regarding Breastfeeding Issues in Mothers with Chronic Diseases [J]. Nutrients, 2023, 15(13).

[41] Wang Bin. Influence of Psychological Nursing Clinical Pathway on Psychological State and Breastfeeding Situation of Patients with Pregnancy-Induced Hypertension Syndrome [J]. Chinese and Foreign Women's Health Research, 2023(9): 123-125.

[42] Wu Lifen, Li Hongqin. Influence of Whole Course Maternal-Infant Continuous Care Model on Postpartum Recovery and Breastfeeding Efficiency of Parturients with Hypertensive Disorders of Pregnancy [J]. Heilongjiang Journal of Traditional Chinese Medicine, 2023, 52(4): 152-154.

[43] Gracia P V, Ramirez R, Durán Y, et al. Magnesium Sulfate for 6 vs 24 Hours Post Delivery in Patients Who Received Magnesium Sulfate for Less Than 8 Hours Before Birth: A Randomized Clinical Trial [J]. BMC Pregnancy & Childbirth, 2017, 17: 1-6.

[44] Sun Qi. Analysis and Research on the Influence of Detailed Nursing Intervention on Breastfeeding Cognition of Parturients with Pregnancy Complications [J]. Chinese and Foreign Women's Health Research, 2020(21): 89-90.

[45] Xiao Yuanyuan. Analysis of the Influence of Psychological Nursing Clinical Pathway on the Psychological State, Complications, and Breastfeeding Situation of Patients with Pregnancy-Induced Hypertension Syndrome [J]. Laboratory Medicine and Clinical, 2020, 17(7): 926-929.

Downloads

Published

27-01-2026

Issue

Section

Articles

How to Cite

Nie, J., Luo, F., Li , R., Huang, Q., Liu, J., Xu, L., & Jiang, R. (2026). Evidence Summary for Breastfeeding in Postpartum Women with Hypertensive Disorders of Pregnancy. International Journal of Biology and Life Sciences, 13(1), 53-58. https://doi.org/10.54097/3908bd85