Maternal satisfaction with breastfeeding: a systematic review with meta-analysis.

OBJECTIVES: to estimate the combined prevalence of maternal satisfaction with breastfeeding and associated factors. METHODS: a systematic prevalence review, according to the PRISMA and JBI protocols. Searches were conducted in PubMed/MEDLINE, LILACS, Scopus, Embase, Web of Science, and CINAHL, using the "Breastfeeding" and "Personal Satisfaction" descriptors. Data were extracted, tabulated, and presented in a meta-synthesis, applying meta-analysis to quantitative data. RESULTS: twelve studies published between 2003 and 2024 were included. The results indicated moderate maternal satisfaction with breastfeeding. Higher scores were observed in conditions favorable to breastfeeding and when breastfeeding was longer, and lower scores were observed in cases of early weaning, unmet expectations and intentions regarding breastfeeding, as well as complications in the process. Professional support contributed to satisfaction. CONCLUSIONS: factors that influence satisfaction with breastfeeding were revealed. However, the subjectivity of the concept and the multiplicity of measurement instruments may have contributed to the studies' high heterogeneity.