Factors that influence women’s engagement with breastfeeding support: a qualitative evidence synthesis (original) (raw)
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Women’s Perceptions and Experiences of Breastfeeding Support: A Metasynthesis
Birth, 2011
Background: Both peer and professional support have been identified as important to the success of breastfeeding. The aim of this metasynthesis was to examine women's perceptions and experiences of breastfeeding support, either professional or peer, in order to illuminate the components of support that they deem 'supportive'.
Journal of Advanced Nursing, 2020
Aim: To report a pilot study protocol to assess the feasibility of a complex intervention, in the primary healthcare context, to support women and their families in breastfeeding. Design: A pilot/feasibility trial with control and intervention groups. Methods: The study will be conducted in two primary healthcare centres with 40 childbearing women (20 control group; 20 intervention group), with their partner/ meaningful person and their respective healthcare professionals. Intervention group participants will receive the intervention: (a) in a breastfeeding workshop during their third trimester of pregnancy; and (b) via virtual breastfeeding support for six months postpartum. Health professionals will be trained to deliver the intervention. The control group will receive standard care in the outpatient clinic. The pilot will help determine the intervention's feasibility. Data collected pre-intervention, 10-days postpartum and two-, four-, and six-months postpartum will provide estimates of the intervention's preliminary effects on self-efficacy and main outcomes. Research Ethics Committee approval was obtained in April 2019. Discussion: Breastfeeding support is a complex reality influenced by multiple factors. Therefore, approaches to breastfeeding are also, requiring interventions that address its multidimensional nature, including all actors involved. The proposed intervention will be applied by an interdisciplinary professional health team, allowing for its incorporation into standard practice and its perpetual maintenance. Impact: The study will produce an original, comprehensive, complex intervention addressing contextual, and organizational factors to promote breastfeeding support using an interdisciplinary and family-based approach; breastfeeding self-efficacy is the core concept. The program evaluation and feasibility study will permit exploration of the integration of the intervention's novel aspects into the daily work of professionals and reveal how to better use existing resources in a full-scale clinical trial.
Breastfeeding promotion and support: a quality improvement study
PubMed, 2021
Background: Breastfeeding success is determined by early skin to skin contact, early initiation of breastfeeding, rooming-in, baby-led breastfeeding, creation of a favorable environment, specific training of health professionals, and continuity of care. Objective: To investigate the women's satisfaction regarding the care and support received in the first days after childbirth. Material and methods: A questionnaire of 24 items was administered to mothers before discharge, from May to September 2019 at the University Hospital of Modena. Results: The predictive variables of exclusive breastfeeding were the delivery mode, age at birth and parity. The multivariate analysis showed that a high satisfaction score was associated with vaginal birth (OR=2.63, p=0.005), rooming-in during the hospitalization (OR=8.64, p<0.001), the skin to skin contact (OR=6.61, p=0.001) and the first latch-on within 1 hour after birth (OR=3.00, p=0.02). Conclusions: Mothers' satisfaction is one of the important factors of positive experience during hospital stay and of better health outcomes.
Supporting breastfeeding mothers: qualitative synthesis
Journal of Advanced Nursing, 2008
Title. Supporting breastfeeding mothers: qualitative synthesis. Aim. This paper is a report of a synthesis of mothers' and healthcare professionals' experiences and perceptions of breastfeeding support. Background. Despite increasing knowledge, breastfeeding rates remain relatively static and mothers continue to report dissatisfaction with their experiences of breastfeeding. Greater understanding of breastfeeding may be achieved through rigorous qualitative research, and there has been a recent increase in such studies. Data sources. Electronic databases and citation lists of published papers were searched for articles listed between 1990 and 2005 and updated in May 2007. Studies were included if they used qualitative methods, were published in English, explored an aspect of breastfeeding and were based in a westernized country. Review methods. Papers were included if they reported studies using qualitative methods to explore breastfeeding and were published in English and based in a westernized country. Each study was reviewed and assessed independently, key themes extracted and grouped, and secondary thematic analysis used to explore key concepts.
Types and timing of breastfeeding support and its impact on mothers' behaviours
Journal of Paediatrics and Child Health, 2010
To determine the types and timing of breastfeeding support for mothers of newborn babies and the extent to which this affects breastfeeding intentions and behaviours in a region with low rates of breastfeeding initiation and duration. Methods: A cross-sectional study by interviewer-administrated questionnaire was undertaken of women birthing at a large teaching hospital in South Western Sydney, between August and October 2006 (n = 164), with a 2-week follow-up of breastfeeding or breastfeeding-intending women (n = 107). Types, timing and satisfaction with personal and professional sources of support (e.g. antenatal classes, help at birth, practical lessons on how to breastfeed, providing information, and attitude towards breastfeeding) and the impact of these on breastfeeding intention and behaviours were assessed. Results: Most women had intended to breastfeed (76.2%), and, within the first 24 hours, 77.4% of babies were breastfed to some extent (45.1% exclusively), and at 2 weeks 65.9% were breastfed (9.7% exclusively). Women felt most supported by their partners and least supported by their health-care team. Antenatal classes, breastfeeding help within half an hour of birth and positive health-care team attitudes were related to improved breastfeeding intentions and behaviours. However, these supports were infrequently reported. Personal support was commonly reported although support delivered by professionals was related to better breastfeeding behaviours. Conclusion: Despite the effectiveness of professional support interventions, particularly those delivered in the antenatal and immediate post-natal period, access to these sources of support was very low. For breastfeeding outcomes to be improved, effective professional support strategies need to be much more widely available.
What Information, Advice, and Support Do Women Want With Breastfeeding?
Birth, 2005
Breastfeeding conveys many benefits, but women often encounter difficulties in the first few weeks. The objective of this study was to examine women&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s perspectives on the information, advice, and support they receive with breastfeeding. A qualitative analysis was conducted of women&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s responses to open questions about their experiences of breastfeeding support. Participants were recruited as part of a randomized controlled trial of additional support from volunteer breastfeeding counselors, and they completed questionnaires when their babies were 6 weeks old. Of the 720 women recruited to the trial, 654 began breastfeeding and completed postnatal questionnaires; 492 (75%) participants were first-time mothers and 200 (31%) were of minority ethnic origin. At 6 weeks, 249 (38%) women were exclusively breastfeeding, 183 (28%) were both breastfeeding and bottle-feeding, whereas 222 (34%) were exclusively bottle-feeding. Although many women commented positively on their experiences, others thought they did not receive the information and support they needed. Thematic analysis of women&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s responses to open questions identified five components of the support that women wanted: information about breastfeeding and what to expect, practical help with positioning the baby to breastfeed, effective advice and suggestions, acknowledgment of mothers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; experiences and feelings, and reassurance and encouragement. Maternity services should address the components identified by the study findings as constituting good breastfeeding support. Guidance and information for family members and training for those involved in peer or professional initiatives should take into account women&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s views on what support they want, together with when and how they want it provided.
“The kind of support that matters to exclusive breastfeeding” a qualitative study
2020
Background Worldwide, only 41% of infants are exclusively breastfed for the first six months while South Africa has an alarming figure of only 12%. First-time mothers are inexperienced in the initiation and maintenance of exclusive breastfeeding, hence a need for support. Data on forms and quality of exclusive breastfeeding support as experienced by first-time mothers is minimal. The study explored the exclusive breastfeeding support available to the first time mothers in the Buffalo City Metro, South Africa. Methods A qualitative explorative, descriptive and contextual study, and a non-probability, purposive sampling was used with 10 first-time mothers within the first six months postpartum. The in-depth face-to-face semi-structured individual interviews for data collection and Creswell’s steps of thematic analysis was used. Results Two themes emerged; challenges, empowerment, support and resilience during initiation of exclusive breastfeeding, and diverse support and resilience du...