Assessing the Knowledge, Attitudes, Behaviors and Training Needs Related to Infant Feeding, Specifically Breastfeeding, of Child Care Providers

Clark, Alena; Anderson, Jennifer; Adams, Elizabeth; Baker, Susan

doi:10.1007/s10995-007-0221-4

Cited by 32 publications

(35 citation statements)

References 22 publications

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“…Our findings were consistent with other studies outcomes in the literature [27, 28, 30]. Batan et al [27] also found that good support from childcare providers at three months may help mothers to prolong breastfeeding up to six months.…”

Section: Discussionsupporting

confidence: 93%

Childcare workers’ experiences of supporting exclusive breastfeeding in Kuala Muda District, Malaysia: a qualitative study

2016

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BackgroundThe role of childcare workers at registered nurseries in supporting exclusive breastfeeding practice is important, as many newborn babies are placed in nurseries during working hours. To increase exclusive breastfeeding rates among working mothers, understanding childcare workers’ experiences and needs relating to supporting these mothers is crucial. This study aimed to explore childcare workers’ experiences of supporting breastfeeding at registered nurseries.MethodsWe used a qualitative design to conduct in-depth, semi-structured interviews with ten childcare workers at seven registered nursery centres in Kuala Muda District, Malaysia. Attitudes towards exclusive breastfeeding practice, experiences of breastfeeding training and information, and experiences supporting exclusive breastfeeding at the nursery were explored. Participants were asked to suggest improvements for exclusive breastfeeding practice at their nursery. All interviews were audio recorded, transcribed verbatim, and translated before analysis.ResultsAll participants demonstrated a positive attitude in supporting and promoting exclusive breastfeeding practice, mainly centred on the advantages of breastfeeding. Various supports have been found such as labelling bottled breastmilk, allowing the mother to come to the nursery during breaks, and providing reading materials. However, several issues emerged that include parents’ choice on infant feeding practice, insufficient content on breastfeeding topics during training, and adherence to the (not recommended) practice of bottle feeding expressed breastmilk. Recommendations to enhance breastfeeding were also suggested by participants.ConclusionChildcare workers may serve as another potential resource for sustaining exclusive breastfeeding at registered nurseries.Electronic supplementary materialThe online version of this article (doi:10.1186/s13006-016-0095-4) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 93%

Childcare workers’ experiences of supporting exclusive breastfeeding in Kuala Muda District, Malaysia: a qualitative study

2016

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“…Previous research highlights the need for provider training. Clark et al17 found that providers need not only information on best practice but also training on how and why to comply with the standard.…”

Section: Discussionmentioning

confidence: 99%

State and Regional Variation in Regulations Related to Feeding Infants in Child Care

Benjamin¹,

Taveras²,

Cradock³

et al. 2009

Pediatrics

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OBJECTIVE-The purpose of this study was to compare state and regional variation in infant feeding regulations for child care facilities and to compare these regulations to national standards.METHODS-We reviewed regulations for child care for all US states and Washington, DC, and examined patterns according to type of facility and geographic region. We compared state regulations with national standards for feeding infants in child care. The standards included were: (1) infants are fed according to a feeding plan from a parent or physician; (2) breastfeeding is supported by the child care facility; (3) no solid food is given before 6 months of age; (4) infants are fed on demand; (5) infants are fed by a consistent caregiver; (6) infants are held while feeding; (7) infants cannot carry or sleep with a bottle; (8) caregivers cannot feed >1 infant at a time; (9) no cow's milk is given to children <12 months of age; (10) whole cow's milk is required for children 12 to 24 months of age; and (11) no solid food is fed in a bottle. RESULTS-The mean number of regulations for states was 2.8 (SD: 1.6) for centers and 2.0 (SD: 1.3) for family child care homes. No state had regulations for all 11 standards for centers; only Delaware had regulations for 10 of the 11 standards. For family child care homes, Ohio had regulations for 5 of the 11 standards, the most of any state. States in the South had the greatest mean number of regulations for centers (3.3) and family child care homes (2.2), and the West had the fewest (2.3 and 1.9, respectively).CONCLUSIONS-Many states lacked infant feeding regulations. Encouraging states to meet best-practice national standards helps ensure that all child care facilities engage in appropriate and healthful infant feeding practices.Address correspondence to Sara E. Benjamin, PhD, MPH, RD, Harvard Medical School and Harvard Pilgrim Health Care, Department of Ambulatory Care and Prevention, Obesity Prevention Program, Boston, MA 02215. sara_benjamin@harvardpilgrim.org. FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose. NIH Public Access Author ManuscriptPediatrics. Author manuscript; available in PMC 2011 March 8. In recent decades, greater numbers of parents have turned to organized child care to help care for their infants. In the United States, nearly two thirds of infants are cared for routinely by someone other than a parent. About half of these infants attend child care centers, whereas the other half spend time in a variety of home-based settings including licensed family child care homes or the home of a family member, friend, or neighbor. 1 Recent studies revealed that nonparental home-based child care may negatively affect children's health. Kim and Peterson 2 examined child care during the first 9 months of life and found that infants who were cared for by a relative were less likely to have been breastfed and more likely to be given solid foods too early compared with infants cared for by a parent. The aut...

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“…7 The likelihood of continuing breastfeeding is further reduced by the finding that childcare providers have inadequate knowledge of breastfeeding and other up-to-date recommendations for feeding infants. 8 Although many government entities have policies related to breastfeeding in childcare settings, there are limited data available on the breastfeeding knowledge, attitudes, and practices within childcare centers. Therefore, it is especially interesting to find two studies that gathered similar data.…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding Support in Child Care: An International Comparison of Findings from Australia and the United States

Cameron

Javanparast

Labbok

et al. 2012

Breastfeeding Medicine

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Childcare practices may reflect the environment of support, or lack thereof, for breastfeeding in the society as a whole. The similarities and differences seen in these settings may reflect both official guidance as well as the breastfeeding environment. There is much work to be done in the United States to come up to the same level of support for breastfeeding in child care and in other programs as is seen in Australia.

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Assessing the Knowledge, Attitudes, Behaviors and Training Needs Related to Infant Feeding, Specifically Breastfeeding, of Child Care Providers

Cited by 32 publications

References 22 publications

Childcare workers’ experiences of supporting exclusive breastfeeding in Kuala Muda District, Malaysia: a qualitative study

Childcare workers’ experiences of supporting exclusive breastfeeding in Kuala Muda District, Malaysia: a qualitative study

State and Regional Variation in Regulations Related to Feeding Infants in Child Care

Breastfeeding Support in Child Care: An International Comparison of Findings from Australia and the United States

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