Breastfeeding Practice and Association between Characteristics and Experiences of Mothers Living in Bangkok

Topothai, Chompoonut; Topothai, Thitikorn; Suphanchaimat, Rapeepong; Patcharanarumol, Walaiporn; Putthasri, Weerasak; Hangchaowanich, Yupayong; Tangcharoensathien, Viroj

doi:10.3390/ijerph18157889

Cited by 11 publications

(14 citation statements)

References 28 publications

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“…[36][37][38][39] Therefore, empowering mothers to develop breastfeeding intentions and self-efficacy and equip them with necessary technical skills such as latching and the positioning of the baby are critical for successful EBF. 7,24,40 This study confirms the critical role of health professionals in providing support at all stages, from pregnancy to delivery and post-partum and beyond. Healthcare professionals should aim to strengthen mothers' intrinsic motivation towards EBF from early pregnancy onwards, while intrinsic motivation includes desire for self-control, concerns about baby's health and concerns about mother's health.…”

Section: Discussionsupporting

confidence: 73%

“…Evidence shows that poor-latching and insufficient breastmilk supplies are common reasons for EBF discontinuation. 23,25,40,42 Despite health professionals' critical roles, existing breastfeeding support for Thai mothers, particularly during the early post-partum period, is still inadequate and needs significant reform; 43,44 only 7.7% of infants in Thailand were put to the mother's breast after birth and only 34% were initially breastfed within an hour after birth in 2019. 6 Inadequate breastfeeding follow-up is a result of a shortage of lactation counselors and other competing responsibilities.…”

Section: Discussionmentioning

confidence: 99%

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Exclusive Breastfeeding Experiences of Thai Mothers in Metropolitan Bangkok

Topothai¹,

Topothai²,

Suphanchaimat³

et al. 2022

IJWH

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In 2019, only 14% of mothers in Thailand performed six-month exclusive breastfeeding. This study sought to understand the pathways that mothers in Bangkok Metropolitan took to achieve successful six-month exclusive breastfeeding. Methods: A total of 50 mothers living in Bangkok with children aged 6-12 months, who achieved and not achieved 6-month exclusive breastfeeding, were recruited for in-depth interviews during February to July 2020. Inductive thematic analysis of participants' viewpoints was applied for data analysis and interpretation. Results: Four themes that contributed to six-month exclusive breastfeeding were i) maternal breastfeeding self-efficacy; ii) support provided by family members; iii) engagement with and support from healthcare professionals; and iv) employers' support and workplace environments. Mothers with strong breastfeeding intentions and "perceived capability" to succeed at breastfeeding tended to prioritize breastfeeding and overcome and cope well with unforeseen breastfeeding challenges. Supportive family members, who were convinced of the benefits of breastfeeding, engaged in maternal decision-making, and provided optimal support, contributed to successful exclusive breastfeeding. Health professionals were key in supporting mothers throughout pregnancy until the postpartum period. Lactating-mother-friendly working conditions, flexible working hours and enabling workplace environments, including the provision of breastfeeding breaks and a dedicate space for breast milk expression, were enabling factors for successful exclusive breastfeeding among working mothers. Conclusion:We recommend that all mothers and their family members are fully informed and convinced of the benefit from breastfeeding and trained with practical skill during their visit to antenatal care clinics. These interventions aim to develop mothers' self-efficacy for breastfeeding and to prepare them to manage common breastfeeding challenges. Health professionals should provide regular follow-up and counseling sessions on breastfeeding practices to mothers and families throughout the lactating period, especially working mothers for breastfeeding continuation after resume to work. Enhanced societal collective actions such as breastfeeding-friendly policy in workplace, including breastfeeding break-time and corner, can create enabling environments for successful exclusive breastfeeding.

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Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Exclusive Breastfeeding Experiences of Thai Mothers in Metropolitan Bangkok

Topothai¹,

Topothai²,

Suphanchaimat³

et al. 2022

IJWH

Self Cite

View full text Add to dashboard Cite

show abstract

“…Mothers in the current study possess characteristics that can act as facilitators and also as barriers to breastfeedexclusively for six months.Research shows that younger and less educated mothers without prior breastfeeding experience are likely to experience barriers to breastfeed exclusively 24 . Returning to work and returning to school for a breastfeeding mothers are barriers to continuation of exclusive breastfeeding and these two factors can also lead to early weaning 25,26 .…”

Section: Discussionmentioning

confidence: 99%

“They shouted at me to discontinue exclusive breastfeeding”: narratives of mothers in Limpopo Province of South Africa as they grabble with exclusive breastfeeding

Maponya

Matlala

2022

Bangladesh J Med Sci

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Objective: Exclusive breastfeeding for the first six months of an infant’s life is an internationally recognised practice that promotes maternal and child health. Mothers and their infants reap health and socioeconomic benefits from exclusive breastfeeding. Even with these benefits, exclusive breastfeeding is still a challenge for some mothers to practice. Many studies revealed numerous challenges and enablers, and proposed comprehensive solutions, but implementation of exclusive breastfeeding for six months remains a challenge although there is some improvement. This study therefore explored barriers and facilitators to practice exclusive breastfeeding for the first six months of the infant’s life among mothers attending a health centre in Limpopo Province of South Africa, to contribute to the ongoing measures to increase the practice. Materials and methods: Mothers were selected through purposive sampling and semi-structured interviews were held with those willing to participate until saturation of data was reached. Interviews were audio-recorded, transcribed verbatim and analysed using a thematic analysis approach. Ethical issues of consent, permission and confidentiality were respected as well as trustworthiness criteria. Results and Discussion: Nine mothers narrated their experiences as they navigated through the exclusive breastfeeding practice. Education on exclusive breastfeeding and social support to a breastfeeding mother emerged as both barriers and facilitators to practice exclusive breastfeeding for six months. Conclusion: The study recommends that vigorous education on exclusive breastfeeding for six months be given to mothers during antenatal care and be extended to include relatives to empower them to support a breastfeeding mother. Bangladesh Journal of Medical Science Vol. 21 No. 04 October’22 Page : 813-819

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“…The World Health Organization (WHO) and United Nations International Children's Emergency Fund (UNICEF) recommend exclusive breastfeeding until 6 months old, with continued breastfeeding to 2 years old or beyond (1). Nevertheless, breastfeeding duration in China is still far below the global nutrition targets (2). Several studies have reported that maternal antenatal intention to breastfeed is a strong predictor of actual duration of breastfeeding (3).…”

Section: What Are the Implications For Public Health Practice?mentioning

confidence: 99%

“…Nevertheless, breastfeeding duration in China is still far below the global nutrition targets ( 2 ). Several studies have reported that maternal antenatal intention to breastfeed is a strong predictor of actual duration of breastfeeding ( 3 ). Maternal postpartum intention could be much more associated with actual breastfeeding duration because of shorter time intervals and fewer impeding factors present during pregnancy, compared to maternal antenatal intention.…”

mentioning

confidence: 99%