Caring during breastfeeding: Perceptions of mothers and health professionals

Abstract

Purpose. To know the perceptions of mothers and health professionals in relation to the care provided and received during breastfeeding at primary health care level.Methods. A qualitative exploratory study was conducted with breastfeeding mothers (10) and primary health care professionals (24). Data was gathered through indepth interviews and focus groups. Data analysis was performed through thematic content analysis. The rigor of the study was ensured by the Guba and Lincoln criteria for qualitative research. Ethical aspects were addressed through the informed consent process, confidentiality, and methodological rigor.Results. The experience of providing/receiving breastfeeding support was revealed as a dynamic, multidimensional care and support process, through three central themes: 1. Influence of previous care and support experiences during the breastfeeding process; 2. Importance of the context within which care is framed; and 3. Addressing emotions to establish trust between professionals and mothers.Conclusion. The study findings contribute to further understanding a complex phenomenon, such as breastfeeding support and care for mothers/families, from the experience of the actors involved, deepening the experiences of both in integrated manner. In addition, the relational, organizational, and contextual dimensions that influence support, and that should guide care, are also highlighted.Descriptors: breastfeeding; mothers; primary care nursing; qualitative research.How to cite this article: Lucchini-Raies C, Márquez-Doren F, Garay Unjidos N, Contreras J, Jara D, Calabacero C, et al., Care during Breastfeeding: Perceptions of Mothers and Health Professionals. Invest. Educ. Enferm. 2019; 37(2):e09ReferencesWorld Health Organisation. Infant and young child feeding [Internet]. 2017; (cited 03 May 2019):23–5. Available from: http://www.who.int/mediacentre/factsheets/fs342/en/ Rosso F, Skarmeta N, Sade A. 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Preocupaciones Y Cambio Social Durante La Pandemia De Coronavirus en Colombia

“…Entre las principales preocupaciones que surgen en estas personas en relación con Covid-19 se identificó que 257 (73%) informó de que la situación económica y la salud de los miembros de la familia son los aspectos que más les preocupan, la situación del trabajo y su propia salud, equivalentes al 40% y en segundo lugar; 15% de los participantes identifican el estrés como un síntoma que pueden presentar durante esta situación específica; el 10% informa que le preocupa la ocupación del tiempo libre Afecta a la dinámica de las personas, al mundo del trabajo, a la producción tecnológica y genera nuevos hábitos, rutinas y comportamientos, que para muchos pueden ser perjudiciales, comprometiendo la situación sanitaria, especialmente la salud mental, debido al sufrimiento, la incertidumbre, el aislamiento social, la privación y otras lesiones (13) .…”

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“…As such, breastfeeding behaviour is a complex relational event with dynamic interactions between a mother and her child and between this dyad and the family, social and cultural context where they develop. Thus, breastfeeding behaviour goes beyond the personal and interpersonal system and is positioned as a social interaction (Lucchini‐Raies et al., 2019). Social interaction allows women to develop their breastfeeding perceptions not only according to their own emotions and experiences but also in consideration of their families' and other meaningful persons’ experiences around breastfeeding.…”

“…The development phase of the present study was completed previously. It included an umbrella review of the available evidence on the effectiveness of interventions supporting breastfeeding (Lucchini‐Raies & Lopez‐Dicastillo, 2017) and a qualitative study that clarified the relevant key aspects of women's and health professionals' experiences regarding breastfeeding and breastfeeding care (Lucchini‐Raies et al., 2019). The qualitative research revealed that providing and receiving support during breastfeeding is a dynamic and multidimensional experience.…”

“…Mothers' and health professionals' previous breastfeeding care and support experiences and the context of care are meaningful, affecting their interactions regarding breastfeeding care. Mothers' and professionals' perceptions of breastfeeding care have contextual, organizational and relational support dimensions that interventions must address (Lucchini‐Raies et al., 2019).…”

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