Changing the Breastfeeding Conversation and Our Culture

Christopher, Gail C.; Krell, Joanne K

doi:10.1089/bfm.2014.9994

Cited by 13 publications

(11 citation statements)

References 1 publication

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“…Unlike other studies, health care providers were not identified as a positive influence [29,32,33]. Our findings were similar to those reported in three meta-syntheses [24][25][26] which described health care provider advice and support as being conflicting, disconnected, fragmented, dogmatic, authoritarian, and rushed.…”

Section: Discussionsupporting

confidence: 83%

“…Unfortunately, individualizing breastfeeding support may be unintentionally complicated by programs, such as the Baby Friendly Hospital Initiative, that seek to standardize support by requiring rigorous adherence to specific practices (e.g., the ban of pacifiers). In addition, these negative experiences may relate to ongoing reports that many healthcare providers are ill prepared to effectively support breastfeeding [32].…”

Section: Discussionmentioning

confidence: 99%

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Reflections of Black Women Who Choose to Breastfeed: Influences, Challenges and Supports

Lutenbacher

Karp

Moore

2015

Matern Child Health J

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Reflections of Black Women Who Choose to Breastfeed: Influences, Challenges and Supports

Lutenbacher

Karp

Moore

2015

Matern Child Health J

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“…Although this is a novel finding in the infant feeding literature, the media-fuelled "mummy-wars" between breastfeeding and formula feeding mothers may be a contributing factor (Christopher & Krell, 2014). Informal relationships between mothers both face to face and via social media platforms are an important source of social and emotional support (Lee, 2007;Zimmerman et al, 2008), and the sociocultural significance of infant feeding decisions may be placing these networks in jeopardy (Christopher & Krell, 2014).…”

Section: Discussionmentioning

confidence: 91%

The emotional and practical experiences of formula‐feeding mothers

Fallon¹,

Komninou

Bennett

et al. 2016

Maternal & Child Nutrition

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The majority of infant-feeding research is focused on identifying mother's reasons for the cessation of breastfeeding. The experience of mothers who choose to use formula is largely overlooked in quantitative designs. This study aimed to describe the emotional and practical experiences of mothers who formula feed in any quantity, and examine whether these experiences would vary among different cohorts of formula-feeding mothers according to prenatal feeding intention and postnatal feeding method. A total of 890 mothers of infants up to 26 weeks of age, who were currently formula feeding in any quantity, were recruited through relevant international social media sites via advertisements providing a link to an online survey. Predictors of emotional experiences included guilt, stigma, satisfaction, and defense as a result of their infant feeding choices. Practical predictor variables included support received from health professionals, respect displayed by their everyday environment, and main sources of infant feeding information. Descriptive findings from the overall sample highlighted a worryingly high percentage of mother's experienced negative emotions as a result of their decision to use formula. Multinomial logit models revealed that negative emotions such as guilt, dissatisfaction, and stigma were directly associated with feeding intention and method. The evidence suggests that the current approach to infant-feeding promotion and support may be paradoxically related to significant issues with emotional well-being. These findings support criticisms of how infant-feeding recommendations are framed by health care professionals and policy makers, and highlight a need to address formula feeding in a more balanced, woman-centered manner.

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“…Socio-occupational factors, in general [9], and those related to the influence of significant people regarding the Chinese population, in particular [15, 17, 18], have demonstrated to be influential when initiating breastfeeding. However, in our study, none of these factors have shown to determine the attitude of Chinese-born women when compared to Spanish-born women regarding breastfeeding.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have shown that the decision to begin breastfeeding is associated with multiple factors: socio-occupational circumstances and those of the family setting [9], as well as certain intrinsic characteristics related to the mothers [10, 11]. These include the intention to breastfeed [12] and how the woman perceives breastfeeding [13].…”

Section: Introductionmentioning

confidence: 99%

Comparison of attitudes to breastfeeding among Spanish-born and Chinese-born postpartum women in Madrid

et al. 2018

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BackgroundMaternal breastfeeding is a practice that is associated with multiple health benefits for mothers and children. One of the lowest rates of breastfeeding has been observed among Chinese women who immigrate to high income countries. At present, there is a lack of comparative information between this group and that of Spanish-born women. Considering the relationship between the attitude of women towards breastfeeding and the initiation of breastfeeding, the aim of the study was to determine whether the attitude towards breastfeeding among Chinese postpartum women who have immigrated to Spain differs from that of Spanish-born postpartum women.MethodsCross-sectional study, with between-group comparison, of 73 postpartum Spanish-born and Chinese immigrant women admitted to the maternity units of “12 de Octubre” Hospital (Spain) between April and November 2016. Attitudes toward breastfeeding were analyzed using the Spanish or Chinese version of the Iowa Infant Feeding Attitude Scale (IIFAS). A wide set of socioeconomic, biological, working and attitudinal conditions were considered as covariates. The association between IIFAS and country of origin was assessed by three multiple linear regression models (B, SE, and 95% confidence interval were calculated).ResultsAll Chinese women were first generation immigrants. Chinese-born women were four years younger than Spanish-born mothers, had a lower educational level, more frequently had a paid job (mainly self-employed), and planned to return to work almost two months earlier than Spanish-born mothers did. Most Chinese women did not breastfeed exclusively.Chinese immigrant women obtained scores of approximately 9 points less in the Iowa Infant Feeding Attitude Scale (IIFAS) when compared to Spanish-born women [95% CI -15.59, -2.48], after adjusting for the different socioeconomic, educational and work-related factors.ConclusionsChinese-born women resident in Spain present a lower score on the IIFAS, when compared to Spanish-born women, which implies a more negative attitude towards breastfeeding. The between-groups difference is consistent, even when adjusting for known confounders and other factors which could affect the attitude of the mothers. It is therefore striking that, despite being in Spain, Chinese-born women maintain these preferences/attitudes regarding breastfeeding, compared with Spanish-born women, who obtain overall high scores.

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Changing the Breastfeeding Conversation and Our Culture

Cited by 13 publications

References 1 publication

Reflections of Black Women Who Choose to Breastfeed: Influences, Challenges and Supports

Reflections of Black Women Who Choose to Breastfeed: Influences, Challenges and Supports

The emotional and practical experiences of formula‐feeding mothers

Comparison of attitudes to breastfeeding among Spanish-born and Chinese-born postpartum women in Madrid

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