Determinants of breastfeeding in four Canadian Ojibwa communities: A decision-making model

Martens, Patricia J.; Young, T. Kue

doi:10.1002/(sici)1520-6300(1997)9:5<579::aid-ajhb6>3.0.co;2-p

Cited by 30 publications

(11 citation statements)

References 24 publications

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“…Defining the units of measurement when testing the theoretical predictions will require careful consideration of the questions posed. The figure complements existing Venn diagrams, flow charts and other multi‐level representations of infant feeding influences (see Martens & Young 1997; Tiedje et al . 2002; Hector et al .…”

Section: Discussionmentioning

confidence: 78%

Trade‐offs underlying maternal breastfeeding decisions: a conceptual model

Tully

Ball

2011

Maternal & Child Nutrition

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This paper presents a new conceptual model that generates predictions about breastfeeding decisions and identifies interactions that affect outcomes. We offer a contextual approach to infant feeding that models multi-directional influences by expanding on the evolutionary parent–offspring conflict and situation-specific breastfeeding theories. The main hypothesis generated from our framework suggests that simultaneously addressing breastfeeding costs and benefits, in relation to how they are interpreted by mothers, will be most effective. Our approach focuses on contributors to the attitudes and commitment underlying breastfeeding outcomes, beginning in the prenatal period. We conclude that some maternal–offspring conflict is inherent with the dynamic infant feeding relationship. Guidance that anticipates and addresses family trade-offs over time can be incorporated into breastfeeding support for families.

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Section: Discussionmentioning

confidence: 78%

Trade‐offs underlying maternal breastfeeding decisions: a conceptual model

Tully

Ball

2011

Maternal & Child Nutrition

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“…To our knowledge, this study is the first to examine relationships between intrapartum factors, infant characteristics, and immediate SSC in early breastfeeding initiation among 915 mother–newborn dyads in Singapore. We used a path analytic approach to evaluate interrelated study variables according to theoretical (Alberts, ; Kraemer, ; Martens & Young, ) and empirical evidence (Moore et al, ; Patel et al, ). This study showed that immediate SCC, mode of birth, duration of labour, and NICU admission were significantly associated with early breastfeeding initiation in the entire population, depicting that our results partially support the hypothetical model.…”

Section: Discussionmentioning

confidence: 99%

“…This model postulates that early initiation of breastfeeding is a dynamic multifactorial determined by intrapartum and neonatal factors and SSC. Obstetric procedure and physical condition of intrapartum women are directly associated with breastfeeding action (Martens & Young, ). After birth, infants learn survival behaviours, including searching, recognizing, apprehending, and suckling in a systematic manner (Alberts, ).…”

Section: Introductionmentioning

confidence: 99%

“…On the basis of theoretical (Alberts, ; Kraemer, ; Martens & Young, ) and empirical evidence (Moore et al, ; Patel et al, ), the following hypothetically influence early breastfeeding initiation: (a) intrapartum factors, including mode of birth, analgesia, duration of labour, and intrapartum complications; (b) neonatal factors, including infant's gestational age, gender, Apgar score, birthweight, and admission in NICU; and (c) SSC. To understand these hypothesized relationships, a path analytic model and multiple‐group analysis were used to examine the following research questions: What are the relationships between intrapartum factors, infant characteristics, immediate SSC, and early breastfeeding initiation with the entire group and subgroups of spontaneous vaginal birth and Caesarean section or operative vaginal birth? Are the effects of immediate SSC on early breastfeeding initiation different between spontaneous vaginal birth and Caesarean section or operative vaginal birth? …”

Section: Introductionmentioning

confidence: 99%

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An analysis of the effects of intrapartum factors, neonatal characteristics, and skin‐to‐skin contact on early breastfeeding initiation

Lau

Tha

Ho-Lim

et al. 2017

Maternal & Child Nutrition

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This study aims to determine relationships between intrapartum factors, neonatal characteristics, skin-to-skin contact (SSC), and early breastfeeding initiation after spontaneous vaginal and Caesarean section or operative vaginal birth. A total of 915 mother-newborn dyads were considered in a hypothetical model based on integrated concepts of breastfeeding initiation model, infant learning framework, and attachment theory. Multiple-group path analysis was used to determine whether differences exist between effects of immediate SSC (≤30 min) on early breastfeeding initiation in different modes of birth. SSC, mode of birth, labour duration, and neonatal intensive care unit admission were significantly associated with early breastfeeding initiation, as indicated by the path analysis model, which included all samples. Women with immediate SSC were more likely to initiate early breastfeeding in different modes of birth. In the spontaneous vaginal birth group, women showed a lower likelihood of initiating early breastfeeding when their neonates were admitted to the neonatal intensive care unit and presented an Apgar score of <7 at 1 min. Multiple-group analysis showed no significant difference between effects of immediate SSC on early breastfeeding initiation in different modes of birth (critical ratio = −0.309). Results showed that models satisfactorily fitted the data (minimum discrepancy divided by degrees of freedom = 1.466-1.943, goodness of fit index = 0.981-0.986, comparative fit index = 0.947-0.955, and root mean square error of approximation = 0.023-0.032). Our findings emphasize the crucial importance of prioritizing promotion of immediate SSC under different modes of birth. Key messages• Skin-to-skin contact (SSC), mode of birth, duration of labour, and neonatal intensive care unit admission show significant effects on early breastfeeding initiation during path analysis.• Immediate SSC was consistently and more likely to initiate early breastfeeding in different modes of birth.• In spontaneous vaginal birth group, women showed a lower likelihood of initiating early breastfeeding when their neonates were admitted to the neonatal intensive care unit and an Apgar score of <7 at 1 min.• Multiple-group analysis showed no significant difference between spontaneous vaginal birth and Caesarean section or operative vaginal birth concerning effects of immediate SSC on early breastfeeding initiation. of 11 LAU ET AL.bs_bs_banner Given the well-known benefits of early breastfeeding initiation (Sharma & Byrne, 2016), our team investigated factors associated with exclusive breastfeeding initiation within 1 hr in intrapartum women.Considering our lack of existing knowledge on intrapartum factors, infant characteristics, SSC, and early breastfeeding initiation, this study attempts to fill research gaps in literature. | Conceptual framework and hypothetical modelA hypothetical model (Figure 1 | MeasuresOn the basis of previous literature review ( Moore et al., 2016;Patel et al., 2015), our study used a structured ...

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“…These include younger age, lower education and income, being a single parent and a current smoker [28-33]. Although many of these same women seem to be knowledgeable about the benefits of breastfeeding, young low-income women tend to be greatly influenced by the attitudes held by their social environment [34,35] as well as the attitudes and support, or lack of support, from their own mothers [30]. Many of these factors are difficult to modify and what is needed is a better understanding of why mothers with these characteristics make their decision to formula-feed in order to develop targeted interventions.…”

Section: Introductionmentioning

confidence: 99%

A qualitative study exploring factors associated with mothers’ decisions to formula-feed their infants in Newfoundland and Labrador, Canada

et al. 2013

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BackgroundBreastfeeding has numerous health benefits. In 2010, the province of Newfoundland and Labrador had the lowest breastfeeding initiation rate (64.0%) in Canada. Formula feeding is associated with well-known health risks. Exclusive formula feeding is the “cultural norm” in some regions of the province. Women appear resistant to changing their infant feeding behaviors and remain committed to their decision to formula-feed. The primary aim of this qualitative study was to examine individual factors that shaped mothers’ decisions to formula-feed their infants. Nineteen mothers who were currently formula feeding their children participated in the study.MethodsQualitative research in the form of focus groups was conducted in three communities in the province in 2010. A thematic content analysis identified the main themes that influenced mothers’ decisions to formula-feed their infants.ResultsThe main themes included issues concerning the support needed to breastfeed, the convenience associated with formula feeding, and the embarrassment surrounding breastfeeding in public.ConclusionsThese findings help to better understand why mothers choose formula feeding over breastfeeding and may help to inform the development of public health interventions targeted at this population of mothers.

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Determinants of breastfeeding in four Canadian Ojibwa communities: A decision-making model

Cited by 30 publications

References 24 publications

Trade‐offs underlying maternal breastfeeding decisions: a conceptual model

Trade‐offs underlying maternal breastfeeding decisions: a conceptual model

An analysis of the effects of intrapartum factors, neonatal characteristics, and skin‐to‐skin contact on early breastfeeding initiation

A qualitative study exploring factors associated with mothers’ decisions to formula-feed their infants in Newfoundland and Labrador, Canada

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