Is breastfeeding ‘normal’? Using the right language for breastfeeding

Thorley, Virginia

doi:10.1016/j.midw.2018.10.015

Cited by 12 publications

(8 citation statements)

References 37 publications

(44 reference statements)

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“…Despite the mother’s breastfeeding intentions, there is a gap between intentions and feeding practices. Various factors, including psychological, economic, and social factors, influence the mother’s desire to breastfeed [ 17 , 27 , 28 , 29 , 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Uptake of Breastfeeding: The Role of Early Promotion in the Maternity Hospital

Ragusa¹,

Marranzano

Rosa

et al. 2021

IJERPH

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Background: This study aimed to explore the prevalence of breastfeeding at birth points in Sicily and the relevance of the factors influencing the adoption of exclusive breastfeeding during hospitalization linked to childbirth. Methods: A survey was conducted to monitor the prevalence of breastfeeding in seven out of nine facilities providing maternity services in the province of Catania (Sicily, Southern Italy) in the years 2016–2018. An online questionnaire was administered using an electronic tablet by the midwife to the mother after discharge. Results: Women who had a higher educational qualification breastfed in a greater proportion (59.6%; odds ratio OR 0.60 for abandoning breastfeeding). Having had a caesarean section moderately impaired breastfeeding uptake, with an almost double chance of declining exclusive breastfeeding (OR = 1.74). Starting breastfeeding within 1 h from delivery showed a significant facilitating effect (OR = 0.58). Rooming-in had a strong facilitating effect on exclusive breastfeeding. A breastfeeding advocacy program was shown to protect from abandoning breastfeeding. Conclusions: It is important to offer in all hospitals the possibility and support for breastfeeding in the first moments after childbirth to increase the number of those who will then continue with exclusive breastfeeding.

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Section: Discussionmentioning

confidence: 99%

Factors Influencing Uptake of Breastfeeding: The Role of Early Promotion in the Maternity Hospital

Ragusa¹,

Marranzano

Rosa

et al. 2021

IJERPH

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“…Hoddinott and Pill (2000) noticed that mothers were often passive about seeking support, waiting for health professionals to offer it first. Given that many mothers do not have breastfeeding role-models (Thorley, 2019) and health professionals adhere to a biomedical approach, it is understandable that mothers feel uncertain and undermined.…”

Section: Introductionmentioning

confidence: 99%

‘Scrutinised, judged and sabotaged’: A qualitative video diary study of first-time breastfeeding mothers

et al. 2019

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To explore how support impacted on mothers' breastfeeding experiences in the first few weeks following birth. Design A qualitative approach explored real-time experiences of breastfeeding captured by five first-time mothers in the South of England on camcorder as video diaries. A multi-dimensional approach involving thematic analysis ensured both the audio and visual elements of the data were analysed. Findings Mothers felt 'under surveillance' by the biomedical approach to support from the healthcare team. At best mothers felt reassured that they were 'on the right track'. When mothers felt their breastfeeding was constantly being examined, criticised and threatened they felt 'scrutinised, judged and sabotaged'. When they found it difficult to access healthcare support, or they avoided it altogether to circumvent further scrutiny, they felt 'abandoned and alone'.

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“…A potential explanation is the approach used to promote breastfeeding. Some authors argue that promoting specific ideas and principles regarding breastfeeding practices (e.g., WHO recommendations) without considering the local context may generate blurred interpretations and decrease the effectiveness of breastfeeding interventions [47, 48, 54, 55]. In this regard, peer-counselling breastfeeding programmes using trained women living in the communities proved to be effective to improve rates of breastfeeding initiation, duration, and exclusivity and reduce child diarrhoea incidence in rural settings [56, 57].…”

Section: Discussionmentioning

confidence: 99%

A qualitative study on cultural determinants for breastfeeding cessation and their association with child diarrhoea in the rural Peruvian Andes

Wallenborn

Mäusezahl

et al. 2021

Preprint

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BackgroundIn some parts of the world, breast milk is seen as a potential source of child diarrhoea. While this belief has been explored in African and Southeast Asian countries, it remains vastly understudied in Latin American contexts. We investigate cultural factors contributing to breastfeeding cessation in rural high-altitude populations of the Peruvian Andes. The role of cultural factors in the local explanatory model of child diarrhoea, and whether these perceptions are integrated in the local healthcare system were assessed.MethodsWe carried out semi-structured interviews with mothers (n=40) from 29 communities participating in a large community-randomised controlled trial and health personnel (n=15). We used trial’s baseline information to describe characteristics of women participants.ResultsCultural beliefs for breastfeeding cessation included the perception that breast milk turned into “blood” after six months and that breastfeeding caused child diarrhoea. We identified eight local types of child diarrhoea, and women associated six of them with breastfeeding practices. “Infection” was the only diarrhoea mothers linked to hygiene and the germ disease concept and perceived as treatable through drug therapy. Women believed that other types of diarrhoea could not be treated within the formal healthcare sector. Interviews with health personnel revealed no protocol for, or consensus about, the integration of the local explanatory model for child diarrhoea in local healthcare and service provision.ConclusionThe local explanatory model in rural Andean Peru associated breastfeeding with child diarrhoeas. Cultural beliefs regarding diarrhoea management may increase home treatments, even in cases of severe diarrhoeal episodes. Future breastfeeding interventions should promote peer-counselling approaches to reduce negative attitudes towards breastfeeding and health practitioners. Local explanatory models should be incorporated into provincial and regional strategies for child diarrhoea management to promote equity in health and improve provider-patient relationships.

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Is breastfeeding ‘normal’? Using the right language for breastfeeding

Cited by 12 publications

References 37 publications

Factors Influencing Uptake of Breastfeeding: The Role of Early Promotion in the Maternity Hospital

Factors Influencing Uptake of Breastfeeding: The Role of Early Promotion in the Maternity Hospital

‘Scrutinised, judged and sabotaged’: A qualitative video diary study of first-time breastfeeding mothers

A qualitative study on cultural determinants for breastfeeding cessation and their association with child diarrhoea in the rural Peruvian Andes

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