Pediatric Care Providers, Family, and Friends as Sources of Breastfeeding Support Beyond Infancy

Tchaconas, Alexis; Keim, Sarah A.; Heffern, Debbi; Adesman, Andrew

doi:10.1089/bfm.2017.0184

Cited by 17 publications

(16 citation statements)

References 14 publications

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“…Prior research has highlighted that women who stop breastfeeding are often given incorrect advice by healthcare providers with limited evidence-based training and information, lack of clinical evidence-based reasoning, misconceptions, or incorrect assumptions [22][23][24]. It has also been reported that a healthcare provider's lack of understanding toward extended breastfeeding can harm the patient-provider relationship [17,25] resulting in early supplementation or abandonment of breastfeeding. An important strength of our study was the use of a questionnaire with adequate internal consistency to assess the basic competency of healthcare providers who care for breastfeeding mothers and infants.…”

Section: Discussionmentioning

confidence: 99%

How much can Mexican healthcare providers learn about breastfeeding through a semi-virtual training? A propensity score matching analysis

et al. 2020

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Background: Mexico has shown a worrisome decrease in breastfeeding indicators, especially in the lowest socioeconomic level. Improving breastfeeding protection, promotion, and support services through workforce development is a key area of intervention. The objective of this study is to assess the influence on breastfeeding knowledge and abilities of a semi-virtual training for primary healthcare providers assisting beneficiaries of PROSPERA in Mexico, which is one of the largest conditional cash-transfer programs in the world. Methods: Two independent cross-sectional samples of healthcare providers were drawn at baseline and post-intervention in three states of Mexico. Baseline data were collected among primary physicians, registered nurses and nurse technicians (i.e. unit of analysis) on July 2016 (n = 529) and post-training between March and April 2017 (n = 211). A 19-item telephone questionnaire assessed providers' general knowledge about breastfeeding, breastfeeding benefits and clinical aspects of breastfeeding, clinical ability to solve problems and abilities to overcome breastfeeding challenges. The effects of the training were assessed through a propensity score matching (PSM) stratified by types of providers (i.e. physicians, registered nurses, nurse technicians). Results: The PSM analysis showed significant improvements among all providers in the general knowledge about breastfeeding (around 20 percentage points [pp]) and knowledge about breastfeeding benefits (approximately 50 pp). In addition, physicians improved their knowledge about clinical aspects of breastfeeding (7 pp), while registered nurses improved in their ability to solve breastfeeding problems (14 pp) and in helping mothers overcome breastfeeding challenges (12 pp). Conclusions: Promoting a breastfeeding enabling environment in Mexico to improve breastfeeding rates will require improving the knowledge and skills of healthcare providers. While a semi-virtual training showed large improvements in knowledge, developing skills among providers may require a more intensive approach.

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Section: Discussionmentioning

confidence: 99%

How much can Mexican healthcare providers learn about breastfeeding through a semi-virtual training? A propensity score matching analysis

et al. 2020

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“…In relation to the family support provided, the special situation with mobility restriction and social isolation measures favoured that most of the women developed their breastfeeding experience separated from this support network, thus expressing its absence. This informal support network has been previously described by various authors as a complex network but, at the same time, with a potential impact on breastfeeding and with significant influence on breastfeeding initiation and maintenance in the short-and long-term, even favouring its extension beyond 6 months of life, after the mother is reinstated to her work environment [39][40][41]. Within the family environment, other female family members or the woman's partner are usually the figures that provide most of this support, with the findings of this research being similar [42][43][44].…”

Section: Discussionmentioning

confidence: 94%

Breastfeeding experiences during the COVID-19 pandemic in Spain:a qualitative study

et al. 2022

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Background The pandemic caused by COVID-19 has affected reproductive and perinatal health both through the infection itself and, indirectly, as a consequence of changes in medical care, social policy or social and economic circumstances. The objective of this study is to explore the impact of the pandemic and of the measures adopted on breastfeeding initiation and maintenance. Methods A qualitative descriptive study was conducted by means in-depth semi-structured interviews, until reaching data saturation. The study was conducted between the months of January to May 2021. Participants were recruited by midwives from the Primary Care Centres of the Andalusian provinces provinces of Seville, Cádiz, Huelva, Granada, and Jaén. The interviews were conducted via phone call and were subsequently transcribed and analysed by means of reflexive inductive thematic analysis, using Braun and Clarke’s thematic analysis. Results A total of 30 interviews were conducted. Five main themes and ten subthemes were developed, namely: Information received (access to the information, figure who provided the information), unequal support from the professionals during the pandemic (support to postpartum hospitalization, support received from Primary Health Care during the postpartum period), social and family support about breastfeeding (support groups, family support), impact of confinement and of social restriction measures (positive influence on breastfeeding, influence on bonding with the newborn), emotional effect of the pandemic (insecurity and fear related to contagion by coronavirus, feelings of loneliness). Conclusion The use of online breastfeeding support groups through applications such as WhatsApp®, Facebook® or Instagram® has provided important breastfeeding information and support sources. The main figure identified that has provided formal breastfeeding support during this period was that of the midwife. In addition, the social restrictions inherent to the pandemic have exerted a positive effect for women in bonding and breastfeeding, as a consequence of the increase in the time spent at their homes and in the family nucleus co-living.

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“…Whether such support is influential on much longer duration breastfeeding (beyond 12 months) remains unknown, particularly for dyads who have successfully already reached the 12‐month milestone. We recently reported that only about half of United States women in the same sample analyzed in the present study discussed their decision to continue breastfeeding beyond 12 months with their child's primary care provider 19 . Other factors like support from family or peers or motivating aspects of breastfeeding like bonding that may be important to longer‐term breastfeeding also remain relatively unexplored.…”

Section: Introductionmentioning

confidence: 86%

“…We recently reported that only about half of United States women in the same sample analyzed in the present study discussed their decision to continue breastfeeding beyond 12 months with their child's primary care provider. 19 Other factors like support from family or peers or motivating aspects of breastfeeding like bonding that may be important to longer-term breastfeeding also remain relatively unexplored.…”

Section: Introductionmentioning

confidence: 99%

Health care provider support and factors associated with breastfeeding beyond infancy: A cross‐national study

Keim

Tchaconas

Ford

et al. 2021

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Background Breastfeeding beyond infancy (12 months) remains atypical in the United States, United Kingdom, Canada, and Australia, and the role of health care providers is unclear. The objective of this study was to compare women's perceptions of provider support and other factors affecting breastfeeding beyond infancy across countries, among women who had each successfully breastfed at least one child that long. Methods Women completed an online questionnaire distributed via La Leche League, USA (2013), about sources and ratings of support for breastfeeding for their oldest child who was breastfed at least 12 months and participant demographics. Multivariable log‐binomial regression was used to compare ratings of health care provider support and the importance of 13 factors by country. Results Some similarities and many differences were observed across countries in support received from providers, whereas modest or no differences were observed in the importance women placed on factors like health benefits and enjoyment of breastfeeding. Of 59 581 women, less than half discussed their decision to breastfeed beyond infancy with their child's provider. United Kingdom women rated their comfort in discussing breastfeeding beyond 12 months with their providers and the support received as lower than United States women. Canadian women gave lower ratings than United States women, but inconsistently. Australian women rarely differed from United States women in their responses. Providers’ recommendations were not important to the decision to breastfeed beyond infancy, especially for United Kingdom women. Discussion Rates of breastfeeding beyond infancy are low in these countries; improving provider support may help achieve global breastfeeding goals.

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Pediatric Care Providers, Family, and Friends as Sources of Breastfeeding Support Beyond Infancy

Cited by 17 publications

References 14 publications

How much can Mexican healthcare providers learn about breastfeeding through a semi-virtual training? A propensity score matching analysis

How much can Mexican healthcare providers learn about breastfeeding through a semi-virtual training? A propensity score matching analysis

Breastfeeding experiences during the COVID-19 pandemic in Spain:a qualitative study

Health care provider support and factors associated with breastfeeding beyond infancy: A cross‐national study

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