Protection, promotion and support of breast-feeding in Europe: current situation

Cattaneo, Adriano; Yngve, Agneta; Koletzko, Berthold; Guzmán, Luis Ruiz

doi:10.1079/phn2005660

Cited by 122 publications

(69 citation statements)

References 12 publications

(5 reference statements)

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“…This underestimation of the benefits of breastfeeding has also been reported in Canada [27]. These findings support the need for ongoing community wide education regarding the benefits of breastfeeding to infants and mothers as well as support for comprehensive pre-natal education [28].…”

Section: Discussionsupporting

confidence: 75%

Benefits, Barriers and Enablers of Breastfeeding: Factor Analysis of Population Perceptions in Western Australia

et al. 2014

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ObjectiveThe objective of this study was to investigate knowledge and community perceptions of breastfeeding in Western Australia using a factor analysis approach.MethodsData were pooled from five Nutrition Monitoring Survey Series which included information on breastfeeding from 4,802 Western Australian adults aged 18–64 years. Tetrachoric factor analysis was conducted for data reduction and significant associations identified using logistic, ordinal and poisson regression analyses.ResultsFour factors were derived for benefits (it’s natural, good nutrition, good for the baby, and convenience), barriers (breastfeeding problems, poor community acceptability, having to go back to work, and inconvenience) and for enablers (breastfeeding education, community support, family support and not having to work). As assessed by standardized odds ratios the most important covariates across benefit factors were: importance of breastfeeding (ORs range from 1.22–1.44), female gender (ORs range from 0.80 to 1.46), being able to give a time for how long a baby should be breastfed (ORs range from 0.96 to 1.27) and education (less than high school to university completion) (ORs range from 0.95 to 1.23); the most important covariate across barrier factors was being able to give a time for how long a baby should be breastfed (ORs range from 0.89 to 1.93); and the most important covariates across all enabling factors were education (ORs range from 1.14 to 1.32) and being able to give a time for how long a baby should be breastfed (ORs range from 1.17 to 1.42).ConclusionsBeing female, rating breastfeeding as important, believing that babies should be breastfed for a period of time and education accounted for most of the statistically significant associations. The differences between male and female perceptions require investigation particularly in relation to returning to work.

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Section: Discussionsupporting

confidence: 75%

Benefits, Barriers and Enablers of Breastfeeding: Factor Analysis of Population Perceptions in Western Australia

et al. 2014

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“…Prevalence in the maternity unit (at birth) and at 3 months, therefore, significantly increased compared with the 2009 vaccination coverage survey. When comparing with the data given by Cattaneo et al for the whole of Belgium, which for any BF was 30–37% at 3-4 months, 10% at 6 months and 4% at 12 months [4], there has been a marked increase in any BF at 6 and 12 months since the 2000s.…”

Section: Discussionmentioning

confidence: 68%

“…On the basis of data prior to 2000, Cattaneo et al gave, for Belgium, BF rates that were among the lowest in Europe: 30–37% at 3-4 months, 10% at 6 months, and 4% at 12 months [4]. In 2001, Yngve and Sjöström wrote that Belgium, France, the Netherlands, and Italy seemed to be the EU countries with the greatest challenges ahead.…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding Duration: A Survival Analysis—Data from a Regional Immunization Survey

Robert

Coppieters

Swennen

et al. 2014

BioMed Research International

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Objective. To report the duration of and factors associated with exclusive and any breastfeeding among the French-speaking community of Belgium (Wallonia). Material and Methods. A two-stage cluster sample was drawn from the population of children aged 18–24 months living in the area in 2012. Anamnestic data on breastfeeding and sociodemographic information were collected from 525 mothers. Cox's proportional hazards model was used to identify factors associated with discontinuing breastfeeding. Results and Discussion. Only 35.1% of the women were satisfied with their duration of any breastfeeding. At 3 months, 54.1% of the infants were breastfed, of which 40.6% exclusively, with these percentages falling to 29.1% and 12.6% at 6 months. Exclusive and any breastfeeding durations were independently positively associated (P < 0.05) with foreign-born mothers, awareness of WHO recommendations, and maternity leave >3 months. Exclusive BF duration was associated with higher parental income and the prenatal decision to breastfeed. The duration of any breastfeeding was associated with the mothers' age of ≥30 years and whether they were exclusively breastfeeding at discharge from the maternity unit. Conclusions. Programs promoting and supporting BF should concentrate on training prenatal health-care professionals. Prenatal professional advice may promote adherence to WHO BF guidelines. The benefits of exclusive BF should be emphasized. Pregnant women should be discouraged from introducing supplementary feeding in the maternity ward.

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“…This is in contrast to other countries: for example, in New Zealand 68% of women are exclusively breastfeeding at 4–6 weeks (Cattaneo et al . 2005) and 57·7% of women in Japan (Suzuki et al . 2013).…”

Section: Introductionmentioning

confidence: 99%

‘I thought it would keep them all quiet’. Women's experiences of breastfeeding as illusions of compliance: an interpretive phenomenological study

Spencer

Greatrex‐White

Fraser

2014

Journal of Advanced Nursing

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AimsTo explore the experiences of breastfeeding women.BackgroundThere is a plethora of data demonstrating that human breast milk provides complete nutrition for human infants. While the rate of initiation of breastfeeding in the United Kingdom has shown a steady increase in the last 25 years, rates of exclusive breastfeeding in the early weeks and months over the same time period have shown only marginal increases. This study was designed to extend current knowledge around breastfeeding experiences, decisions and behaviours.DesignQualitative, interpretive phenomenological approach.MethodsData were collected between July 2009–January 2010 through in-depth interviews with 22 women from a city in the East Midlands where the prevalence of breastfeeding has showed a decreasing trend. Data were collected between 3–6 months after the birth of their youngest baby.FindingsAnalysis of data uncovered a key theme: illusions of compliance. The findings revealed that women's breastfeeding behaviours were socially mediated. They adopted a good mother image by conforming to the moral obligation to breastfeed immediately after their babies were born. Those women who struggled to establish breastfeeding tried to hide their difficulties rather than admit that they were not coping.ConclusionThis study provides insights into women's infant feeding decisions and behaviours, building on understandings of ‘good mothering’ in the wider literature. Importantly we highlight some of the previously unknown strategies that women employed to portray themselves as calm, coping and in control when in reality they were struggling and not enjoying breastfeeding.

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Protection, promotion and support of breast-feeding in Europe: current situation

Cited by 122 publications

References 12 publications

Benefits, Barriers and Enablers of Breastfeeding: Factor Analysis of Population Perceptions in Western Australia

Benefits, Barriers and Enablers of Breastfeeding: Factor Analysis of Population Perceptions in Western Australia

Breastfeeding Duration: A Survival Analysis—Data from a Regional Immunization Survey

‘I thought it would keep them all quiet’. Women's experiences of breastfeeding as illusions of compliance: an interpretive phenomenological study

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