The experiences of trained breastfeeding support providers that influence how breastfeeding support is practised: A protocol for a qualitative evidence synthesis

Chesnel, Mary Jo; Healy, Isobel Maria; McNeill, Jenny

doi:10.1371/journal.pone.0254445

Cited by 4 publications

(3 citation statements)

References 39 publications

(33 reference statements)

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“…‘Breastfeeding support’ is a broad term that encompasses a range of elements including encouragement, reassurance, peer modeling, information, and advice [ 22 – 24 ]. In this study we focused specifically on one aspect of breastfeeding support—breastfeeding advice—because previous studies have found that many women who cease breastfeeding early report breastfeeding difficulties, such as perceiving that they do not have enough milk or the baby does not latch properly [ 11 , 25 ]. These are breastfeeding problems that can often be ameliorated if the new mother has access to practical advice, such as how to position the baby while feeding, and how often to breastfeed [ 22 , 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Helping first-time mothers establish and maintain breastfeeding: Access to someone who can provide breastfeeding advice is an important factor

et al. 2023

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Background and aims First-time mothers often need help with breastfeeding and may feel isolated and uncertain about whom they can turn to for help with breastfeeding challenges. Exploration of whether access to breastfeeding advice helps new mothers initiate and continue breastfeeding is necessary. This study investigated the associations between ease of access to breastfeeding advice for first-time mothers and breastfeeding initiation and duration. Methods This was a prospective, longitudinal cohort study of 3,006 women who delivered their first child in Pennsylvania, USA; with prenatal and postpartum interviews. At 1-month postpartum participants reported the extent to which they had access to “Someone to give you advice about breastfeeding if you needed it”, via a 5-point scale ranging from “none of the time” to “all of the time”. Results There were 132 women (4.4%) who reported that they had access to someone to give them advice about breastfeeding “none of the time”; 697 (23.3%) reported access “a little of the time” or “some of the time”; and 2,167 (72.3%) reported access “most of the time” or “all of the time”. While the majority of the new mothers were breastfeeding at 1-month postpartum (72.5%), less than half were still breastfeeding at 6-months postpartum (44.5%). The higher the level of access to advice about breastfeeding the more likely women were to establish breastfeeding by 1-month postpartum and to still be breastfeeding at 6-months. Conclusions For first-time mothers, ease of access to someone who can give them advice about breastfeeding facilitates breastfeeding establishment and continuation.

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Section: Discussionmentioning

confidence: 99%

Helping first-time mothers establish and maintain breastfeeding: Access to someone who can provide breastfeeding advice is an important factor

et al. 2023

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“…PRISMA guidelines were followed in conducting this review [25]. The review protocol is registered in the International Prospective Register of Systematic Reviews PROSPERO registration number CRD42020207380 and has been published [26].…”

Section: Methodsmentioning

confidence: 99%

Experiences that influence how trained providers support women with breastfeeding: A systematic review of qualitative evidence

2022

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Introduction There is a need to improve breastfeeding support interventions as although many are evidence-based, a sequential increase in breastfeeding rates is not evident. It is crucial to understand why the implementation of evidence-based guidelines in practice does not always translate to positive experiences for women and improve breastfeeding rates. This systematic review aims to synthesise breastfeeding support experiences of trained support providers and their impact on breastfeeding support practices. Methods A strategy was developed to search seven databases including Medline and CINAHL and grey literature for qualitative studies. Studies eligible for inclusion reported professional and trained peer experiences of supporting women to breastfeed. PRISMA guidelines were followed and included studies were quality appraised using the CASP Qualitative Checklist. A thematic synthesis of included studies was undertaken and confidence in the review findings was assessed using the CERQual tool. The study protocol, registered in the International Prospective Register of Systematic Reviews PROSPERO registration number: CRD42020207380, has been peer reviewed and published. Findings A total of 977 records were screened, which identified 18 studies (21 papers) eligible for inclusion comprising 368 participants. Following quality appraisal, all studies were deemed suitable for inclusion. The thematic synthesis resulted in four analytical themes: 1) A personal philosophy of breastfeeding support 2) Teamwork and tensions in practice 3) Negotiating organisational constraints and 4) Encounters with breastfeeding women. Findings demonstrated that a range of experiences influence practice, and practice evolves on continued exposure to such experiences. The potential of each experience to facilitate or inhibit breastfeeding support provision is fluid and context specific. Conclusions Experiences, as named above, are modifiable factors contributing to the development of a philosophy of breastfeeding support based on what the provider believes works and is valuable in practice. Further research is required into the range of factors which underpin context-specific breastfeeding support practice, to improve both women’s experiences and intervention effectiveness.

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“…Developing community health worker labor forces can support preventative health goals as well as improve responses in humanitarian emergencies, particularly among marginalized populations (United States Breastfeeding Committee, n.d.). Centralization of resources can limit accessibility and increase transportation requirements, whereas expansion of services and utilization of midwives, nurses, advanced practice providers, community health workers, lactation support providers, and others, can mitigate the concentration of healthcare professionals in large centers (Chesnel et al, 2021; Grant et al, 2018; Szucs et al, 2009).…”

Section: Solutions Include Mitigation Adaptation Resiliencementioning

confidence: 99%

The Climate Crisis and Breastfeeding: Opportunities for Resilience

Cerceo,

Saxer,

Grossman

et al. 2023

J Hum Lact

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The climate crisis is an emerging global challenge that poses potential risks to breastfeeding practices and outcomes. There are multifaceted effects of climate change affecting the breastfeeding dyad across environmental, societal, and human health dimensions. Breastfeeding support in the face of climate change will require solutions at the structural level—healthcare, community, and workplace settings—and at the mother-infant dyad level. Breastfeeding can additionally be an adaptive response to crisis situations and can mitigate some of the environmental challenges associated with climate change. Despite the undeniable significance of climate change on breastfeeding (and vice versa), our perspective as experts in the field is that this topic has not been systematically addressed. Although we highlight some of the challenges, potential solutions, and co-benefits of breastfeeding in the context of climate change, there are numerous issues that could be further explored and necessitate additional preparedness planning.

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The experiences of trained breastfeeding support providers that influence how breastfeeding support is practised: A protocol for a qualitative evidence synthesis

Cited by 4 publications

References 39 publications

Helping first-time mothers establish and maintain breastfeeding: Access to someone who can provide breastfeeding advice is an important factor

Helping first-time mothers establish and maintain breastfeeding: Access to someone who can provide breastfeeding advice is an important factor

Experiences that influence how trained providers support women with breastfeeding: A systematic review of qualitative evidence

The Climate Crisis and Breastfeeding: Opportunities for Resilience

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