Why do women stop breast-feeding? Results from a contemporary prospective study in a cohort of Australian women

Newby, Ruth; Davies, Peter S. W.

doi:10.1038/ejcn.2016.157

Cited by 35 publications

(29 citation statements)

References 36 publications

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“…Quality assessment was conducted for 21 papers using the appropriate critical appraisal checklist. Following quality assessment, five papers were excluded (Katz, Nilsson, & Rasmussen, ; Lewkowitz et al, ; Newby & Davies, ; Rasmussen, Lee, Ledkovsky, & Kjolhede, ; Zanardo et al, ) due to poor quality of data presented. Quality assessment scores of the final included papers are included in Table .…”

Section: Resultsmentioning

confidence: 99%

“…Several studies (Mok et al, ; Jarlenski et al, ; Kair & Colaizy, ; Massov, ; O'Sullivan et al, ; Claesson et al, ) reported that women who were overweight or obese were more likely to report insufficient breastmilk as a reason for early cessation of breastfeeding than women with normal BMIs. This is one of the most commonly reported reasons for early cessation generally in high‐income country settings, including Australia, UK, and Canada (Brown, Dodds, Legge, Bryanton, & Semenic, ; McAndrew et al, ; Newby & Davies, ) and may be an indicator of other reasons for stopping breastfeeding, as insufficient milk of itself is unlikely if women are breastfeeding effectively. However, the included studies did not fully explore this reason or define what “insufficient breastmilk” actually meant.…”

Section: Discussionmentioning

confidence: 99%

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Breastfeeding experiences and support for women who are overweight or obese: A mixed‐methods systematic review

Chang

Glaria

Davie

et al. 2019

Maternal & Child Nutrition

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Women who are overweight or obese have increased health risks during and beyond pregnancy, with consequences for their infants' shorter and longer term health. Exclusive breastfeeding to 6 months has many benefits for women and their infants. However, women who are overweight or obese have lower rates of breastfeeding intention, initiation, and duration compared with women with normal weight. This systematic review aimed to examine evidence of (a) breastfeeding barriers and support experienced and perceived by women who are overweight or obese, (b) support shown to be effective in increasing breastfeeding initiation and duration among these women, and (c) perceptions of health care professionals, peer supporters, partners, and family members regarding providing breastfeeding support to these women. Sixteen quantitative and qualitative papers were included and critically appraised. Thematic synthesis was undertaken to obtain findings. Maternal physical barriers such as larger breasts, difficulties of positioning to breastfeed, delayed onset of lactation, perceived insufficient supply of breast milk, and impact of caesarean birth were evident. Maternal psychological barriers including low confidence in ability to breastfeed, negative body image, embarrassment at breastfeeding in public, and experiencing stigma of obesity were also described. Support from health care professionals and family members influenced breastfeeding outcomes. Education for maternity care professionals is needed to enable them to provide tailored, evidence-based support to women who are overweight or obese who want to breastfeed. Research on health care professionals, partners, and family members' experiences and views on supporting this group of women to breastfeed is needed to support development of appropriate interventions.This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Breastfeeding experiences and support for women who are overweight or obese: A mixed‐methods systematic review

Chang

Glaria

Davie

et al. 2019

Maternal & Child Nutrition

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“…22 Insufficient milk may be the justification given because it is a socially acceptable reason for discontinuing breastfeeding or may be a reflection of the negative influences of medicalization and commercialization on women's trust in their own capacity to feed their infants. 24 An Australian study showed that the frequency and duration of breastfeeding sessions naturally diminishes over the first six months due to the increase in the child's efficiency in extracting milk. 24 However, such changes may be interpreted as a "lack of interest" or "insufficient milk".…”

Section: Mothers Who Did Not Breastfeedmentioning

confidence: 99%

“…24 An Australian study showed that the frequency and duration of breastfeeding sessions naturally diminishes over the first six months due to the increase in the child's efficiency in extracting milk. 24 However, such changes may be interpreted as a "lack of interest" or "insufficient milk". If the issue is an erroneous interpretation on the part of the mother, education is essential, as knowledge regarding the course of lactation can contribute to calming mothers with regards to normal variations and avoid the unnecessary use of baby formulas and the premature discontinuation of breastfeeding.…”

Section: Mothers Who Did Not Breastfeedmentioning

confidence: 99%

Perceptions of Mothers regarding the Importance of Breastfeeding

Bruna¹,

Silva²,

Oriane³

et al. 2019

ijSciences

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Objective: To identify the perceptions of mothers regarding the importance of breastfeeding. A crosssectional study was conducted with a sample of 385 mothers recruited from three locations: a general hospital (n=73), children's hospital (n=227) and the Pro-Infancy Clinic (n=85). Data were collected using a semi-structured questionnaire on breastfeeding. Data analysis considered absolute and relative frequencies. Among the 385 mothers, 9.4% were not counseled regarding the properties and benefits of breast milk. The desire to breastfeed during pregnancy changed in 24.7% mothers after the child was born. The main difficulties during breastfeeding were "nipple pain and injury" (64.7%) and "altered sleep pattern" (63.6%). A total of 32.2% participants had difficulty reconciling breastfeeding and work; 65.5% of mothers introduced artificial milk, juices, teas, water, and cow's milk before six months of age; and 72.5% used pacifier/bottle feeding before six months of age. Difficulties during breastfeeding and the justifications of mothers who do not breastfeed show that simple measures can increase adherence to and the maintenance of breastfeeding. Maternity leave among working women is a favorable measure for the maintenance of exclusive breastfeeding. The assurance of exclusive breastfeeding for a longer time could probably reduce the use of devices such as a pacifier/bottle-feeding and lead to the later introduction of complementary foods, which are the main causes of the discontinuation of breastfeeding.

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“…The highest breastfeeding attrition rate occurs in the first month postpartum with exclusive breastfeeding rates as low as 57.1% [9]. The mother's view of the sufficiency of her breast milk supply (perceived insufficient milk-PIM) is a paramount concern for breastfeeding globally [10] [11][12] [13]. International data show that mothers 'read' the adequacy of their infant's crying and fussiness [14] [15], frequent feeding demands [16], and perceived infants' poor weight gain [17] [18] as signs that the mother's milk supply is inadequate.…”

Section: Introductionmentioning

confidence: 99%

A Feasibility Study of A Home-Based Program to Promote Perceived Adequate Milk

Wood

Lewis

2019

JWRH

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Objective: The purpose of this study was to evaluate the feasibility of a home-based educational skill building program to support exclusive breastfeeding for mothers in the early postpartum period. Specific aims were to:(1) evaluate the effectiveness of the study's recruitment strategy, comparing the use of an intermediary with a direct approach, (2) examine intervention fidelity, (3) examine program adherence, and (4) assess the acceptability of the intervention to participants. Design and Sample:A mixed methods within-group, three-occasion descriptive design, delivered to 14 dyads of breastfeeding mothers and their full-term singleton infants. Intervention:The program was implemented during three, 60-90 minute educational training sessions in the home, delivered at 6, 13, and 27 days postpartum. Results:Mothers who adhered to the intervention protocol correctly attributed their infant's crying behavior to factors other than the adequacy of the mother's milk supply. All participants were recruited through direct approach. The program was delivered as planned with high fidelity, a high retention rate, and with a high rate of acceptability. Conclusions:A fully scripted, at-home, nurse-delivered educational skill building program can be delivered with efficiency to breastfeeding mothers with full-term singleton infants; intervention fidelity, retention, and acceptability were high.

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Why do women stop breast-feeding? Results from a contemporary prospective study in a cohort of Australian women

Cited by 35 publications

References 36 publications

Breastfeeding experiences and support for women who are overweight or obese: A mixed‐methods systematic review

Breastfeeding experiences and support for women who are overweight or obese: A mixed‐methods systematic review

Perceptions of Mothers regarding the Importance of Breastfeeding

A Feasibility Study of A Home-Based Program to Promote Perceived Adequate Milk

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