Women's experiences with breastfeeding in public: An integrative review

Hauck, Yvonne; Bradfield, Zoe; Kuliukas, Lesley

doi:10.1016/j.wombi.2020.04.008

Cited by 42 publications

(25 citation statements)

References 57 publications

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“…The high rates of first day in-hospital exclusive breastfeeding observed may be explained by a supportive sociopolitical environment that has led several hospitals to obtain accreditation as BFH and a favorable sociocultural context where breastfeeding is generally encouraged and not frowned upon when done in public, unlike what has been reported for other high income countries (Hauck et al, 2020).…”

Section: Discussionmentioning

confidence: 91%

Maternal Country of Birth and Exclusive Breastfeeding During the First In-Hospital Day in Portugal: The Influence of the Baby-Friendly Hospital Initiative

2020

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Background Early breastfeeding practices are important determinants of later breastfeeding behaviors and can be influenced by multiple factors. Despite the Baby-Friendly Hospital Initiative reported positive influence on breastfeeding initiation, its influence on the association between maternal country of birth and first day in-hospital breastfeeding has not been examined. Research aims To determine (1) if association between maternal country of birth and first day in-hospital exclusive breastfeeding exists in Portugal and (2) if any association is affected by giving birth in a Baby-Friendly Hospital. Methods Data were drawn from baMBINO—a longitudinal, 2017–2019 nationwide study designed to assess the perinatal health and healthcare experiences of migrant and native Portuguese women. Data from participants ( N = 5,340) were collected during their hospital stay from 32 maternity units. Missing data were handled through multiple imputation. After stratifying by Baby-Friendly Hospital Initiative accreditation, a multivariate logistic regression was performed. Results First day in-hospital exclusive breastfeeding rates were high among both migrant and native participants (89.2% vs. 87.4%). Migrants were more likely to exclusively breastfeed when compared to natives ( OR = 1.19, 95% CI [1.00, 1.41]). In non-Baby-Friendly Hospitals, a positive association was found between participants from Eastern European countries (a OR = 2.46, 95% CI [1.27, 4.78]) and first day in-hospital exclusive breastfeeding. In accredited hospitals, maternal country of birth did not influence exclusive breastfeeding during the first 24 hr. Conclusions The Baby-Friendly Hospital Initiative attenuates differences between migrant and native participants, promoting optimal breastfeeding practices among natives.

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Section: Discussionmentioning

confidence: 91%

Maternal Country of Birth and Exclusive Breastfeeding During the First In-Hospital Day in Portugal: The Influence of the Baby-Friendly Hospital Initiative

2020

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“…Many mothers report feeling uncomfortable or stigmatized when breastfeeding in public. 33,34 Although participants did not expound on this connection, public shaming and stigmatizing of Black mothers while breastfeeding may be linked to long held norms about the role and position of women. Through chattel slavery, Black women could not comply with antebellum America's Cult of True Womanhood principals of piety, purity, submissiveness, and domesticity.…”

Section: Fig 3 (Continued)mentioning

confidence: 99%

Racism and Resistance: A Qualitative Study of Bias As a Barrier to Breastfeeding

Davis

Villalobos

Turner

et al. 2021

Breastfeeding Medicine

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Background: Nearly 75% of Black non-Hispanic babies born in 2016 ever breastfed. However, Black mothers still experience barriers to breastfeeding, perpetuating disparities in exclusivity and duration. Subjects and Methods: Using data collected from five focus groups with Black mothers (N = 30) in Washington, District of Columbia during summer 2019, we critically examine the influence of institutionalized and personally mediated racism on breastfeeding. We also explore the counter-narratives Black women use to resist oppression and deal with these barriers. Results: Themes surrounding institutionalized racism included historic exploitation, institutions pushing formula, and lack of economic and employment supports. Themes regarding how personally mediated racism manifested included health care interactions and shaming/stigma while feeding in public. At each level examined, themes of resistance were also identified. Themes of resistance to institutionalized racism were economic empowerment and institutions protecting breastfeeding. Themes of resistance to personally mediated biases were rejecting health provider bias and building community. Conclusions: There are opportunities for health providers and systems to break down barriers to breastfeeding for Black women. These include changes in clinical training and practice as well as clinicians leveraging their position and lending their voices in advocacy efforts.

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“…These affect how women's actions are perceived and influence societal understanding and acceptance of their behaviour, including in relation to the exchange and use of human milk (Cassidy, Dowling, Dykes, & Mahon, 2018;Cassidy et al 2019;Kent, Fannin, & Dowling, 2019). Breastmilk sharing is undermined by the stigmatisation of breastfeeding in the global North (Tomori, Palmquist & Dowling, 2016;Grant, Mannay, & Morzella, 2017;Bresnahan, Zhu, Zhuang, & Yan 2019), the sexualisation of breasts (Dowling, Naidoo, & Pontin, 2012;Grant, 2016;Haucka, Bradfielda, & Kuliukasb, 2020) and the dichotomy whereby breastmilk is both perceived as dirty/'matter out of place' and as 'liquid gold' (Douglas, 2002(Douglas, [1966; Dowling, 2019)-contributing to the 'yuk' factor which may be invoked when discussing the use of another mother's milk (Shaw, 2004). Women who use other mother's milk may feel inhibited in discussing it, both because of these perceptions and because of their feelings about not being able to breastfeed their baby as they would wish (Esquerra-Zwiers et al, 2016;Shafer, Ashada, & Palmquist, 2018).…”

Section: Understanding the Use/sharing Of Human Milkmentioning

confidence: 99%

An ‘incredible community’ or ‘disgusting’ and ‘weird’? Representations of breastmilk sharing in worldwide news media

Dowling

Grant²

2021

Maternal & Child Nutrition

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Breastmilk sharing via the internet has become more popular in recent years, with a resultant increase in media attention. It is actively discouraged by public health bodies in at least three countries. We undertook a qualitative analysis of worldwide English language news media (online newspaper articles and transcripts of television and radio pieces) focusing on peer-to-peer breastmilk sharing during a 24-month period (2015)(2016). One hundred eleven news articles were analysed semiotically for positive (n = 49) and negative (n = 90) depictions of breastmilk sharing and the actors involved. Three countries published the majority of the articles: United States (n = 42), United Kingdom (n = 24) and Australia (n = 20). Topics associated with using shared breastmilk included perceived insufficiency, having surgery or taking medication, or the prematurity of the baby. Reports of women who gave and received breastmilk were largely positive although sometimes confused with women who sell breastmilk, who were demonised. The breastmilk itself, however, was considered as potentially contaminated and possibly dangerous; calls for action (n = 33) focused on increasing regulation and safety. Peer-to-peer milk sharing and the commercial availability of human milk are activities that occur within social and cultural contexts, and, as such, the ways in which they are represented in the news media reflect the ways in which they are also represented more widely in society. Increased understanding of normal infant feeding practices is needed, alongside guidance on how to better support breastfeeding. News media outlets can facilitate this through reporting risk in line with evidence. Further research should be undertaken to understand the safety of breastmilk sharing and the experience of those who participate.

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Women's experiences with breastfeeding in public: An integrative review

Cited by 42 publications

References 57 publications

Maternal Country of Birth and Exclusive Breastfeeding During the First In-Hospital Day in Portugal: The Influence of the Baby-Friendly Hospital Initiative

Maternal Country of Birth and Exclusive Breastfeeding During the First In-Hospital Day in Portugal: The Influence of the Baby-Friendly Hospital Initiative

Racism and Resistance: A Qualitative Study of Bias As a Barrier to Breastfeeding

An ‘incredible community’ or ‘disgusting’ and ‘weird’? Representations of breastmilk sharing in worldwide news media

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