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Published in: BMC Pregnancy and Childbirth 1/2018

Open Access 01-12-2018 | Research article

‘They’re born to get breastfed’- how fathers view breastfeeding: a mixed method study

Authors: Emily Hansen, Leigh Tesch, Jennifer Ayton

Published in: BMC Pregnancy and Childbirth | Issue 1/2018

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Abstract

Background

Fathers’ attitudes and actions can positively or negatively affect mothers’ intentions to breastfeed, breastfeeding duration and exclusivity. In-depth information about fathers’ perspectives on breastfeeding are largely absent in the literature about infant feeding. The objective of this research was to investigate how fathers view breastfeeding.

Methods

This mixed method study recruited Tasmanian fathers with children < 24 months of age. Fathers completed a questionnaire and participated in either semi structured one-on-one or group interviews. Transcripts were analysed using a process of iterative thematic analysis.

Results

Twenty-six fathers participated in the study. They had a mean age of 34 years and just over half were first time fathers. A total of 13 fathers lived in areas classified by SEIFA as disadvantaged. Twenty-one reported they had decided as a couple to breastfeed their current child. Fathers’ views on breastfeeding are complex, multi-layered and change over time: as babies get older, as fathers get more familiar with feeding babies, when feeding practices change and when family circumstances change. Four thematic categories related to how fathers view breastfeeding were identified; Breastfeeding as healthy and natural, the value of breast feeding and breastmilk, a pragmatic approach to breastfeeding and Breastfeeding as something achieved or imposed.

Conclusion

Fathers in our study valued breastfeeding and saw it as healthy and natural for babies. However, many of the fathers in our study had seen their partners struggle with breastfeeding. As a result some also viewed breastfeeding as a potentially harmful practice for mothers. Their accounts demonstrated that breastfeeding problems affect families, not just mothers and infants. There is scope for improvement in the care of women during and after birth to reduce breastfeeding problems and for fathers to learn more about breastfeeding prior to the birth of their child.
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Literature
2.
go back to reference Barker D. Mothers, babies and health in later life. Churchill Livingston: Edinburgh; 1998. Barker D. Mothers, babies and health in later life. Churchill Livingston: Edinburgh; 1998.
3.
go back to reference Victora CG, Bahl R, Barros AJ, Franca GV, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387:475–90.CrossRefPubMed Victora CG, Bahl R, Barros AJ, Franca GV, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387:475–90.CrossRefPubMed
4.
go back to reference World Health Organization/UNICEF. Indicators for assessing breastfeeding practices. Part 1 definitions: conclusions of consensus meeting held 6–8 November 2007. Geneva: Division of Child Health and Development; 2008. World Health Organization/UNICEF. Indicators for assessing breastfeeding practices. Part 1 definitions: conclusions of consensus meeting held 6–8 November 2007. Geneva: Division of Child Health and Development; 2008.
5.
go back to reference Scott JA, Binns CW. Factors associated with the initiation and duration of breastfeeding: a review of the literature. Breastfeed Rev. 1999;7:5–16.PubMed Scott JA, Binns CW. Factors associated with the initiation and duration of breastfeeding: a review of the literature. Breastfeed Rev. 1999;7:5–16.PubMed
6.
go back to reference Amir LH, Donath SM. Socioeconomic status and rates of breastfeeding in Australia: evidence from three recent national health surveys. Med J Aust. 2008;189:254–6.PubMed Amir LH, Donath SM. Socioeconomic status and rates of breastfeeding in Australia: evidence from three recent national health surveys. Med J Aust. 2008;189:254–6.PubMed
7.
go back to reference Ayton J, van der Mei I, Wills K, Hansen E, Nelson M. Cumulative risks and cessation of exclusive breast feeding: Australian cross-sectional survey. Arch Dis Child. 2015;100:863–8.CrossRefPubMed Ayton J, van der Mei I, Wills K, Hansen E, Nelson M. Cumulative risks and cessation of exclusive breast feeding: Australian cross-sectional survey. Arch Dis Child. 2015;100:863–8.CrossRefPubMed
8.
go back to reference World Health Organization/UNICEF. Global strategy on infant and young child feeding. Geneva: World Health Organization/UNICEF; 2012. Contract No.: July 12. World Health Organization/UNICEF. Global strategy on infant and young child feeding. Geneva: World Health Organization/UNICEF; 2012. Contract No.: July 12.
9.
go back to reference Roll CL, Cheater F. Expectant parents’ views of factors influencing infant feeding decisions in the antenatal period: a systematic review. Int J Nurs Stud. 2016;60:145–55.CrossRefPubMed Roll CL, Cheater F. Expectant parents’ views of factors influencing infant feeding decisions in the antenatal period: a systematic review. Int J Nurs Stud. 2016;60:145–55.CrossRefPubMed
10.
go back to reference Emmott EH, Mace R. Practical support from fathers and grandmothers is associated with lower levels of breastfeeding in the UK millennium cohort study. PLoS One. 2015;10:e0133547.CrossRefPubMedPubMedCentral Emmott EH, Mace R. Practical support from fathers and grandmothers is associated with lower levels of breastfeeding in the UK millennium cohort study. PLoS One. 2015;10:e0133547.CrossRefPubMedPubMedCentral
11.
go back to reference Susin LR, Giugliani ER. Inclusion of fathers in an intervention to promote breastfeeding: impact on breastfeeding rates. J Hum Lact. 2008;24:386–92.CrossRefPubMed Susin LR, Giugliani ER. Inclusion of fathers in an intervention to promote breastfeeding: impact on breastfeeding rates. J Hum Lact. 2008;24:386–92.CrossRefPubMed
12.
go back to reference Scott J, Binns C, Aroni R. The influence of reported paternal attitudes on the decision to breast-feed. J Paediatr Child Health. 1997;33:305–7.CrossRefPubMed Scott J, Binns C, Aroni R. The influence of reported paternal attitudes on the decision to breast-feed. J Paediatr Child Health. 1997;33:305–7.CrossRefPubMed
13.
go back to reference Chen PG, Johnson LW, Rosenthal MS. Sources of education about breastfeeding and breast pump use: what effect do they have on breastfeeding duration? An analysis of the infant feeding practices survey II. Matern Child Health J. 2012;16:1421–30.CrossRefPubMed Chen PG, Johnson LW, Rosenthal MS. Sources of education about breastfeeding and breast pump use: what effect do they have on breastfeeding duration? An analysis of the infant feeding practices survey II. Matern Child Health J. 2012;16:1421–30.CrossRefPubMed
14.
go back to reference Chezem JC. Breastfeeding attitudes among couples planning exclusive breastfeeding or mixed feeding. Breastfeed Med. 2012;7:155–62.CrossRefPubMed Chezem JC. Breastfeeding attitudes among couples planning exclusive breastfeeding or mixed feeding. Breastfeed Med. 2012;7:155–62.CrossRefPubMed
15.
go back to reference Avery AB, Magnus JH. Expectant fathers’ and mothers’ perceptions of breastfeeding and formula feeding: a focus group study in three US cities. J Hum Lact. 2011;27:147–54.CrossRefPubMed Avery AB, Magnus JH. Expectant fathers’ and mothers’ perceptions of breastfeeding and formula feeding: a focus group study in three US cities. J Hum Lact. 2011;27:147–54.CrossRefPubMed
16.
go back to reference Van Wagenen SA, Magnusson BM, Neiger BL. Attitudes toward breastfeeding among an internet panel of US males aged 21–44. Matern Child Health J. 2015;19:2020–8.CrossRefPubMed Van Wagenen SA, Magnusson BM, Neiger BL. Attitudes toward breastfeeding among an internet panel of US males aged 21–44. Matern Child Health J. 2015;19:2020–8.CrossRefPubMed
17.
go back to reference Sherriff N, Hall V. Engaging and supporting fathers to promote breastfeeding: a new role for health visitors? Scand J Caring Sci. 2011;25:467–75.CrossRefPubMed Sherriff N, Hall V. Engaging and supporting fathers to promote breastfeeding: a new role for health visitors? Scand J Caring Sci. 2011;25:467–75.CrossRefPubMed
18.
go back to reference Bar-Yam NB, Darby L. Fathers and breastfeeding: a review of the literature. J Hum Lact. 1997;13:45–50.CrossRefPubMed Bar-Yam NB, Darby L. Fathers and breastfeeding: a review of the literature. J Hum Lact. 1997;13:45–50.CrossRefPubMed
19.
go back to reference Rempel LA, Rempel JK. The breastfeeding team: the role of involved fathers in the breastfeeding family. J Hum Lact. 2011;27:115–21.CrossRefPubMed Rempel LA, Rempel JK. The breastfeeding team: the role of involved fathers in the breastfeeding family. J Hum Lact. 2011;27:115–21.CrossRefPubMed
20.
go back to reference Palmqvist H, Zäther J, Larsson M. Fathers’ and co-mothers’ voices about breastfeeding and equality–a Swedish perspective. Women and birth. 2015;28:63–e9.CrossRef Palmqvist H, Zäther J, Larsson M. Fathers’ and co-mothers’ voices about breastfeeding and equality–a Swedish perspective. Women and birth. 2015;28:63–e9.CrossRef
21.
go back to reference Brown A, Davies R. Fathers’ experiences of supporting breastfeeding: challenges for breastfeeding promotion and education. Maternal & child nutrition. 2014;10:510–26.CrossRef Brown A, Davies R. Fathers’ experiences of supporting breastfeeding: challenges for breastfeeding promotion and education. Maternal & child nutrition. 2014;10:510–26.CrossRef
22.
go back to reference Scott J. Attitudes to breastfeeding. In: Liamputtong P, editor. Infant feeding practices: a cross-cultural perspective. New York: Springer; 2011. p. 39–54.CrossRef Scott J. Attitudes to breastfeeding. In: Liamputtong P, editor. Infant feeding practices: a cross-cultural perspective. New York: Springer; 2011. p. 39–54.CrossRef
23.
go back to reference Henderson L, McMillan B, Green JM, Renfrew MJ. Men and infant feeding: perceptions of embarrassment, sexuality, and social conduct in white low-income British men. Birth. 2011;38:61–70.CrossRefPubMed Henderson L, McMillan B, Green JM, Renfrew MJ. Men and infant feeding: perceptions of embarrassment, sexuality, and social conduct in white low-income British men. Birth. 2011;38:61–70.CrossRefPubMed
24.
go back to reference Miller T. Making sense of fatherhood: gender, caring and work: Cambridge University press; 2010.CrossRef Miller T. Making sense of fatherhood: gender, caring and work: Cambridge University press; 2010.CrossRef
25.
go back to reference Ranson G. Men at work: change—or no change?—in the era of the “new father”. Men Masculinities. 2001;4:3–26.CrossRef Ranson G. Men at work: change—or no change?—in the era of the “new father”. Men Masculinities. 2001;4:3–26.CrossRef
26.
go back to reference Harrington M. Sport and leisure as contexts for fathering in Australian families. Leis Stud. 2006;25:165–83.CrossRef Harrington M. Sport and leisure as contexts for fathering in Australian families. Leis Stud. 2006;25:165–83.CrossRef
27.
go back to reference Giugliani E, Bronner Y, Caiaffa W, Vogelhut J, Witter F, Perman J. Are fathers prepared to encourage their partners to breast feed? A study about fathers’ knowledge of breast feeding. Acta Paediatr. 1994;83:1127–31.CrossRefPubMed Giugliani E, Bronner Y, Caiaffa W, Vogelhut J, Witter F, Perman J. Are fathers prepared to encourage their partners to breast feed? A study about fathers’ knowledge of breast feeding. Acta Paediatr. 1994;83:1127–31.CrossRefPubMed
28.
go back to reference Ayton J, Hansen E. Complex young lives: a collective qualitative case study analysis of young fatherhood and breastfeeding. Int Breastfeed J. 2016;11:1.CrossRef Ayton J, Hansen E. Complex young lives: a collective qualitative case study analysis of young fatherhood and breastfeeding. Int Breastfeed J. 2016;11:1.CrossRef
29.
go back to reference Pink B. Census of population and housing: socio-economic indexes for areas (SEIFA), Australia, 2011. Technical paper. Canberra: Australian Government; 2011. Pink B. Census of population and housing: socio-economic indexes for areas (SEIFA), Australia, 2011. Technical paper. Canberra: Australian Government; 2011.
30.
go back to reference Grbich C. Qualitative research in health: an introduction: sage; 1998. Grbich C. Qualitative research in health: an introduction: sage; 1998.
31.
go back to reference Rice PL, Ezzy D. Qualitative research methods: a health focus. Melbourne, Australia. 1999. Rice PL, Ezzy D. Qualitative research methods: a health focus. Melbourne, Australia. 1999.
32.
go back to reference StataCorp L, E. Stata statistical software: release 14. StataCorp 2015. College Station: StataCorp LP; 2015. StataCorp L, E. Stata statistical software: release 14. StataCorp 2015. College Station: StataCorp LP; 2015.
33.
go back to reference Moore ER, Bergman N, Anderson GC, Medley N. Early skin-to-skin contact for mothers and their healthy newborn infants. The Cochrane library. 2016. Moore ER, Bergman N, Anderson GC, Medley N. Early skin-to-skin contact for mothers and their healthy newborn infants. The Cochrane library. 2016.
34.
go back to reference Maycock B, Binns CW, Dhaliwal S, Tohotoa J, Hauck Y, Burns S, et al. Education and support for fathers improves breastfeeding rates: a randomized controlled trial. J Hum Lact. 2013;29:484–90.CrossRefPubMed Maycock B, Binns CW, Dhaliwal S, Tohotoa J, Hauck Y, Burns S, et al. Education and support for fathers improves breastfeeding rates: a randomized controlled trial. J Hum Lact. 2013;29:484–90.CrossRefPubMed
35.
go back to reference Khandpur N, Blaine RE, Fisher JO, Davison KK. Fathers’ child feeding practices: a review of the evidence. Appetite. 2014;78:110–21.CrossRefPubMed Khandpur N, Blaine RE, Fisher JO, Davison KK. Fathers’ child feeding practices: a review of the evidence. Appetite. 2014;78:110–21.CrossRefPubMed
36.
go back to reference Furman L, Killpak S, Matthews L, Davis V, O'Riordan MA. Engaging Inner-City fathers in breastfeeding support. Breastfeed Med. 2016;11:15–20.CrossRefPubMed Furman L, Killpak S, Matthews L, Davis V, O'Riordan MA. Engaging Inner-City fathers in breastfeeding support. Breastfeed Med. 2016;11:15–20.CrossRefPubMed
Metadata
Title
‘They’re born to get breastfed’- how fathers view breastfeeding: a mixed method study
Authors
Emily Hansen
Leigh Tesch
Jennifer Ayton
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2018
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-018-1827-9

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