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Published in: International Breastfeeding Journal 1/2019

Open Access 01-12-2019 | Research

Women’s advice to healthcare professionals regarding breastfeeding: “offer sensitive individualized breastfeeding support”- an interview study

Authors: Ingrid Blixt, Margareta Johansson, Ingegerd Hildingsson, Zoi Papoutsi, Christine Rubertsson

Published in: International Breastfeeding Journal | Issue 1/2019

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Abstract

Background

The World Health Organization recommends exclusive breastfeeding for 6 months followed by continued breastfeeding with complementary food up to 2 years of age or beyond. Few women achieve this recommendation in Sweden, and they often stop breastfeeding earlier than they would like. Investigating women’s advice to healthcare professionals is important for the provision of optimal breastfeeding support. The aim of this study was to explore women’s advice to healthcare professionals regarding support for continuing to breastfeed for at least 6 months.

Methods

This investigation used an exploratory study design, and a purposive sample of women was recruited between 2015 and 2016 through social media platforms. The work is a follow-up of an earlier study exploring women’s perceptions of the factors that assisted them in breastfeeding for at least 6 months. Telephone interviews were conducted with 139 Swedish women who reported that they had breastfed for at least 6 months. Women were asked the question, “Do you have any advice that you would like to give to healthcare professionals regarding breastfeeding support?”. The data were analysed using content analysis.

Results

The theme, “Professionals need to offer women sensitive, individualized breastfeeding support to promote a positive breastfeeding experience”, describes the women’s advice based on five categories: 1) providing evidence-based care, 2) preparing expectant parents during pregnancy, 3) creating a respectful and mutual dialogue, 4) offering individual solutions to breastfeeding problems, and 5) offering practical support.

Conclusions

This study highlights the importance of professionals providing evidence-based breastfeeding support in a sensitive and individualized manner. This consideration is an important prerequisite to strengthening women’s self-confidence and assisting them in reaching their breastfeeding goals, which may enhance the positive nature of their breastfeeding experience.
Literature
1.
go back to reference Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475–90.CrossRef Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475–90.CrossRef
2.
go back to reference Odom EC, Li R, Scanlon KS, Perrine CG, Grummer-Strawn L. Reasons for earlier than desired cessation of breastfeeding. Pediatrics. 2013;131(3):e726–32.CrossRef Odom EC, Li R, Scanlon KS, Perrine CG, Grummer-Strawn L. Reasons for earlier than desired cessation of breastfeeding. Pediatrics. 2013;131(3):e726–32.CrossRef
3.
go back to reference Blixt I, Mårtensson LB, Ekström AC. Process-oriented training in breastfeeding for health professionals decreases women’s experiences of breastfeeding challenges. Int Breastfeed J. 2014;9:15.CrossRef Blixt I, Mårtensson LB, Ekström AC. Process-oriented training in breastfeeding for health professionals decreases women’s experiences of breastfeeding challenges. Int Breastfeed J. 2014;9:15.CrossRef
7.
go back to reference Jones JR, Kogan MD, Singh GK, Dee DL, Grummer-Strawn LM. Factors associated with exclusive breastfeeding in the United States. Pediatrics. 2011;128(6):1117–25.CrossRef Jones JR, Kogan MD, Singh GK, Dee DL, Grummer-Strawn LM. Factors associated with exclusive breastfeeding in the United States. Pediatrics. 2011;128(6):1117–25.CrossRef
8.
go back to reference Chantry CJ, Dewey KG, Peerson JM, Wagner EA, Nommsen-Rivers LA. In-hospital formula use increases early breastfeeding cessation among first-time mothers intending to exclusively breastfeed. J Pediatr. 2014;164(6):1339–1345.e5.CrossRef Chantry CJ, Dewey KG, Peerson JM, Wagner EA, Nommsen-Rivers LA. In-hospital formula use increases early breastfeeding cessation among first-time mothers intending to exclusively breastfeed. J Pediatr. 2014;164(6):1339–1345.e5.CrossRef
9.
go back to reference Meedya S, Fahy K, Kable A. Factors that positively influence breastfeeding duration to 6 months: a literature review. Women Birth. 2010;23(4):135–45.CrossRef Meedya S, Fahy K, Kable A. Factors that positively influence breastfeeding duration to 6 months: a literature review. Women Birth. 2010;23(4):135–45.CrossRef
10.
go back to reference Zwedberg S. I Wanted to Breastfeed! A Hermeneutical Study of Mothers with Breastfeeding Problems; Their Experiences and Coping Strategies, and Consultative Meetings with Midwives. Stockholm: PhD thesis; 2010. Zwedberg S. I Wanted to Breastfeed! A Hermeneutical Study of Mothers with Breastfeeding Problems; Their Experiences and Coping Strategies, and Consultative Meetings with Midwives. Stockholm: PhD thesis; 2010.
11.
go back to reference Barimani M, Oxelmark L, Johansson S-E, Hylander I. Support and continuity during the first 2 weeks postpartum. Scand J Caring Sci. 2015;29(3):409–17.CrossRef Barimani M, Oxelmark L, Johansson S-E, Hylander I. Support and continuity during the first 2 weeks postpartum. Scand J Caring Sci. 2015;29(3):409–17.CrossRef
12.
go back to reference Hall Moran V, Edwards J, Dykes F, Downe S. A systematic review of the nature of support for breast-feeding adolescent mothers. Midwifery. 2007;23(2):157–71.CrossRef Hall Moran V, Edwards J, Dykes F, Downe S. A systematic review of the nature of support for breast-feeding adolescent mothers. Midwifery. 2007;23(2):157–71.CrossRef
13.
go back to reference Hauck YL, Blixt I, Hildingsson I, Gallagher L, Rubertsson C, Thomson B, et al. Australian. Irish and Swedish women’s perceptions of what assisted them to breastfeed for six months: exploratory design using critical incident technique BMC Public Health. 2016;16:1067.PubMed Hauck YL, Blixt I, Hildingsson I, Gallagher L, Rubertsson C, Thomson B, et al. Australian. Irish and Swedish women’s perceptions of what assisted them to breastfeed for six months: exploratory design using critical incident technique BMC Public Health. 2016;16:1067.PubMed
14.
go back to reference Schmied V, Beake S, Sheehan A, McCourt C, Dykes F. Women’s perceptions and experiences of breastfeeding support: a metasynthesis. Birth. 2011;38(1):49–60.CrossRef Schmied V, Beake S, Sheehan A, McCourt C, Dykes F. Women’s perceptions and experiences of breastfeeding support: a metasynthesis. Birth. 2011;38(1):49–60.CrossRef
15.
go back to reference McFadden A, Gavine A, Renfrew MJ, Wade A, Buchanan P, Taylor JL, et al. Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database Syst Rev. 2017;28:2 CD001141. McFadden A, Gavine A, Renfrew MJ, Wade A, Buchanan P, Taylor JL, et al. Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database Syst Rev. 2017;28:2 CD001141.
20.
go back to reference Polit DF, Beck CT. Essentials of nursing research : appraising evidence for nursing practice. Philadelphia: Wolters Kluwer; 2013. Polit DF, Beck CT. Essentials of nursing research : appraising evidence for nursing practice. Philadelphia: Wolters Kluwer; 2013.
21.
go back to reference Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105–12.CrossRef Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105–12.CrossRef
22.
go back to reference Hildingsson I, Thomas JE. Women’s perspectives on maternity services in Sweden: processes, problems, and solutions. J Midwifery Womens Health. 2007;52(2):126–33.CrossRef Hildingsson I, Thomas JE. Women’s perspectives on maternity services in Sweden: processes, problems, and solutions. J Midwifery Womens Health. 2007;52(2):126–33.CrossRef
24.
go back to reference Hoddinott P, Craig LCA, Britten J, McInnes RM. A serial qualitative interview study of infant feeding experiences: idealism meets realism. BMJ Open. 2012;2(2):e000504.CrossRef Hoddinott P, Craig LCA, Britten J, McInnes RM. A serial qualitative interview study of infant feeding experiences: idealism meets realism. BMJ Open. 2012;2(2):e000504.CrossRef
25.
go back to reference Fox R, McMullen S, Newburn M. UK women’s experiences of breastfeeding and additional breastfeeding support: a qualitative study of baby Café services. BMC Pregnancy Childbirth. 2015;15:147.CrossRef Fox R, McMullen S, Newburn M. UK women’s experiences of breastfeeding and additional breastfeeding support: a qualitative study of baby Café services. BMC Pregnancy Childbirth. 2015;15:147.CrossRef
26.
go back to reference Brown A, Davies R. Fathers’ experiences of supporting breastfeeding: challenges for breastfeeding promotion and education. Matern Child Nutr. 2014;10(4):510–26.CrossRef Brown A, Davies R. Fathers’ experiences of supporting breastfeeding: challenges for breastfeeding promotion and education. Matern Child Nutr. 2014;10(4):510–26.CrossRef
27.
go back to reference Gerd A-T, Bergman S, Dahlgren J, Roswall J, Alm B. Factors associated with discontinuation of breastfeeding before 1 month of age. Acta Paediatr. 2012;101(1):55–60.CrossRef Gerd A-T, Bergman S, Dahlgren J, Roswall J, Alm B. Factors associated with discontinuation of breastfeeding before 1 month of age. Acta Paediatr. 2012;101(1):55–60.CrossRef
28.
go back to reference Swerts M, Westhof E, Bogaerts A, Lemiengre J. Supporting breast-feeding women from the perspective of the midwife: a systematic review of the literature. Midwifery. 2016;37:32–40.CrossRef Swerts M, Westhof E, Bogaerts A, Lemiengre J. Supporting breast-feeding women from the perspective of the midwife: a systematic review of the literature. Midwifery. 2016;37:32–40.CrossRef
29.
go back to reference Palmér L, Carlsson G, Brunt D, Nyström M. Existential security is a necessary condition for continued breastfeeding despite severe initial difficulties: a lifeworld hermeneutical study. Int Breastfeed J. 2015;10:17.CrossRef Palmér L, Carlsson G, Brunt D, Nyström M. Existential security is a necessary condition for continued breastfeeding despite severe initial difficulties: a lifeworld hermeneutical study. Int Breastfeed J. 2015;10:17.CrossRef
30.
go back to reference Cato K, Sylvén SM, Skalkidou A, Rubertsson C. Experience of the first breastfeeding session in association with the use of the hands-on approach by healthcare professionals: a population-based Swedish study. Breastfeed Med. 2014;9(6):294–300.CrossRef Cato K, Sylvén SM, Skalkidou A, Rubertsson C. Experience of the first breastfeeding session in association with the use of the hands-on approach by healthcare professionals: a population-based Swedish study. Breastfeed Med. 2014;9(6):294–300.CrossRef
31.
go back to reference Burns E, Schmied V. ‘The right help at the right time’: positive constructions of peer and professional support for breastfeeding. Women Birth. 2017;30(5):389–97.CrossRef Burns E, Schmied V. ‘The right help at the right time’: positive constructions of peer and professional support for breastfeeding. Women Birth. 2017;30(5):389–97.CrossRef
32.
go back to reference Hirani SAA, Olson J. Concept analysis of maternal autonomy in the context of breastfeeding. J Nurs Scholarsh. 2016;48(3):276–84.CrossRef Hirani SAA, Olson J. Concept analysis of maternal autonomy in the context of breastfeeding. J Nurs Scholarsh. 2016;48(3):276–84.CrossRef
33.
go back to reference Thomson G, Ebisch-Burton K, Flacking R. Shame if you do--shame if you don’t: women’s experiences of infant feeding. Matern Child Nutr. 2015;11(1):33–46.CrossRef Thomson G, Ebisch-Burton K, Flacking R. Shame if you do--shame if you don’t: women’s experiences of infant feeding. Matern Child Nutr. 2015;11(1):33–46.CrossRef
35.
go back to reference Hauck YL, Fenwick J, Dhaliwal SS, Butt J, Schmied V. The association between women’s perceptions of professional support and problems experienced on breastfeeding cessation: a Western Australian study. J Hum Lact. 2011;27(1):49–57.CrossRef Hauck YL, Fenwick J, Dhaliwal SS, Butt J, Schmied V. The association between women’s perceptions of professional support and problems experienced on breastfeeding cessation: a Western Australian study. J Hum Lact. 2011;27(1):49–57.CrossRef
38.
go back to reference Ekström A, Matthiesen A-S, Widström A-M, Nissen E. Breastfeeding attitudes among counselling health professionals. Scand J Public Health. 2005;33(5):353–9.CrossRef Ekström A, Matthiesen A-S, Widström A-M, Nissen E. Breastfeeding attitudes among counselling health professionals. Scand J Public Health. 2005;33(5):353–9.CrossRef
39.
go back to reference Macpherson I, Roqué-Sánchez MV, Legget Bn FO, Fuertes F, Segarra I. A systematic review of the relationship factor between women and health professionals within the multivariant analysis of maternal satisfaction. Midwifery. 2016;41:68–78.CrossRef Macpherson I, Roqué-Sánchez MV, Legget Bn FO, Fuertes F, Segarra I. A systematic review of the relationship factor between women and health professionals within the multivariant analysis of maternal satisfaction. Midwifery. 2016;41:68–78.CrossRef
40.
go back to reference Dykes F. The education of health practitioners supporting breastfeeding women: time for critical reflection. Matern Child Nutr. 2006;2(4):204–16.CrossRef Dykes F. The education of health practitioners supporting breastfeeding women: time for critical reflection. Matern Child Nutr. 2006;2(4):204–16.CrossRef
41.
go back to reference Tomori C, Palmquist AEL, Dowling S. Contested moral landscapes: negotiating breastfeeding stigma in breastmilk sharing, nighttime breastfeeding, and long-term breastfeeding in the U.S. and the U.K. Soc Sci Med. 2016;168:178–85.CrossRef Tomori C, Palmquist AEL, Dowling S. Contested moral landscapes: negotiating breastfeeding stigma in breastmilk sharing, nighttime breastfeeding, and long-term breastfeeding in the U.S. and the U.K. Soc Sci Med. 2016;168:178–85.CrossRef
42.
go back to reference Musselwhite K, Cuff L, McGregor L, King KM. The telephone interview is an effective method of data collection in clinical nursing research: a discussion paper. Int J Nurs Stud. 2007;44(6):1064–70.CrossRef Musselwhite K, Cuff L, McGregor L, King KM. The telephone interview is an effective method of data collection in clinical nursing research: a discussion paper. Int J Nurs Stud. 2007;44(6):1064–70.CrossRef
44.
go back to reference de Jager E, Broadbent J, Fuller-Tyszkiewicz M, Nagle C, McPhie S, Skouteris H. A longitudinal study of the effect of psychosocial factors on exclusive breastfeeding duration. Midwifery. 2015;31(1):103–11.CrossRef de Jager E, Broadbent J, Fuller-Tyszkiewicz M, Nagle C, McPhie S, Skouteris H. A longitudinal study of the effect of psychosocial factors on exclusive breastfeeding duration. Midwifery. 2015;31(1):103–11.CrossRef
45.
go back to reference Li R, Scanlon KS, Serdula MK. The validity and reliability of maternal recall of breastfeeding practice. Nutr Rev. 2005 Apr;63(4):103–10.CrossRef Li R, Scanlon KS, Serdula MK. The validity and reliability of maternal recall of breastfeeding practice. Nutr Rev. 2005 Apr;63(4):103–10.CrossRef
Metadata
Title
Women’s advice to healthcare professionals regarding breastfeeding: “offer sensitive individualized breastfeeding support”- an interview study
Authors
Ingrid Blixt
Margareta Johansson
Ingegerd Hildingsson
Zoi Papoutsi
Christine Rubertsson
Publication date
01-12-2019
Publisher
BioMed Central
Published in
International Breastfeeding Journal / Issue 1/2019
Electronic ISSN: 1746-4358
DOI
https://doi.org/10.1186/s13006-019-0247-4

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