Predictors of the duration of exclusive breastfeeding among first-time mothers

2008 ◽  
Vol 31 (5) ◽  
pp. 428-441 ◽  
Author(s):  
Sonia Semenic ◽  
Carmen Loiselle ◽  
Laurie Gottlieb
Keyword(s):  
Exclusive Breastfeeding ◽  
First Time Mothers ◽  
First Time

scholarly journals "Once the child is delivered, he is no more your baby," Exclusive Breastfeeding experiences of first-time mothers in Kassena-Nankana Municipality, Ghana - a qualitative study

2020 ◽  
Author(s):  
Louisa Adda ◽  
Kwabena Opoku-Mensah ◽  
Phyllis Dako-Gyeke
Keyword(s):  
Exclusive Breastfeeding ◽  
English Language ◽  
Cultural Practices ◽  
Health Workers ◽  
Economic Value ◽  
Computer Software ◽  
Traditional Birth Attendants ◽  
Birth Attendants ◽  
First Time Mothers ◽  
First Time

Abstract Background Exclusive Breastfeeding (EBF) is globally accepted as the preferred method for infant feeding. In Ghana, an estimated 84% of children < 2 months old are exclusively breastfed. But by age 4 to 5 months, only 49% continue to receive EBF. This situation continues to deteriorate. Thus, the need to explore perceptions, practices as well as factors that influence EBF in Ghana. Method Using a qualitative design, four focus group discussions were conducted among first-time mothers and eight in-depth interviews with health workers and traditional birth attendants. The study was conducted in four communities in the Kassena-Nankana municipality of Ghana. Discussions and interviews were recorded and later transcribed verbatim to English language. The transcribed data was then coded with the aid of analysis computer software (Nvivo version 10.0) and later analyzed for the generation of themes. Result Exclusive breastfeeding is practiced among first-time mothers due to its perceived benefits; which include nutritional advantage, ability to enhance growth whilst boosting immunity and its economic value. However misconceptions as well as, certain cultural practices (e.g. giving herbal concoctions, breastmilk purification rites), and relational influences, may threaten a mother’s intention to exclusively breastfeed. Relational influences are mainly from mother in-laws, traditional birth attendants, grandmothers, herbalists and other older adults in the community. Conclusion Although first time mothers attempt EBF, external influences make it practically challenging. The availabilty and utilization of information on EBF was found to positively influence perceptions towards EBF, leading to change in attitude towards the act. Recommendations The provision of education on EBF should be targeted to mothers during antenatal and postnatal clinics in order to help address misconceptions of EBF. Again, the practice of community based health services should be strengthened to provide support to first-time mothers as well as continuous education to the family and community leaders who influence decision making on breastfeeding of infants.

scholarly journals Striving for sufficient milk to have a healthy late preterm baby: a grounded theory study

2021 ◽  
Author(s):  
Rungtawan Choijorhor ◽  
Kannika Kantaruksa ◽  
Jutamas Chotibang ◽  
Nonglak Chaloumsuk
Keyword(s):  
Preterm Infants ◽  
Exclusive Breastfeeding ◽  
Late Preterm ◽  
Milk Supply ◽  
Healthy Baby ◽  
Late Preterm Infants ◽  
Core Category ◽  
First Time Mothers ◽  
Insufficient Milk ◽  
First Time

Abstract Background Late preterm infants are at risk for more health problems than full-term infants. They require good nutrition for growth, and breast milk contains valuable nutrients as the valuable golden standard for them. Currently, the population of late preterm infants is increasing as exclusive breastfeeding rates decrease. Hence, this study explored exclusive breastfeeding experiences among Thai first-time mothers of late preterm infants. Methods Participants were recruited from the family planning unit of a university hospital in Northern Thailand. A grounded theory study design was used, drawing upon an interview guideline with seventeen first-time mothers who exclusively breastfed their late preterm infants for the first six weeks of life. Results “Striving for sufficient milk to have a healthy baby” emerged as the core category. It was defined as a process in which mothers of late preterm infants had to exert great effort toward achieving sufficient milk for their infants. The following three phases supported the core category: preparing for breastfeeding, overcoming the problem of insufficient milk supply, and managing to continue breastfeeding. Conclusion Perceived insufficient milk supply in first-time mothers is a threat to achieving exclusive breastfeeding for their late preterm infants, but the will to have a healthy baby makes it happen. Nurse-midwives could apply the management process of exclusive breastfeeding as a guideline in providing support for these mothers throughout the chain of antenatal, intrapartum, and postpartum care. Trial registration: Permission to conduct the study was obtained from the Institutional Review Board Committee, Faculty of Nursing and the Faculty of Medicine, Chiang Mai University, # No. 2561-EXP065 and No. 2561–05865.

scholarly journals Distorted thoughts and practice of exclusive breastfeeding in first-time mothers

2019 ◽  
Vol 10 (2) ◽  
pp. 181-186
Author(s):  
Silvia Lam ◽  
Joel Sánchez ◽  
Jorge Neciosup ◽  
José Castillo ◽  
Richard Palomino
Keyword(s):  
Exclusive Breastfeeding ◽  
First Time Mothers ◽  
First Time

scholarly journals “The kind of support that matters to exclusive breastfeeding” a qualitative study

2020 ◽  
Author(s):  
Zukiswa Theodorah Dasheka ◽  
Ntombana Mc'Deline Rala
Keyword(s):  
Social Support ◽  
South Africa ◽  
Exclusive Breastfeeding ◽  
Family Members ◽  
Breastfeeding Support ◽  
Individual Interviews ◽  
Practical Support ◽  
First Time Mothers ◽  
Contextual Study ◽  
First Time

Abstract Background Worldwide, only 41% of infants are exclusively breastfed for the first six months while South Africa has an alarming figure of only 12%. First-time mothers are inexperienced in the initiation and maintenance of exclusive breastfeeding, hence a need for support. Data on forms and quality of exclusive breastfeeding support as experienced by first-time mothers is minimal. The study explored the exclusive breastfeeding support available to first-time mothers in the Buffalo City Metro, South Africa.Methods A qualitative explorative, descriptive and contextual study, and a non-probability, purposive sampling was used with 10 first-time mothers within the first six months postpartum. The in-depth face-to-face semi-structured individual interviews for data collection and Creswell's steps of thematic analysis were used.Results Two themes emerged; challenges, empowerment, support and resilience during initiation of exclusive breastfeeding, and diverse support and resilience during maintenance of exclusive breastfeeding. First- time mothers received practical support majorly from nurses and other mothers during the initiation; social support was from family members, friends, and community members for the maintenance of exclusive breastfeeding. Sometimes there was a disjuncture between practical support from nurses and that from family members and community. There were instances where the support was needed but not given or not supportive of exclusive breastfeeding.Conclusion These findings illustrate that professional, practical and social support for first-time mothers is crucial in the initiation and maintenance of exclusive breastfeeding for the first six months. Timing and the kind of support given to these mothers is crucial for successful exclusive breastfeeding.

scholarly journals “Once the child is delivered, he is no more your baby,” Exclusive Breastfeeding experiences of first-time mothers in Kassena-Nankana Municipality, Ghana - a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Louisa Adda ◽  
Kwabena Opoku-Mensah ◽  
Phyllis Dako-Gyeke
Keyword(s):  
Exclusive Breastfeeding ◽  
English Language ◽  
Cultural Practices ◽  
Health Workers ◽  
Economic Value ◽  
Computer Software ◽  
Traditional Birth Attendants ◽  
Birth Attendants ◽  
First Time Mothers ◽  
First Time

Abstract Background Exclusive Breastfeeding (EBF), for the first 6 months of life, is globally accepted as the preferred method for infant feeding. In Ghana, an estimated 84% of children < 2 months old are exclusively breastfed. But by age 4 to 5 months, only 49% continue to receive EBF. This situation continues to deteriorate. Thus, the need to explore perceptions, practices as well as factors that influence EBF in Ghana. Methods Using a qualitative design, four focus group discussions were conducted among first-time mothers and eight in-depth interviews with health workers and traditional birth attendants. The study was conducted in four communities in the Kassena-Nankana municipality of Ghana. Discussions and interviews were recorded and later transcribed verbatim to English language. The transcribed data was then coded with the aid of analysis computer software (Nvivo version 10.0) and later analyzed for the generation of themes. Results Exclusive breastfeeding is practiced among first-time mothers due to its perceived benefits; which include nutritional advantage, ability to enhance growth whilst boosting immunity and its economic value. However misconceptions as well as, certain cultural practices (e.g. giving herbal concoctions, breastmilk purification rites), and relational influences, may threaten a mother’s intention to exclusively breastfeed. Relational influences are mainly from mother in-laws, traditional birth attendants, grandmothers, herbalists and other older adults in the community. Conclusions Although first time mothers attempt EBF, external influences make it practically challenging. The availability and utilization of information on EBF was found to positively influence perceptions towards EBF, leading to change in attitude towards the act. Thus, the practice of community-based health services may be strengthened to provide support for first-time mothers as well as continuous education to the mother in laws, female elders and community leaders who influence decision making on breastfeeding of infants.

scholarly journals An Exploration of Breastfeeding Practices by Bhutanese Women

2018 ◽  
Vol 35 (1) ◽  
pp. 181-191 ◽  
Author(s):  
Kinga Pemo ◽  
Diane Phillips ◽  
Alison M. Hutchinson
Keyword(s):  
Exclusive Breastfeeding ◽  
Cultural Practices ◽  
World Health ◽  
Breastfeeding Support ◽  
First Time Mothers ◽  
Framework Approach ◽  
Health Organization ◽  
Family Elders ◽  
Prospective Longitudinal ◽  
First Time

Background: Researchers have shown beneficial influences of exclusive breastfeeding for women and infants. Therefore, the World Health Organization recommends exclusively breastfeeding infants for the first 6 months following birth. In Bhutan, researchers have found, through survey research, variable exclusive breastfeeding rates at 6 months. They have not, however, explored the experiences and views of participants in relation to breastfeeding. Research aim: The aim was to explore first-time mothers’ views, intentions, and experiences related to exclusive breastfeeding. Methods: A qualitative, prospective, longitudinal, descriptive study was undertaken using semistructured, audio-recorded interviews at two points of time with first-time mothers prenatally during late third trimester ( n = 24) and at 6 weeks after birth ( n = 22). The framework approach to analysis was used to identify themes. Results: Two themes (breastfeeding, but uncertainty about achieving exclusive breastfeeding and acceptance that breastfeeding is painful) were identified from interviews at term. Five themes were identified from interviews at 6 weeks after birth (lack of timely breastfeeding information and support from health professionals, misconceptions about exclusive breastfeeding, being unprepared for the reality of breastfeeding, limited control or choice over feeding, and adoption of cultural and traditional practices). Conclusion: The participants breastfed but did not practice exclusive breastfeeding due to a lack of timely breastfeeding information and inadequate breastfeeding support. While family elders supported breastfeeding, they also promoted the adoption of certain traditional and cultural practices, which affected exclusive breastfeeding.

scholarly journals “The kind of support that matters to exclusive breastfeeding” a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dasheka Zukiswa Theodorah ◽  
Rala Ntombana Mc’Deline
Keyword(s):  
Social Support ◽  
South Africa ◽  
Exclusive Breastfeeding ◽  
Family Members ◽  
Breastfeeding Support ◽  
Individual Interviews ◽  
Practical Support ◽  
First Time Mothers ◽  
Contextual Study ◽  
First Time

Abstract Background Worldwide, only 41 % of infants are exclusively breastfed for the first six months while South Africa has an alarming figure of only 12 %. First-time mothers are inexperienced in the initiation and maintenance of exclusive breastfeeding, hence a need for support. Data on forms and quality of exclusive breastfeeding support as experienced by first-time mothers is minimal. The study explored the exclusive breastfeeding support available to first-time mothers in the Buffalo City Metro, South Africa. Methods A qualitative explorative, descriptive and contextual study, and a non-probability, purposive sampling was used with 10 first-time mothers within the first six months postpartum. The in-depth face-to-face semi-structured individual interviews for data collection and Creswell’s steps of thematic analysis were used. Results Two themes emerged; challenges, empowerment, support and resilience during initiation of exclusive breastfeeding, and diverse support and resilience during maintenance of exclusive breastfeeding. First-time mothers received practical support majorly from nurses and other mothers during the initiation; social support was from family members, friends, and community members for the maintenance of exclusive breastfeeding. Sometimes there was a disjuncture between practical support from nurses and that from family members and the community. There were instances where the support was needed but not given or not supportive of exclusive breastfeeding. Conclusions These findings illustrate that professional, practical and social support for first-time mothers is crucial in the initiation and maintenance of exclusive breastfeeding for the first six months. Timing and the kind of support given to these mothers is crucial for successful exclusive breastfeeding.

scholarly journals A randomized controlled trial of the effects of antenatal milk expression on breastfeeding among first-time mothers in China

2020 ◽  
Author(s):  
yan chen ◽  
Li-Ping Meng ◽  
Jiao-Jiao Zhang ◽  
Hong-Hua Guo ◽  
hongyu zhang
Keyword(s):  
Randomized Controlled Trial ◽  
Pregnant Women ◽  
Exclusive Breastfeeding ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Randomized Controlled ◽  
First Time Mothers ◽  
First Time

Abstract Background Limited research outside China suggest that antenatal milk expression in late pregnancy (AME) may promote breastfeeding. A few studies have evaluated the safety and efficacy of AME in women with diabetes in pregnancy, little or no evidence exists to explore its effects on breastfeeding self-efficacy and early breastfeeding, particularly in first-time mothers. The objective of this study was to explore the effect of AME on breastfeeding for the first-time mothers during the postpartum hospitalization. Methods A randomized controlled trial was conducted in a tertiary hospital in Haikou, Hainan. We recruited pregnant women who had completed 37 weeks of gestation and randomly assigned them to either the intervention group (n = 45) or the control group (n = 45). The pregnant women in the intervention group were advised to rhythmic self-massage of breasts three times daily at any time. The control group was given routine midwifery and obstetric care. The breastfeeding self-efficacy scale(BSES)was used to measure the self-efficacy of breastfeeding at 37 weeks, 38 weeks and the third day postpartum. The time to lactogenesis II and the rate of exclusive breastfeeding was measured three times every day by the researcher in the ward. Results Compared with the control group, the intervention group had higher breastfeeding self-efficacy scores measured by the scale of BSES(P < 0.05), the intervention group had higher exclusive breastfeeding rate on the first day, second day, third-day postpartum, and the difference was statistically significant༈P < 0.05). The time to lactogenesis II in the intervention group was earlier than that in the control group(P < 0.05). Conclusions Antenatal breast milk expression at term improved the confidence in the ability to breastfeed and produce milk postpartum, thus significantly improving the behavior of exclusive breastfeeding, and increasing the percentage of breastfed infants during their hospital stay, these infants were able to avoid infant formula milk in this important early period.

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