Providing Breastfeeding Support: Experiences from Child-Health Nurses

Authors

  • Emelie Andersson Grenholm Anderstorp Health Care Centre, Västerbotten County Council,
  • Pernilla Söderström BureÃ¥-Skelleftehamn Health Care Centre, Västerbotten County Council,
  • Birgitta Lindberg Department of Health Science, LuleÃ¥ University of Technology,

DOI:

https://doi.org/10.6000/1929-4247.2016.05.04.1

Keywords:

Breastfeeding, child-health nurse, child-health service, focus group interview, qualitative content analysis.

Abstract

Background: Breastfeeding problems are common during the early period but can often be prevented or overcome with adequate support. Child-health nurses meet almost all children during their first weeks of life and play an important role in promoting breastfeeding and in strengthening parents’ confidence and their belief in their own ability. It is, therefore, important to gain more knowledge about child-health nurses’ experiences.

Objective: To describe child-health nurses’ experiences of providing breastfeeding support.

Methods: This qualitative study is descriptive with an inductive approach. A purposive sample of eight child-health nurses recruited from district health care centers participated. Data were collected through focus group interviews and analyzed with content analysis.

Results: Child-health nurses consider it to be important to provide early breastfeeding support and that early hospital discharge following birth can complicate breastfeeding. Furthermore, the introduction of infant formula and tiny tastes given to the baby can be a barrier to breastfeeding. Parents’ confidence had an effect on breastfeeding, and breastfeeding is promoted by confident parents. Trends and cultural differences have an influence on parents’ attitudes toward breastfeeding. Child-health nurses stated the importance of having a consensus breastfeeding policy.

Conclusion and Recommendation: A number of factors affect breastfeeding, and breastfeeding support from child-health nurses is important in the early stages after birth. To conclude, the support must be individually tailored with a focus on the parents’ needs. There is a need for greater cooperation between the maternal care and child-health care staff in order to provide adequate and continuous breastfeeding support throughout the care chain.

References

[1] Socialstyrelsen. Amning och föräldrars rökvanor, barn födda 2012. 2014; [cited 2016 Januari 15]: Available from: http://www.socialstyrelsen.se/publikationer2014/2014-9-37
[2] Oakley LL, Henderson J, Redshaw M, Quigley MA. The role of support and other factors in early breastfeeding cessation: An analysis of data from a maternity survey in England. BMC Pregnancy Childbirth 2014; 14: 1471-2393.
https://doi.org/10.1186/1471-2393-14-88
[3] Socialstyrelsen. Har sociodemografin betydelse för amnings frekvensen? 2014; [cited 2016 Januari 20]: Available from: http://www.socialstyrelsen.se/publikationer2014/2014-10-
[4] World Health Organization. Complementary feeding: Report of the global consultation, and summary of guiding principles for complementary feeding of the breastfed child. Geneva: World Health Organization. 2002; [cited 2016 Januari 20]: Available from: http://www.who.int/maternal_child_ adolescent/documents/924154614X/en/index.html
[5] Ip S, Chung M, Raman G, et al. Breastfeeding and maternal and infant health outcomes in developed countries. Evid Technol Asses 2007; 153: 1-186.
[6] Zwedberg S. Ville amma!: en hermeneutisk studie av mödrar med amningsbesvär: derasupplevelser, problemhantering samt amnings konsultativa möten [I wanted to breastfeed!: A hermeneutical study of mothers with breastfeeding problems; Their experiences, coping strategies, and consultative meetings with midwives]. Doctoral degree. Stockholm: Stockholm University 2010.
[7] Porter Lewallen J, Dick MJ, Flowers J, Powell W, Zickefoose KT, Wall YG, Price ZM. Breast-feeding support and early cessation. J Obstet Gynecol Neonatal Nurs 2006; 35: 166-72.
https://doi.org/10.1111/j.1552-6909.2006.00031.x
[8] Barimani M, Oxelmark L, Johansson SE, Langius-Eklöf A, Hylander I. Professional support and emergency visits during the first two weeks postpartum. Scand J Caring Sci 2014; 28: 57-65.
https://doi.org/10.1111/scs.12036
[9] Laanterä S, Pölkki T, Pietilä A. A descriptive qualitative review of the barriers relating to breast-feeding counselling. Int J Nurs Pract 2011; 17: 72-84.
https://doi.org/10.1111/j.1440-172X.2010.01909.x
[10] Porter Lewallen L, Street DJ. Initiating and sustaining breastfeeding in African-American women. J Obstet Gynecol Neonatal Nurs 2010; 39: 667-74.
https://doi.org/10.1111/j.1552-6909.2010.01196.x
[11] Redshaw M, Henderson J. Learning the hard way: Expectations and experiences of infant feeding support. Birth: Issues Prenat Care 2012; 39: 21-9.
https://doi.org/10.1111/j.1523-536X.2011.00509.x
[12] Bäckström AC, Hertfelt Wahn EI, Ekström AC. Two sides of breastfeeding support: Experiences of women and midwives. Int Breastfeed J 2010; 5: 1-8.
https://doi.org/10.1186/1746-4358-5-20
[13] Hjälmhult E, Lomborg K. Managing the first period at home with a newborn: A grounded theory study of mothers’ experiences. Scand J Caring Sci 2012; 26: 654-62.
https://doi.org/10.1111/j.1471-6712.2012.00974.x
[14] Graffy J, Taylor J. What information, advice, and support do women want with breastfeeding? Birth 2005; 32: 179-86.
https://doi.org/10.1111/j.0730-7659.2005.00367.x
[15] Ekström A. Amningochvårdkvalitet [Breastfeeding and quality of care]. Doctoral degree. Stockholm: Karolinska Institute; 2005.
[16] Bernaix LW, Beaman ML, Schmidt CA, Harris JK, Miller LM. Success of an educational intervention on maternal/newborn nurses’ breastfeeding knowledge and attitudes. J Obstet Gynecol Neonatal Nurs 2010; 39: 658-66.
https://doi.org/10.1111/j.1552-6909.2010.01184.x
[17] Kitzinger J. Introducing focus groups. Qual Res 1995; 311: 299-302.
[18] Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004; 24: 105-12.
https://doi.org/10.1016/j.nedt.2003.10.001
[19] Helsinki Declaration. 64th WMA, World Medical Association. Fortaleza: Brazil 2013.
[20] Häggkvist AP, Brantsaeter AL, Grjibovski AM, Helsing E, Meltzer HM, Haugen M. Prevalence of breast-feeding in Norwegian mother and child cohort study and health service-related correlates of cessation of full breast-feeding. Public Health Nutr 2010; 13: 2076-86.
https://doi.org/10.1017/S1368980010001771
[21] Brown A, Raynor P, Lee M. Healthcare professionals’ and mothers’ perceptions of factors that influence decisions to breastfeed or formula feed infants: A comparative study. J Adv Nurs 2011; 67: 1993-2003.
https://doi.org/10.1111/j.1365-2648.2011.05647.x
[22] Andrews T. Conflicting public health discourses—tensions and dilemmas in practice: The case of the Norwegian mother and child health service. Crit Public Health 2006; 16: 191-204.
https://doi.org/10.1080/09581590600986382
[23] Persson E, Dykes AK. Parents’ experience of early discharge from hospital after birth in Sweden. Midwifery 2002; 18: 53-60.
https://doi.org/10.1054/midw.2002.0291
[24] Cambonie G, Rey V, Sabarros S, et al. Early postpartum discharge and breastfeeding: An observational study from France. Pediatr Int 2010; 52: 180-6.
https://doi.org/10.1111/j.1442-200X.2009.02942.x
[25] Quinn AO, Koepsell D, Haller S. Breastfeeding incidence after early discharge and factors influencing breastfeeding ces-sation. J Obstet Gynecol Neonatal Nurs 1997; 26: 289-94.
https://doi.org/10.1111/j.1552-6909.1997.tb02144.x
[26] Waldenström U, Aarts C. Duration of breastfeeding and breastfeeding problems in relation to length of postpartum stay. Acta Paediatr 2004; 93: 669-76.
https://doi.org/10.1111/j.1651-2227.2004.tb02995.x
[27] Fredriksson GE, Högberg U, Lundman B. Postpartum care should provide alternatives to meet parents’ need for safety, active participation, and “bonding”. Midwifery 2003; 19: 267-76.
https://doi.org/10.1016/S0266-6138(03)00030-5
[28] Löf M, Svalenius EC, Persson EK. Factors that influence first-time mothers’ choice and experience of early discharge. Scand J Caring Sci 2006; 20: 323-30.
https://doi.org/10.1111/j.1471-6712.2006.00411.x
[29] 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: 1339-45.
https://doi.org/10.1016/j.jpeds.2013.12.035
[30] Ekström A, Widström AM, Nissen E. Duration of breastfeeding in Swedish primiparous and multiparous women. J Hum Lact 2003; 19: 172-8.
https://doi.org/10.1177/0890334403252537
[31] Grassley JS, Schleis J, Bennett S, Chapman S, Lind B. Reasons for initial formula supplementation of healthy breastfeeding newborns. Nurs Women’s Health 2014; 18: 196-203.
https://doi.org/10.1111/1751-486X.12120
[32] Howard CR, Howard FM, Lanphear B, Eberly S, Oakes D, Lawrence RA. Randomized clinical trial of pacifier use and bottle-feeding or cup-feeding and their effect on breastfeeding. Pediatrics 2003; 111: 511-8.
https://doi.org/10.1542/peds.111.3.511
[33] Larsen JS, Hall E, Aagaard H. Shattered expectations: When mothers confidence in breastfeeding is undermined – a meta synthesis. Scand J Caring Sci 2008; 22: 653-61.
https://doi.org/10.1111/j.1471-6712.2007.00572.x
[34] O’Brien M, Buikstra E, Fallon T, Hegney D. Strategies for success: A toolbox of coping strategies used by breastfeeding women. J Clin Nurs 2009; 18: 1574-82.
https://doi.org/10.1111/j.1365-2702.2008.02667.x
[35] Kong S, Lee D. Factors influencing decision to breastfeed. J Adv Nurs 2004; 46: 369-79.
https://doi.org/10.1111/j.1365-2648.2004.03003.x
[36] Kornides M, Kitsanta P. Evaluation of breastfeeding promotion, support and knowledge of benefits on breastfeeding outcomes. J Child Health Care 2013; 17: 264-73.
https://doi.org/10.1177/1367493512461460
[37] Ellberg L, Högberg U, Lundman B, Källén K, Håkansson S, Lindh V. Maternity care options influence read mission of newborns. Acta Paediatr 2008; 97: 579-83.
https://doi.org/10.1111/j.1651-2227.2008.00714.x

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Published

2021-07-04

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