A co-designed evaluation study to identify Breastfeeding Knowledge of General Practitioners’ and Practice Nurses’

McGuinness, Denise; Ni Mhurchu, Siobhan; Frazer, Kate; Bhardwaj, Nancy; Cornally, Paula; Cantwell, Marie; Cullen, Marina; McNamara, Edel; McDonald, Rita; Carroll, Lisa; Cullen, Walter; Kincaid, Regina; Vickers, Niamh

doi:10.1093/heapro/daae021

Cited by 3 publications

References 37 publications

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‘It’s far from the norm’: breastfeeding beyond 1 year in the Republic of Ireland

Paul,

Vickers,

Kincaid

et al. 2024

Health Promotion International

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Breastfeeding is the optimal form of nutrition for infants and young children. The World Health Organization recommends that babies are breastfed exclusively for the first 6 months of life, and up to the age of 2 years or beyond in combination with complementary food. Breastfeeding initiation and continuation rates are suboptimal globally and very low in the Republic of Ireland where health promotion initiatives and healthcare professional support predominantly focus on the important phase of initiation and early months of the breastfeeding journey. This qualitative descriptive study aimed to explore the experiences of women who chose to breastfeed their children beyond 1 year of age in the Republic of Ireland. Fourteen women participated in semi-structured interviews. Interviews were transcribed verbatim and thematic analysis was conducted. The analysis generated three overarching themes: (1) Influences on breastfeeding beyond 1 year, (2) Sustaining breastfeeding and (3) Benefits of breastfeeding beyond 1 year. Family, friends, peers, culture and commercial milk formula marketing had an influence on breastfeeding journeys. Support, determination, knowledge, bed-sharing and Covid-19 pandemic social restrictions helped to sustain breastfeeding beyond 1 year. Benefits of breastfeeding beyond 1 year such as nutrition, strengthening of emotional bonds, development of a parenting tool, and protection of child and maternal health were identified. Our findings support the need for discussions and further research on the normalization of breastfeeding beyond 1 year in the Republic of Ireland, targeted health promotion initiatives and education programmes for healthcare professionals on supporting the continuation of breastfeeding.

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‘It’s far from the norm’: breastfeeding beyond 1 year in the Republic of Ireland

Paul,

Vickers,

Kincaid

et al. 2024

Health Promotion International

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Breastfeeding Basic Competence in Primary Care: A Spanish Translation and Cross-Cultural Validation of the CAPA Questionnaire

Romero-Domínguez,

Ponjoan,

Vidal

et al. 2024

J Hum Lact

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Background: The number of validated questionnaires that assess the level of breastfeeding competence of primary care professionals who attend lactating mothers is limited. Research Aim: To validate the CAPA (Competència en l’Atenció Primària sobre Alletament [Breastfeeding Competence in Primary Care]) questionnaire into Spanish in collaboration with professionals from the primary care services of the Comunidad de Madrid (Spain). Methods: In this multicentric study, four bilingual healthcare professionals translated the CAPA questionnaire into Spanish and back-translated it into Catalan. The cross-cultural adaptation included a discussion by an expert committee, a review by a philologist, and a pilot study that involved 13 healthcare residents. We randomly selected professionals from specialties involved in breastfeeding. The re-test was conducted 3 weeks later, aiming to avoid changes in the studied population. We performed a factor analysis to identify underlying constructs and hypothesis-testing to assess the validity of the questionnaire and estimated the Cronbach Alpha and intraclass correlation coefficient (ICC) to assess its reliability. Results: A total of 198 professionals participated by responding to the questionnaire. Factorial analysis showed that the questionnaire was unidimensional. Hypothesis testing showed that, of all the considered professional groups, midwives achieved the highest mean score ( M = 131.7, SD = 10.9, p < 0.001). Amongst the other professionals, only 26.5% achieved a basic level of breastfeeding competence. The Cronbach alpha and ICC were 0.852 (95% CI [0.821, 0.880]) and 0.890 (95% CI [0.800. 0.937]). Conclusions: The Spanish CAPA questionnaire is a valid and reliable tool for assessing breastfeeding basic competence among primary care professional groups who attend lactating mothers.

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Breastfeeding with Primary Low Milk Supply: A Phenomenological Exploration of Mother’s Lived Experiences of Professional and Peer Support

Whelan,

O'Brien,

Hyde

2024

Preprint

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Background: Most women can produce enough milk to exclusively breastfeed. However, a small cohort are prevented from doing so due to a condition known as primary low milk supply. Aim: To provide new insights into how mothers with primary low milk supply experience help and support from professionals, volunteers, and partners. Methods: Interpretative phenomenological analysis was used to explore the lived experiences of nine breastfeeding mothers with primary low milk supply. Hour-long interviews were conducted over Zoom. Results: Being with Others is one of four superordinate themes identified in this study. This theme concerned the participants’ experiences of receiving professional, peer, and voluntary breastfeeding supports. It also considers how participants were supported by their partners. Four sub-themes were identified: Disconnected Encounters, Perceiving Judgement from Others, Being in a Safe Space and Having a Saviour. Conclusion: The interactions that mothers with primary low milk supply have with various others in their world (health care professionals, lactation consultants, peer breastfeeding supporters, and partners) can shape how they view themselves and can have a profound impact on their breastfeeding journey. The encounters of participants with healthcare professionals revealed a lack of rapport, intrusive hands-on support, poor perceived quality of breastfeeding support and a heightened sensitivity to language and tone. Mothers with primary low milk supply value empathy and emotional support from lactation professionals as much as they value skilled lactation support. We recommend that healthcare professionals receive education concerning primary low milk supply and communication skills training on the provision of sensitive person-centred breastfeeding support.

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A co-designed evaluation study to identify Breastfeeding Knowledge of General Practitioners’ and Practice Nurses’

Cited by 3 publications

References 37 publications

‘It’s far from the norm’: breastfeeding beyond 1 year in the Republic of Ireland

‘It’s far from the norm’: breastfeeding beyond 1 year in the Republic of Ireland

Breastfeeding Basic Competence in Primary Care: A Spanish Translation and Cross-Cultural Validation of the CAPA Questionnaire

Breastfeeding with Primary Low Milk Supply: A Phenomenological Exploration of Mother’s Lived Experiences of Professional and Peer Support

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