Exploring the Influence of Psychological Factors on Breastfeeding Duration, Phase 1: Perceptions of Mothers and Clinicians

O’Brien, Maxine; Buikstra, Elizabeth; Fallon, Tony; Hegney, Desley

doi:10.1177/0890334408326071

Cited by 38 publications

(27 citation statements)

References 35 publications

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“…The literature consistently shows that socio-demographic factors as maternal age, socio-economic status, level of education, marital status and place of residence are associated with both, breastfeeding initiation and maintenance [7,8,10].…”

Section: Introductionmentioning

confidence: 99%

“…Many studies describe the influence of single predictive factors on breast feeding initiation and maintenance [7][8][9]. The literature consistently shows that socio-demographic factors as maternal age, socio-economic status, level of education, marital status and place of residence are associated with both, breastfeeding initiation and maintenance [7,8,10].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Predictors of impaired breastfeeding initiation and maintenance in a diverse sample: what is important?

Wallwiener

Müller

Doster

et al. 2015

Arch Gynecol Obstet

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Successful initiation and maintenance of breast feeding is a multifactorial process. Our results underline the need of interdisciplinary approaches to optimise breastfeeding outcomes by demonstrating the equality of medical and psychological variables. Whereas practices on maternity wards are crucial for optimal initiation, continuous lifestyle modifying and supporting approaches are essential for breastfeeding maintenance. Healthcare providers can also significantly influence breastfeeding initiation and maintenance by counselling on the importance of maternal BMI.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predictors of impaired breastfeeding initiation and maintenance in a diverse sample: what is important?

Wallwiener

Müller

Doster

et al. 2015

Arch Gynecol Obstet

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show abstract

“…Another Australian study 23 used NGT to canvass insights from clinicians as part of a mixed methods investigation of nursing documentation. In a Queensland study, 24,25 NGT was used to explore what psychological factors may influence the duration of breastfeeding. Four groups were created; three constituted breastfeeding mothers and the final group consisted of lactation experts or midwives.…”

Section: Literature Reviewmentioning

confidence: 99%

Nominal group technique: An effective method for obtaining group consensus

Harvey

Holmes

2012

Int J of Nursing Practice

555

470

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This paper aims to demonstrate the versatility and application of nominal group technique as a method for generating priority information. Nominal group technique was used in the context of four focus groups involving clinical experts from the emergency department (ED) and obstetric and midwifery areas of a busy regional hospital to assess the triage and management of pregnant women in the ED. The data generated was used to create a priority list of discussion triggers for the subsequent Participatory Action Research Group. This technique proved to be a productive and efficient data collection method which produced a hierarchy of perceived information and identified real world problems. This information was vital in initiating the participatory action research project and is recommended as an effective and reliable data collection method, especially when undertaking research with clinical experts.

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“…Numerous studies have identified that BFSE is an important factor in breastfeeding outcomes including duration [12-14]. One study has identified that feeding method as planned is a predictor of BFSE [12].…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding self-efficacy of women using second-line strategies for healthy term infants in the first week postpartum: an Australian observational study

Keemer

2013

Int Breastfeed J

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BackgroundBreastfeeding self-efficacy (BFSE) supports breastfeeding initiation and duration. Challenges to breastfeeding may undermine BFSE, but second-line strategies including nipple shields, syringe, cup, supply line and bottle feeding may support breastfeeding until challenges are resolved. The primary aim of this study was to examine BFSE in a sample of women using second-line strategies for feeding healthy term infants in the first week postpartum.MethodsA retrospective self-report study was conducted using the Breastfeeding Self-Efficacy Scale - Short Form (BSES-SF), demographic and infant feeding questionnaires. Breastfeeding women who gave birth to a singleton healthy term infant at one private metropolitan birthing facility in Australia from November 2008 to February 2009 returned anonymous questionnaires by mail.ResultsA total of 128 (73 multiparous, 55 primiparous) women participated in the study. The mean BSES-SF score was 51.18 (Standard deviation, SD: 12.48). The median BSES-SF score was 53. Of women using a second-line strategy, 16 exceeded the median, and 42 were below. Analyses using Kruskal-Wallis tests confirmed this difference was statistically significant (H = 21.569, p = 0.001). The rate of second-line strategy use was 48%. The four most commonly used second-line strategies were: bottles with regular teats (77%); syringe feeding (44%); bottles with wide teats (34%); and nipple shields (27%). Seven key challenges were identified that contributed to the decision to use second-line strategies, including: nipple pain (40%); unsettled infant (40%); insufficient milk supply (37%); fatigue (37%); night nursery care (25%); infant weight loss > 10% (24%); and maternal birth associated pain (20%). Skin-to-skin contact at birth was commonly reported (93%). At seven days postpartum 124 women (97%) were continuing to breastfeed.ConclusionsThe high rate of use of second-line strategies identified in this study and high rate of breastfeeding at day seven despite lower BFSE indicate that such practices should not be overlooked by health professionals. The design of this study does not enable determination of cause-effect relationships to identify factors which contribute to use of second-line strategies. Nevertheless, the significantly lower BSES-SF score of women using a second-line strategy highlights this group of women have particular needs that require attention.

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Exploring the Influence of Psychological Factors on Breastfeeding Duration, Phase 1: Perceptions of Mothers and Clinicians

Cited by 38 publications

References 35 publications

Predictors of impaired breastfeeding initiation and maintenance in a diverse sample: what is important?

Predictors of impaired breastfeeding initiation and maintenance in a diverse sample: what is important?

Nominal group technique: An effective method for obtaining group consensus

Breastfeeding self-efficacy of women using second-line strategies for healthy term infants in the first week postpartum: an Australian observational study

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