Factors Influencing the Infant Feeding Decision for Socioeconomically Deprived Pregnant Teenagers: The Moral Dimension

Dyson, Lisa; Green, Josephine M.; Renfrew, Mary J; McMillan, Brian; Woolridge, Mike

doi:10.1111/j.1523-536x.2010.00394.x

Cited by 63 publications

(87 citation statements)

References 25 publications

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“…Giles et al 21 showed that young people have limited exposure to breastfeeding, are unclear about the benefits of breastfeeding and find breastfeeding in public embarrassing. Knowledge about the benefits of breastfeeding increases in pregancy 10,11 but breastfeeding in public continues to be viewed highly negatively 9,22--24 . It appears easier to educate mothers about the benefits of breastfeeding than to alter perceptions of the public acceptability of breastfeeding.…”

Section: Limitations Of This Studymentioning

confidence: 99%

“…There are defined limits on the generalisability of findings from qualitative studies 19 In the UK teenage mothers are among the least likely to breastfeed 1 . Studies have been carried out into the reasons why those from disadvantaged groups do not initiate and continue breastfeeding, many of which are linked to the theory of planned behaviour 10,11,20 . Such studies conclude that family influences and concerns about breastfeeding in public significantly influence infant feeding behaviour 20 and that breastfeeding can be seen as a 'morally inappropriate' behaviour by teenagers 11 .…”

Section: Limitations Of This Studymentioning

confidence: 99%

“…Studies have been carried out into the reasons why those from disadvantaged groups do not initiate and continue breastfeeding, many of which are linked to the theory of planned behaviour 10,11,20 . Such studies conclude that family influences and concerns about breastfeeding in public significantly influence infant feeding behaviour 20 and that breastfeeding can be seen as a 'morally inappropriate' behaviour by teenagers 11 . Giles et al 21 showed that young people have limited exposure to breastfeeding, are unclear about the benefits of breastfeeding and find breastfeeding in public embarrassing.…”

Section: Limitations Of This Studymentioning

confidence: 99%

“…Inequalities in breastfeeding have been the subject of health professional and governmental concern, leading to policy measures directed at raising breastfeeding rates among disadvantaged groups such as teenage mothers 7,8 . Recent research has focused on young mothers' experiences of breastfeeding 9 and the reasons why teenagers choose to breast or bottle feed 10,11 . Studies have found that young mothers are often well informed about the health benefits of breastfeeding 10,12 but other factors, such as dominant social norms and embarrassment about feeding in public, are influential in leading teenage mothers' to formula feed 11 .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

‘But is it a normal thing?’ Teenage mothers’ experiences of breastfeeding promotion and support

Condon

Rhodes

Warren

et al. 2012

Health Education Journal

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Section: Limitations Of This Studymentioning

confidence: 99%

Section: Limitations Of This Studymentioning

confidence: 99%

Section: Limitations Of This Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

‘But is it a normal thing?’ Teenage mothers’ experiences of breastfeeding promotion and support

Condon

Rhodes

Warren

et al. 2012

Health Education Journal

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“…Breasts are often seen as sexual objects (Dyson et al, 2010;Guttman & Zimmerman, 2000;Swanson et al, 2005). The Royal College of Midwives commissioned a survey in 1993 exploring men's attitudes towards breastfeeding and found that 50% of men thought that mothers should not breastfeed in public and 14% felt that breastfeeding was unacceptable (RCM, 1993, cited in Dykes & Griffiths, 1998.…”

Section: Introductionmentioning

confidence: 99%

Attitudes of employees working in public places toward breastfeeding

Marsden

Abayomi

2012

British Journal of Midwifery

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Background: The benefits of breastfeeding are well documented but the UK has one of the lowest breastfeeding rates in Europe. Perceptions of social disapproval of breastfeeding in public is one of the main reasons ( Acker, 2009 ; Dyson et al, 2010 ) why women may choose to bottle feed instead of breastfeeding, or why they may cease breastfeeding early. To better understand the social attitudes toward breastfeeding in public that women may face, the aim of this study is to explore these attitudes and opinions among employees working in public places. Methods: Nine semi-structured interviews were carried out with employees from public places with and without baby-friendly facilities or a breastfeeding policy. Interviews were audiotaped and transcribed verbatim. Transcripts were analyzed qualitatively by sorting and coding data into common themes. Findings: Breastfeeding is viewed as good and natural; however, public breastfeeding still makes some people feel uncomfortable, particularly younger and childless people. Most employees were supportive of women breastfeeding on their premises and their opinions seem unrelated to the facilities offered. Most employees thought breastfeeding facilities should be more widely available but that women should be able to choose whether to use these facilities or not. Breastfeeding education may help to normalize breastfeeding in society and make women feel more comfortable about breastfeeding in public. Conclusions: Most people view public breastfeeding positively; however, there is still a perception that breastfeeding women may feel uncomfortable breastfeeding in public, and private facilities may help to alleviate their anxieties.

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Effect of Financial Incentives on Breastfeeding

et al. 2018

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IMPORTANCE Although breastfeeding has a positive effect on an infant's health and development, the prevalence is low in many communities. The effect of financial incentives to improve breastfeeding prevalence is unknown.OBJECTIVE To assess the effect of an area-level financial incentive for breastfeeding on breastfeeding prevalence at 6 to 8 weeks post partum. DESIGN, SETTING, AND PARTICIPANTSThe Nourishing Start for Health (NOSH) trial, a cluster randomized trial with 6 to 8 weeks follow-up, was conducted between April 1, 2015, and March 31, 2016, in 92 electoral ward areas in England with baseline breastfeeding prevalence at 6 to 8 weeks post partum less than 40%. A total of 10 010 mother-infant dyads resident in the 92 study electoral ward areas where the infant's estimated or actual birth date fell between February 18, 2015, and February 17, 2016, were included. Areas were randomized to the incentive plus usual care (n = 46) (5398 mother-infant dyads) or to usual care alone (n = 46) (4612 mother-infant dyads).INTERVENTIONS Usual care was delivered by clinicians (mainly midwives, health visitors) in a variety of maternity, neonatal, and infant feeding services, all of which were implementing the UNICEF UK Baby Friendly Initiative standards. Shopping vouchers worth £40 (US$50) were offered to mothers 5 times based on infant age (2 days, 10 days, 6-8 weeks, 3 months, 6 months), conditional on the infant receiving any breast milk. MAIN OUTCOMES AND MEASURESThe primary outcome was electoral ward area-level 6-to 8-week breastfeeding period prevalence, as assessed by clinicians at the routine 6-to 8-week postnatal check visit. Secondary outcomes were area-level period prevalence for breastfeeding initiation and for exclusive breastfeeding at 6 to 8 weeks. RESULTSIn the intervention (5398 mother-infant dyads) and control (4612 mother-infant dyads) group, the median (interquartile range) percentage of women aged 16 to 44 years was 36.2% (3.0%) and 37.4% (3.6%) years, respectively. After adjusting for baseline breastfeeding prevalence and local government area and weighting to reflect unequal cluster-level breastfeeding prevalence variances, a difference in mean 6-to 8-week breastfeeding prevalence of 5.7 percentage points (37.9% vs 31.7%; 95% CI for adjusted difference, 2.7% to 8.6%; P < .001) in favor of the intervention vs usual care was observed. No significant differences were observed for the mean prevalence of breastfeeding initiation (61.9% vs 57.5%; adjusted mean difference, 2.9 percentage points; 95%, CI, −0.4 to 6.2; P = .08) or the mean prevalence of exclusive breastfeeding at 6 to 8 weeks (27.0% vs 24.1%; adjusted mean difference, 2.3 percentage points; 95% CI, −0.2 to 4.8; P = .07).CONCLUSIONS AND RELEVANCE Financial incentives may improve breastfeeding rates in areas with low baseline prevalence. Offering a financial incentive to women in areas of England with breastfeeding rates below 40% compared with usual care resulted in a modest but statistically significant increase in breastfeeding prevalence at ...

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Factors Influencing the Infant Feeding Decision for Socioeconomically Deprived Pregnant Teenagers: The Moral Dimension

Cited by 63 publications

References 25 publications

‘But is it a normal thing?’ Teenage mothers’ experiences of breastfeeding promotion and support

‘But is it a normal thing?’ Teenage mothers’ experiences of breastfeeding promotion and support

Attitudes of employees working in public places toward breastfeeding

Effect of Financial Incentives on Breastfeeding

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