From Policy to Practice: Women's Experiences of Breastfeeding-Friendly Worksites, Part 1

Cheyney, Melissa; Henning, Margaret; Horan, Holly; Bovbjerg, Marit L.; Ferguson, Maryanne

doi:10.1891/2158-0782.10.3.104

Cited by 5 publications

(15 citation statements)

References 22 publications

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“…Fourteen studies were included and were reported across eighteen publications, of which nine out of fourteen studies were eligible to be included in the meta-analysis. Two studies (37,38) were ineligible for inclusion in the meta-analysis due to different study designs from other included studies, one study (39) was ineligible due to measuring breast-feeding rate in a different way from other included studies and two studies (40,41) were ineligible as they were qualitative studies.…”

Section: Study Selectionmentioning

confidence: 99%

“…Nine publications (37,39,(45)(46)(47)(48)(49)(50)(51) reporting eight breast-feeding support programmes were cross-sectional studies, most of which participants had received an intervention. Three publications across two studies reported only qualitative results on women's breast-feeding experiences (40,41,52) . There were eight publications that represented multiple reports of four studies (Table 2).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Both reports presented cross-sectional data on duration of breast-feeding; however, one was focused on breast-feeding duration for all participants (46) while the other described breast-feeding problems of participants and compared breast-feeding duration of employees with lactation problems against those experiencing no problems (45) . Finally, there were two reports of a qualitative study investigating women's experiences of breastfeeding-friendly workplaces (40,52) . The current study reported on women's experiences of returning to work with the findings separated into two papers, one focused on the translation of policy into practice (40) and the other focused on the findings related to physical environment (52) .…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Finally, there were two reports of a qualitative study investigating women's experiences of breastfeeding-friendly workplaces (40,52) . The current study reported on women's experiences of returning to work with the findings separated into two papers, one focused on the translation of policy into practice (40) and the other focused on the findings related to physical environment (52) .…”

Section: Study Characteristicsmentioning

confidence: 99%

“…2). Among eighteen articles assessed with the MMAT, four qualitative publications (40,41,52,54) were assessed with only the 'Qualitative Domain' (MMAT Domain 2.0); two mixed methods studies (43,44) were assessed with MMAT Domains 2.0, 3.0 and 5.0; two quantitative non-randomised controlled trials (38,42) , one cross-sectional study (37) and one retrospective cohort study (53) were assessed with MMAT Domain 3.0; and the remaining eight quantitative articles (39,(45)(46)(47)(48)(49)(50)(51) were assessed with MMAT Domain 4.0. Overall, the majority of studies were low-to-moderate quality, although the proportion of articles assessed within the 'qualitative domain' that met the methodological criteria was comparatively higher than the proportion of articles assessed within the 'quantitative domain' (i.e., the green bar represented in Fig.…”

Section: Quality Assessmentmentioning

confidence: 99%

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Workplace programmes for supporting breast-feeding: a systematic review and meta-analysis

Tang

Patterson

MacKenzie-Shalders

et al. 2020

Public Health Nutr.

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Objective To critically review the literature regarding workplace breastfeeding interventions, and to assess their impact on breastfeeding indicators. Design A systematic review and meta-analysis was conducted. Electronic searches for workplace intervention studies to support breastfeeding, without restriction on language or study design, were performed in PubMed, CENTRAL, CINAHL, Embase, Web of Science, Business Source Complete, ProQuest-Sociology, and ProQuest-Social Science to 13th April 2020. A meta-analysis of the pooled effect of the programs on breastfeeding indicators was conducted. Results The search identified 10,215 articles; 14 studies across 18 publications met eligibility criteria. Programs were delivered in the U.S.A (n=10), Turkey (n=2), Thailand (n=1) and Taiwan (n=1). There were no randomised controlled trials. The pooled odds ratio for exclusive breastfeeding at 3 or 6 months for participants vs. non-participants of three non-randomised controlled studies was 3.21 (95% CI 1.70, 6.06, I2=22%). Despite high heterogeneity, other pooled outcomes were consistently in a positive direction with acceptable confidence intervals. Pooled mean duration of breastfeeding for five single-armed studies was 9.16 months (95% CI 8.25, 10.07). Pooled proportion of breastfeeding at 6 months for six single-armed studies was 0.76 (95% CI 0.66, 0.84) and breastfeeding at 12 months for three single-armed studies was 0.41 (95% CI 0.22, 0.62). Most programs were targeted at mothers; two were targeted at expectant fathers. Conclusions Workplace programs may be effective in promoting breastfeeding among employed mothers and partners of employed fathers. However, no randomised controlled trials were identified, and better-quality research on workplace interventions to improve breastfeeding is needed.

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