Grandmother Breastfeeding Support: What Do Mothers Need and Want?

Grassley, Jane S.; Eschiti, Valerie S.

doi:10.1111/j.1523-536x.2008.00260.x

Cited by 108 publications

(145 citation statements)

References 21 publications

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“…The literature shows that women who were themselves breast-fed, breast-feed more often (15) . Grandmothers transmit not only their own feeding practices and beliefs, but also their confidence that breast-feeding is the normal way to feed an infant if they had breast-fed their own children (37) . Women who give birth in regions where there was a high breast-feeding rate in the past may therefore have received greater support for breast-feeding from their parents, family and friends.…”

Section: Discussionmentioning

confidence: 99%

Evaluating regional differences in breast-feeding in French maternity units: a multi-level approach

Bonet

Blondel

Khoshnood

2010

Public Health Nutr.

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Objectives: To study how individual and regional characteristics might explain regional variations in breast-feeding rates in maternity units and to identify outlier regions with very low or high breast-feeding rates. Design: Individual characteristics (mother and infant) were collected during hospital stay. All newborns fed entirely or partly on breast milk were considered breast-fed. Regional characteristics were extracted from census data. Statistical analysis included multi-level models and estimation of empirical Bayes residuals to identify outlier regions. Setting: All births in all administrative regions in France in 2003. Subjects: A national representative sample of 13 186 live births. Results: Breast-feeding rates in maternity units varied from 43 % to 80 % across regions. Differences in the distribution of individual characteristics accounted for 55 % of these variations. We identified two groups of regions with the lowest and highest breast-feeding rates, after adjusting for individual-level characteristics. In addition to maternal occupation and nationality, the social characteristics of regions, particularly the population's educational level and the percentage of non-French residents, were significantly associated with breast-feeding rates. Conclusions: Social characteristics at both the individual and regional levels influence breast-feeding rates in maternity units. Promotion policies should be directed at specific regions, groups within the community and categories of mothers to reduce the gaps and increase the overall breast-feeding rate.

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Section: Discussionmentioning

confidence: 99%

Evaluating regional differences in breast-feeding in French maternity units: a multi-level approach

Bonet

Blondel

Khoshnood

2010

Public Health Nutr.

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“…En cuanto a la diferenciación entre la influencia ejercida por las abuelas materna y paterna, los resultados muestran influencia de ambas (23), siendo las mayores tasas favorecedoras las de las abuelas maternas (3,8,15,16).…”

Section: Discussionunclassified

The Grandmother's Role in Breastfeeding

Iglesias

Rodríguez-Vázquez

Becerro-de-Bengoa-Vallejo

2013

Aquichan

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Objetivo: investigar la influencia de la abuela sobre la madre que da lactancia materna y su relación con la incidencia y prevalencia dela misma. Método: se realizó una revisión integral consultando de las bases de datos medline ovid, dialnet y CoChrane library. Tras el análisisde los textos, se escogieron once estudios de investigación que iban dirigidos directamente a comprobar la influencia de las abuelas en laincidencia y prevalencia de la lactancia materna en diferentes contextos. Resultados: la abuela apareció como fuente de apoyo en poblaciónrural (41 %). En población urbana la abuela aparece entre los tres factores principales (intención de la madre de lactar o no, decisiónde la madre del patrón de alimentación de su hijo e información objetiva sobre pautas de amamantamiento), tanto en el papel de apoyo(94,7 %), como en el de obstáculo (26,7 %). En cuanto a la decisión de la madre sobre el patrón de alimentación de sus hijos, el 78 % refierehaber tomado la decisión antes del embarazo o en el primer trimestre. La convivencia con la abuela tuvo asociación positiva con dar aguao infusiones (PR regresión de Cox con IC 95 %: 1,51 [1,10-2,09]; p = 0,011). Conclusiones: a la luz de la revisión, la influencia detractorao no que ejerce la abuela sobre la lactancia materna la da sobre los tres factores principales. La influencia detractora ejercida por losconsejos de la abuela parece estar relacionada con conocimientos erróneos adquiridos como “generación del biberón” más que con laintencionalidad, y es susceptible de modificarse con información adecuada, con resultados favorables sobre el patrón de alimentación.

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“…For example, paternal grandmothers significantly influence breastfeeding and weaning practices as well as the introduction of solid foods into infant diets in places as diverse as Brazil (Susin, Giugliani, & Kummer, 2005), the Ivory Coast (Gottlieb, 2004), Malawi (Bezner Kerr, Dakishoni, Chirwa, Shumba, & Msachi, 2008, and the United States (Grassley & Eschiti, 2008). Additionally, some studies suggest that child health interventions directed towards paternal grandmothers can be successful in changing behaviour and improving child nutrition (Aubel, Touré, & Diagne, 2004).…”

Section: Discussionmentioning

confidence: 99%

Implications of gender and household roles in Indigenous Maya communities in Guatemala for child nutrition interventions

Wehr

Chary

Webb

et al. 2014

IJIH

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Guatemala's Indigenous Maya population suffers from some of the highest rates of chronic child malnutrition (stunting) in the world. Most attempts to improve child nutrition in this context target mothers for behavioural interventions. In this study, we use focus group data from two Indigenous Maya communities to explore gender and intra-household power dynamics as they relate to child-rearing practices and to nutritional decision-making, including food purchasing. Findings of the study show that mothers are not autonomous with regard to child rearing and nutrition decision-making. In particular, paternal grandmothers are authoritative sources of knowledge and exert significant power over food-purchasing decisions. Furthermore, men overestimate the degree to which decision-making is shared with their wives, and the economic contributions that mothers make to household budgets often go unrecognized. These findings underscore that nutritional interventions in Indigenous Maya communities must be sensitive to the traditional intra-household authority structure and seek to engage not only mothers, but also fathers and paternal grandmothers in a productive collaboration. Furthermore, efforts must be made to increase recognition of the economic contributions of the mother to the household budget, and to recognize the implications of such economic work in terms of constraints on the mother's availability for childcare.

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Grandmother Breastfeeding Support: What Do Mothers Need and Want?

Cited by 108 publications

References 21 publications

Evaluating regional differences in breast-feeding in French maternity units: a multi-level approach

Evaluating regional differences in breast-feeding in French maternity units: a multi-level approach

The Grandmother's Role in Breastfeeding

Implications of gender and household roles in Indigenous Maya communities in Guatemala for child nutrition interventions

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