Integrative Review of Fathers’ Perspectives on Breastfeeding Support

Ngoenthong, Patcharin; Sansiriphun, Nantaporn; Fongkaew, Warunee; Chaloumsuk, Nonglak

doi:10.1016/j.jogn.2019.09.005

Cited by 13 publications

(11 citation statements)

References 41 publications

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“…Our review highlighted a gap in some family members' ( particularly partners) breastfeeding knowledge and how best to support their partners. A partner's knowledge and positive attitudes to breastfeeding influenced breastfeeding initiation and duration [4,90]. Grandmothers considered their role was to communicate their breastfeeding knowledge across generations.…”

Section: Discussionmentioning

confidence: 99%

Relatively speaking? Partners' and family members’ views and experiences of supporting breastfeeding: a systematic review of qualitative evidence

Chang

et al. 2021

Phil. Trans. R. Soc. B

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This review aimed to synthesize qualitative evidence of views and experiences of partners and other family members who provided breastfeeding support for a relative. The Joanna Briggs Institute (JBI) methodology for systematic reviews of qualitative evidence was followed. Seven databases: CINAHL, MEDLINE, EMBASE, PsycINFO, Scopus, Maternal and Infant Care, and Web of Science were searched. Partners and other family members (e.g. grandmothers, siblings) of women in any countries were included. Included papers were critically appraised. The JBI meta-aggregative approach was used to analyze data and form synthesized findings. Seventy-six papers from 74 studies were included. Five synthesized findings were: (i) spectrum of family members' breastfeeding knowledge, experiences and roles; (ii) the complexity of infant feeding decision making; (iii) the controversy of breastfeeding in front of others; (iv) impact of breastfeeding on family; and (v) it takes more than just family members: support for family members. Partners' and family members’ views and experiences of breastfeeding support reflected multi-faceted personal, social, financial, cultural, religious, emotional, psychological, and societal factors of the support they provided (or not). Healthcare professionals should engage them in breastfeeding discussions with the woman, and offer tailored and practical guidance relevant to help them to appropriately support the woman. This article is part of the theme issue ‘Multidisciplinary perspectives on social support and maternal–child health’.

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Section: Discussionmentioning

confidence: 99%

Relatively speaking? Partners' and family members’ views and experiences of supporting breastfeeding: a systematic review of qualitative evidence

Chang

et al. 2021

Phil. Trans. R. Soc. B

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“…Fathers' psychological and practical support influences initiation and duration of breastfeeding [14], at the same time acting as a confidence booster for mothers, who develop a higher self-efficacy if they feel supported by their partners [15]. Supportive actions are heterogeneous in nature [16], but what drives them is the awareness of the importance of breastfeeding [17]. The more a father knows about breastfeeding benefits and management, the more likely he is to influence its initiation and continuation [13].…”

Section: Introductionmentioning

confidence: 99%

From dyad to triad: a survey on fathers’ knowledge and attitudes toward breastfeeding

et al. 2021

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Fathers are known to impact breastfeeding outcomes. We aimed to explore paternal knowledge and attitude toward breastfeeding, and possible association with breastfeeding rates at discharge. In this cross-sectional study, we enrolled 200 fathers of healthy term neonates. At discharge, fathers were asked to rate their degree of agreement to 12 items on a 5-point Likert scale. A total score was obtained from their answers. Univariate binary logistic regression analysis was used to verify if the total score was predictive of exclusive breastfeeding at discharge. A multivariable logistic regression model was then used to adjust for possible confounders. ROC analysis was performed, and a Youden’s total score cut-off value was determined to define total score’s performance in predicting exclusive breastfeeding at discharge. Fathers showed a solid knowledge of maternal (87%) and neonatal (98%) benefits of breastfeeding, skin-to-skin (99.5%), rooming-in (79%), and responsive feeding (67.5%); conversely, only 51% knew about the recommended use of pacifiers. Fathers felt personally involved in babies’ feeding in 79% of cases. An association was found between total score and exclusive breastfeeding at discharge at univariate (OR: 1.07, p = 0.04) but not at multivariable analysis (OR: 1.07, p = 0.067). ROC analysis was not statistically significant (AUC 0.58, p = 0.083).Conclusion: By using a novel instrument aimed at quantifying fathers’ knowledge and overall attitude toward breastfeeding, this study underlines the importance of including fathers in the promotion of breastfeeding. Expanding the classic mother-baby dyad to a more modern mother-father-baby triad may impact breastfeeding outcomes at discharge. What is known:• Social support plays a major role in improving breastfeeding outcomes.• Fathers may greatly influence initiation and duration of breastfeeding; the more they know, the more helpful they can be.What is new:• A multidisciplinary team created a structured questionnaire aimed at quantifying fathers’ knowledge and attitude toward breastfeeding.• The association between a higher questionnaire total score and exclusive breastfeeding rates at discharge highlights the importance of including fathers in the promotion of breastfeeding, as part of the breastfeeding team.

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“…A large proportion of women are worried about their employ-Medical Studies/Studia Medyczne 2021; 37/2 ment situation after childbirth and decide not to breastfeed for fear of losing their jobs, changing their social status, and adhering to a stereotypical role of a mother without the possibility to return to work and their passions [4]. Meanwhile, breast milk is the optimal source of infant food, it provides ideal nutrients necessary for proper brain development and functioning, and is an excellent, natural source of immune protection [5]. About 85% of women in Poland have problems with breastfeeding, and most of these problems result from a lack of knowledge [6].…”

Section: Introductionmentioning

confidence: 99%

Psychological and medical advantages of breastfeeding; the role of psychological consultations for women after birth

Okoniewska¹,

Gwiazdowska-Stańczak²,

Dobrowolska³

2021

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Human milk is the best food for newborns. A lot of doctors and specialists connected with obstetrics devote themselves to informing and encouraging women to breastfeed; however, there are still problems with deciding on such a way of feeding the infant. Some women still have little knowledge about the medical and psychological advantages of breastfeeding for the newborn and herself. The article discusses the advantages of breastfeeding and the psychological problems that may block women from deciding on such a way of breastfeeding. Among the most common barriers are social pressure, a rapid desire to return to work and the anxiety associated with it, stress, postpartum depression, and lack of knowledge about the advantages of human milk. It is very important to take up this subject because often women do not breastfeed because of psychological rather than medical problems. In such a situation it is worth recommending, as well as diagnostic tests and lactation advice, also psychological consultation. StreszczenieKobiece mleko jest najlepszym pokarmem dla noworodków. Bardzo dużo lekarzy i specjalistów związanych z położnictwem poświęca się informowaniu i zachęcaniu kobiet do karmienia piersią, wciąż jednak istnieją problemy związane z podjęciem decyzji o takim sposobie karmienia niemowlęcia. Część kobiet wciąż ma niewielką wiedzę o medycznych i psychologicznych zaletach karmienia piersią dla dziecka i dla nich samych. Artykuł podejmuje zagadnienie zalet karmienia piersią oraz problemów psychologicznych, które mogą powstrzymywać kobiety przed decyzją o takim sposobie karmienia. Do najczęściej spotykanych barier należą: presja społeczna, chęć szybkiego powrotu do pracy zawodowej i lęk z tym związany, stres, depresja poporodowa oraz brak wiedzy dotyczącej zalet ludzkiego mleka. Podejmowanie tego tematu jest bardzo ważne, ponieważ często zdarza się tak, że kobieta nie karmi piersią z powodu problemów o podłożu psychologicznym, a nie medycznym. Warto w takiej sytuacji zalecić, oprócz badań diagnostycznych i porad laktacyjnych, także konsultację psychologiczną.

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Integrative Review of Fathers’ Perspectives on Breastfeeding Support

Cited by 13 publications

References 41 publications

Relatively speaking? Partners' and family members’ views and experiences of supporting breastfeeding: a systematic review of qualitative evidence

Relatively speaking? Partners' and family members’ views and experiences of supporting breastfeeding: a systematic review of qualitative evidence

From dyad to triad: a survey on fathers’ knowledge and attitudes toward breastfeeding

Psychological and medical advantages of breastfeeding; the role of psychological consultations for women after birth

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