Mobile Health Approaches to Breastfeeding

Lewkowitz, Adam K.; Cahill, Alison G.

doi:10.1097/grf.0000000000000606

Cited by 21 publications

(9 citation statements)

References 27 publications

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“…This new trend of learning will likely continue, particularly among younger families, and remote breastfeeding education will likely continue after the pandemic. More resources should be invested into developing high‐quality and evidence‐based remote breastfeeding education materials including podcasts by ‘influencers’ and online support services to engage with breastfeeding mothers, their families and social network, potentially via mobile applications 4 . Nevertheless, different means of support complement each other and face‐to‐face breastfeeding support is still important and should be restored as much as possible.…”

Section: Remote Breastfeeding Supportmentioning

confidence: 99%

“…More resources should be invested into developing high-quality and evidence-based remote breastfeeding education materials including podcasts by 'influencers' and online support services to engage with breastfeeding mothers, their families and social network, potentially via mobile applications. 4 Nevertheless, different means of support complement each other and face-to-face breastfeeding support is still important and should be restored as much as possible. For example, some public hospitals have engaged pregnant women in small group (two to three women) discussions while they wait for investigations, for example oral glucose tolerance test and group B streptococcus screening.…”

Section: Remote Breastfeeding Supportmentioning

confidence: 99%

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Breastfeeding challenges and opportunities during COVID‐19 in Hong Kong

Hui

Yeung

Chow

et al. 2023

J Paediatrics Child Health

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Barriers to sustain breastfeeding could be time and place specific. Here, we summarise new and old challenges to breastfeeding during COVID-19 pandemic in Hong Kong, some of which were obtained from qualitative in-depth interviews with health-care professionals. We document how unnecessary massive mother-baby separations in hospitals and doubts in COVID-19 vaccine safety seriously harm breastfeeding. We also discuss how the trends and increase in acceptance of receiving post-natal care from family doctors, online-antenatal class, work-from-home policy and telemedicine implicate new strategies to protect, promote and support breastfeeding during and after the pandemic. The challenges from the COVID-19 pandemic on breastfeeding have revealed new opportunities to support breastfeeding in Hong Kong and similar settings where exclusive breastfeeding for 6 months is still not the norm.

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Section: Remote Breastfeeding Supportmentioning

confidence: 99%

Section: Remote Breastfeeding Supportmentioning

confidence: 99%

Breastfeeding challenges and opportunities during COVID‐19 in Hong Kong

Hui

Yeung

Chow

et al. 2023

J Paediatrics Child Health

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“…Studies have shown that mobile health (mHealth)-based interventions such as web-page education or smartphone applications may help offset some of the difficulties associated with access. MHealth interventions can provide much needed education about breastfeeding to all women, specifically to low-income, rural women, and thus contribute to improvements in breastfeeding rates [ 25 , 26 ]. The advantages of mHealth-based interventions include portability, timeliness, efficiency, and scalability.…”

Section: Discussionmentioning

confidence: 99%

Healthcare providers’ perceived barriers to providing breastfeeding support in Northwest rural China

Wu,

Zhang,

Liao

et al. 2024

Int Breastfeed J

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Background Healthcare providers play important roles in supporting breastfeeding. Although there has been insufficient actual breastfeeding support from healthcare providers in China, little research has been conducted to understand Chinese healthcare providers’ perceived barriers to providing breastfeeding support, especially in rural China. This study aims to identify these perceived barriers to providing breastfeeding support in Northwestern rural China. Methods This study was conducted during the period from March 2018 to December 2018. Forty-one healthcare providers were recruited through purposive sampling in two rural counties in Northwest China that are in close proximity to each other and share similar demographic features. Participants included obstetrician-gynecologists, midwives, nurses, “village doctors”, and township and village maternal and child health workers. Qualitative data were collected through one-on-one in-depth semi-structured interviews and focus group discussions. Transcripts were thematically analyzed. Results Analysis of interview data resulted in four themes that the participants perceived as barriers to supporting breastfeeding: (1) lack of medical resources, within which inadequate staffing, and lack of financial incentives were discussed, (2) lack of clear and specific responsibility assignment, within which no one takes the lead, and mutual buck-passing were discussed, (3) healthcare providers’ lack of relevant expertise, within which lack of knowledge and skills, and low prestige of village healthcare providers were discussed, (4) difficulties in accessing mothers, within which medical equipment shortages reduce services utilization, mothers’ housing situation, mothers’ mobility, and cultural barriers were discussed. Conclusions The study identified HCPs perceived barriers to providing breastfeeding support. Unique to China’s Tri-Level Healthcare System, challenges like staffing and financial incentives are hard to swiftly tackle. Recommendations include mHealth enhancement and clarified responsibilities with incentives and tailored training. Further research is crucial to evaluate these strategies in rural Northwestern China and comparable underdeveloped areas nationwide.

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“…Due to the restriction imposed by the government, lack of support is universal. Virtual support both in web‐based forms or app‐based forms may be helpful to elevate the rates of breastfeeding both in the short‐term and long‐term (Gavine et al, 2022 ; Lewkowitz & Cahill, 2021 ). It may be reasonable to promote the virtual forms of breastfeeding when the support is hard to acquire.…”

Section: Discussionmentioning

confidence: 99%

Navigating through motherhood in pregnancy and postpartum periods during the COVID‐19 pandemic: A systematic review and qualitative meta‐synthesis

Zheng

Zhang

et al. 2022

J Nursing Management

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Aim The aim of this work is to critically appraise and synthesize the qualitative studies on the experiences, perspectives, and consequences of pregnant women experiencing motherhood during the COVID‐19 pandemic. Background The COVID‐19 pandemic has posed a threat to the health of pregnant women. Such a pandemic disrupted their routine care, as well as normal daily life. However, little is known about their coping strategies to the changes brought by COVID‐19. Evaluation A qualitative systematic review was conducted according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) checklist. A meta‐aggregative approach rooted in pragmatism and Husserlian transcendental phenomenology was used to synthesize the findings. Dependability and credibility of both study findings and synthesized findings were appraised by Joanna Briggs Institute (JBI) ConQual process. Key issues Key issues include (a) pregnant women experienced changes in routine care, (b) pregnant women used a range of strategies to cope with the consequence of the pandemic, (c) pregnant women struggled to embrace motherhood, and (d) pregnant women received different levels of social support. Conclusion Facing challenges caused by the pandemic, pregnant women used a variety of strategies to cope with and adapt to the changes, but sometimes the adaption is limited. Emotional, instrumental, and informational support should be provided to them in an accessible way. Implications for Nursing Management As an essential part of policymakers, nursing managers should consider the balance between restriction and the accessibility of maternity care. It is also crucial for them to consider how to provide necessary support in an accessible way.

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Mobile Health Approaches to Breastfeeding

Cited by 21 publications

References 27 publications

Breastfeeding challenges and opportunities during COVID‐19 in Hong Kong

Breastfeeding challenges and opportunities during COVID‐19 in Hong Kong

Healthcare providers’ perceived barriers to providing breastfeeding support in Northwest rural China

Navigating through motherhood in pregnancy and postpartum periods during the COVID‐19 pandemic: A systematic review and qualitative meta‐synthesis

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