Process-oriented training in breastfeeding for health professionals decreases women’s experiences of breastfeeding challenges

Blixt, Ingrid; Mårtensson, Lena; Ekström, Anette

doi:10.1186/1746-4358-9-15

Cited by 27 publications

(71 citation statements)

References 39 publications

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“…Previous studies that have found individual, on-going face-to-face support [ 36 ] consisting of relationship-building [ 37 ] and characterized by authentic presence [ 56 ] is key for breastfeeding continuation. In addition, a process-oriented training in breastfeeding for health care professionals influenced women’s abilities to handle breastfeeding difficulties [ 57 ]. It is thus obvious that support is important in order to promote further breastfeeding.…”

Section: Discussionmentioning

confidence: 99%

Existential security is a necessary condition for continued breastfeeding despite severe initial difficulties: a lifeworld hermeneutical study

et al. 2015

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BackgroundThe majority of new mothers in Sweden initiate breastfeeding and many experience initial difficulties. This experience is an important cause of early breastfeeding cessation. To increase understanding, there is a need to explore the lived experiences of the decision to continue or cease breastfeeding. The aim of this study is therefore to explain and understand how this decision is influenced by the meaning of severe initial difficulties.MethodsA lifeworld hermeneutical approach was used for the study. The study was conducted in Sweden with eight mothers who experienced severe difficulties with initial breastfeeding. All except one were interviewed on two different occasions resulting in fifteen interviews. The interviews were conducted between 2010 and 2013.ResultsMothers who experience severe difficulties with initial breastfeeding feel both overtaken and violated not only by their own infants and their own bodies but also by their anger, expectations, loneliness and care from health professionals. These feelings of being overtaken and invaded provoke an existential crisis and place mothers at a turning point in which these feelings are compared and put in relation to one another in the negotiation of the decision to continue or cease breastfeeding. This decision thus depends on the possibility of feeling secure with the breastfeeding relationship. If insecurity dominates, this can, in severe cases, create a feeling of fear of breastfeeding that is so great that there is no alternative but to stop breastfeeding.ConclusionsExistential security in the breastfeeding relationship seems to be an underlying factor for confidence and therefore a necessary condition for continued breastfeeding when having severe initial breastfeeding difficulties. Unresolved feelings of insecurity may be a serious barrier to further breastfeeding that can result in a fear of breastfeeding. Such fear can force the mother to cease breastfeeding. This study highlights how women are situated in a complex cultural and biological context of breastfeeding that has existential consequences for them. An existential crisis forces mothers into a turning point for the breastfeeding decision. In the existential crisis, mothers’ responsibility for the mother-infant relationship guides continuing or ceasing breastfeeding.

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Section: Discussionmentioning

confidence: 99%

Existential security is a necessary condition for continued breastfeeding despite severe initial difficulties: a lifeworld hermeneutical study

et al. 2015

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“…Self-efficacy [12], the perception of milk supply [9,13-17], and initiation and strength of intention to breastfeed [18-20] are reported as modifiable breastfeeding determinants. Self-efficacy, for example, is associated with the perception of being supported [9], exposure to breastfeeding activities [9], early breastfeeding practice [5], and past experience [9].…”

Section: Introductionmentioning

confidence: 99%

“…Self-efficacy, for example, is associated with the perception of being supported [9], exposure to breastfeeding activities [9], early breastfeeding practice [5], and past experience [9]. Perception of milk supply, on the other hand, depends on mothers’ self-efficacy and level of knowledge and skills [12]. Sufficient breastfeeding knowledge and skills may help mothers avoid physical discomfort [21].…”

Section: Introductionmentioning

confidence: 99%

Information and Communication Systems to Tackle Barriers to Breastfeeding: Systematic Search and Review

Tang¹,

Gerling²,

Chen³

et al. 2019

J Med Internet Res

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BackgroundBreastfeeding has many benefits for newborns, mothers, and the wider society. The World Health Organization recommends mothers to feed newborns exclusively with breastmilk for the first 6 months after birth, but breastfeeding rates in many countries fail to align with the recommendations because of various barriers. Breastfeeding success is associated with a number of determinants, such as self-efficacy, intention to breastfeed, and attitudes toward breastfeeding. Information and communication technology (ICT) has been leveraged to support breastfeeding by means of improving knowledge or providing practical supports in different maternal stages. Previous reviews have examined and summarized the effectiveness and credibility of interventions; however, no review has been done from a human-computer interaction perspective that is concerned with novel interaction techniques and the perspective of end users.ObjectiveThe objective of this review was to provide a comprehensive overview of existing digital interventions that support breastfeeding by investigating systems’ objective, technology design, validation process, and quality attributes, both in terms of clinical parameters as well as usability and user experience.MethodsA systematic search was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines in the following libraries: PubMed, Science Direct, Association for Computing Machinery Digital Library (ACM Digital Library), and Institute of Electrical and Electronics Engineers Xplore (IEEE Xplore).ResultsA total of 35 papers discussing 30 interventions were included. The main goals of these interventions were organized into 4 categories: breastfeeding education (n=12), breastfeeding promotion (n=8), communication support (n=6), and daily practical support (n=4). Of the interventions, 13 target mothers in the postnatal period. Most interventions come in forms of client communication systems (n=18), which frequently leverage Web technologies, text message, and mobile apps to provide breastfeeding support. Systems predominantly focus on mothers; validation strategies were rather heterogeneous, with 12 user studies concerning usability and user experience and 18 clinical validation studies focusing on the effects of the interventions on breastfeeding determinants; 5 papers did not report results. Generally, straightforward systems (eg, communication tools or Web-based solutions) seem to be more effective than complex interventions (eg, games).ConclusionsExisting information and communication systems offer effective means of improving breastfeeding outcomes, but they do not address all relevant periods in parenthood (eg, the antenatal period) and often do not involve important stakeholders, such as partners. There is an opportunity to leverage more complex technical systems to open up avenues for the broader design of ICT to support breastfeeding; however, considering evaluation outcomes of existing support systems of higher complexity, such systems need to be...

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“…U žen kojících přes tři měsíce nebyly prokázány významné rozdíly mezi ženami z intervenční a kontrolní skupiny. Tento program pro zdravotníky k podpoře schopností žen řešit problémy s kojením, se prokázal jako účelný u žen výlučně kojících do třech měsíců (11).…”

Section: Rozvoj Edukačních Dovedností Zdravotníkůunclassified

The Importance of Breastfeeding Education

Chrásková¹,

Boledovičová²

2015

Profese on-line

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Kojení a výživa mateřským mlékem je přirozenou a nenahraditelnou stravou pro novorozence. Dle WHO je mateřské mléko nejvhodnější potravou pro všechny děti včetně nedonošených a nemocných dětí. Aby kojení mohlo být správné, dostatečné a výlučné, je zapotřebí o něm matky efektivně poučit. Cíl: Cílem studie bylo analyzovat dosavadní používané edukační intervence a metody, které přinášejí efekt pro výlučné kojení dětí do období šesti měsíců. Metodika: Pro získání dat za období 2004-2014 byly použity elektronické licencované a volně přístupné databáze. Kritéria pro zahrnutí studií byla: metoda edukace, podpora kojení, efektivita edukace, výlučné kojení do šesti měsíců. Uvedená kritéria pro zařazení analýzy splňovalo 19 studií z původně 38 dohledaných. Výsledky: Nejefektivněji pro laktační poradenství se jeví metody názorné a praktické. Rovněž je třeba věnovat edukaci dostatek času a prostoru na dotazy žen. Edukaci v oblasti kojení je nutné zahájit v prenatálním období a ženy musí mít možnost systematického vzdělávání v uvedené oblasti. Závěry: Pokud mají ženy dostatečné znalosti o kojení, snižuje se riziko vzniku komplikací, obtíží a výlučné kojení bude trvat co nejdéle, nejlépe do 6. měsíce života dítěte.

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Process-oriented training in breastfeeding for health professionals decreases women’s experiences of breastfeeding challenges

Cited by 27 publications

References 39 publications

Existential security is a necessary condition for continued breastfeeding despite severe initial difficulties: a lifeworld hermeneutical study

Existential security is a necessary condition for continued breastfeeding despite severe initial difficulties: a lifeworld hermeneutical study

Information and Communication Systems to Tackle Barriers to Breastfeeding: Systematic Search and Review

The Importance of Breastfeeding Education

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