The enablers and barriers to continue breast milk feeding in women returning to work

Sulaiman, Zaharah; Liamputtong, Pranee; Amir, Lisa H

doi:10.1111/jan.12884

Cited by 31 publications

(41 citation statements)

References 36 publications

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Section: Discussionmentioning

confidence: 95%

“…In the same view, Sulaiman and his peers, have also indicated that intentions to a lesser extent influence breastfeeding practice (33). Other cultural barriers such as the performance of cultural rites for both mother and baby, as well as the influence of family members were equally necessary (1,9,19,33,36,37). Therefore, the statement that, "Once the child is delivered, he is no more your baby", confirms the practice of a collective culture in the Kassena-Nankana Municipality and explains the cultural restrictions against mothers' intention to breastfeed exclusively.…”

Section: Discussionmentioning

confidence: 95%

“…It can therefore be argued that a mother's choice to either practice or abandon EBF is independent of the kind of job. However, the availability of time to breastfeed and the provision of enabling environment at the workplace were critical (32,33).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

"Once the child is delivered, he is no more your baby," Exclusive Breastfeeding experiences of first-time mothers in Kassena-Nankana Municipality, Ghana - a qualitative study

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Opoku-Mensah

Dako-Gyeke

2020

Preprint

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Background Exclusive Breastfeeding (EBF) is globally accepted as the preferred method for infant feeding. In Ghana, an estimated 84% of children < 2 months old are exclusively breastfed. But by age 4 to 5 months, only 49% continue to receive EBF. This situation continues to deteriorate. Thus, the need to explore perceptions, practices as well as factors that influence EBF in Ghana. Method Using a qualitative design, four focus group discussions were conducted among first-time mothers and eight in-depth interviews with health workers and traditional birth attendants. The study was conducted in four communities in the Kassena-Nankana municipality of Ghana. Discussions and interviews were recorded and later transcribed verbatim to English language. The transcribed data was then coded with the aid of analysis computer software (Nvivo version 10.0) and later analyzed for the generation of themes. Result Exclusive breastfeeding is practiced among first-time mothers due to its perceived benefits; which include nutritional advantage, ability to enhance growth whilst boosting immunity and its economic value. However misconceptions as well as, certain cultural practices (e.g. giving herbal concoctions, breastmilk purification rites), and relational influences, may threaten a mother’s intention to exclusively breastfeed. Relational influences are mainly from mother in-laws, traditional birth attendants, grandmothers, herbalists and other older adults in the community. Conclusion Although first time mothers attempt EBF, external influences make it practically challenging. The availabilty and utilization of information on EBF was found to positively influence perceptions towards EBF, leading to change in attitude towards the act. Recommendations The provision of education on EBF should be targeted to mothers during antenatal and postnatal clinics in order to help address misconceptions of EBF. Again, the practice of community based health services should be strengthened to provide support to first-time mothers as well as continuous education to the family and community leaders who influence decision making on breastfeeding of infants.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 95%

See 1 more Smart Citation

"Once the child is delivered, he is no more your baby," Exclusive Breastfeeding experiences of first-time mothers in Kassena-Nankana Municipality, Ghana - a qualitative study

Adda

Opoku-Mensah

Dako-Gyeke

2020

Preprint

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“…In a collective cultural orientation, like that of Ghana, where a person is positioned in a complex network of social relationships, the intention of a mother to exclusively breastfeed is inadequate (35). In the same view, Sulaiman and his peers, have also indicated that intentions to a lesser extent influence breastfeeding practice (33). Other cultural barriers such as the performance of cultural rites for both mother and baby, as well as the influence of family members impacted EBF rates (1,9,19,33,36,37).…”

Section: Discussionmentioning

confidence: 99%

Once the child is delivered, he is no more your baby,” Exclusive Breastfeeding experiences of first-time mothers in Kassena-Nankana Municipality, Ghana - a qualitative study

Adda

Opoku-Mensah

Dako-Gyeke

2020

Preprint

View full text Add to dashboard Cite

Background Exclusive Breastfeeding (EBF) for the first six months of life is globally accepted as the preferred method for infant feeding. In Ghana, an estimated 84% of children < 2 months old are exclusively breastfed. But by age 4 to 5 months, only 49% continue to receive EBF. This situation continues to deteriorate. Thus, the need to explore perceptions, practices as well as factors that influence EBF in Ghana. Method Using a qualitative design, four focus group discussions were conducted among first-time mothers and eight in-depth interviews with health workers and traditional birth attendants. The study was conducted in four communities in the Kassena-Nankana municipality of Ghana. Discussions and interviews were recorded and later transcribed verbatim to English language. The transcribed data was then coded with the aid of analysis computer software (Nvivo version 10.0) and later analyzed for the generation of themes. Result Exclusive breastfeeding is practiced among first-time mothers due to its perceived benefits; which include nutritional advantage, ability to enhance growth whilst boosting immunity and its economic value. However misconceptions as well as, certain cultural practices (e.g. giving herbal concoctions, breastmilk purification rites), and relational influences, may threaten a mother’s intention to exclusively breastfeed. Relational influences are mainly from mother in-laws, traditional birth attendants, grandmothers, herbalists and other older adults in the community. Conclusion Although first time mothers attempt EBF, external influences make it practically challenging. The availabilty and utilization of information on EBF was found to positively influence perceptions towards EBF, leading to change in attitude towards the act. Recommendations The provision of education on EBF should be targeted to mothers during antenatal and postnatal clinics in order to help address misconceptions of EBF. Again, the practice of community based health services should be strengthened to provide support to first-time mothers as well as continuous education to mother in laws, female elders and community leaders who influence decision making on breastfeeding of infants.

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“…These issues include patterns of employment and women's return to work, presence or otherwise of social and familial support mechanisms, and cultural understandings and beliefs around lactation (Liamputtong, 2011;Liamputtong & Kitisriworapan, 2011;Sulaiman, Liamputtong, & Amir, 2016). The above works is echoed in Lam's (2015) assertion, framed by a new materialist, post-constructionist perspective, that the work of bodies exists in a space that is created both out of biological materiality and by cultural meaning-making.…”

Section: Maternal Bodies: Breastfeeding Morality and Identity Workmentioning

confidence: 83%

Becoming-(breastfeeding-)woman: women’s body practices and experiences at the intersection of breastfeeding, milk insufficiency, and milk sharing

Smith¹

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The breastfeeding body is a site of complex, contested, and conspicuously moralised practices that has long been a focus for research in the social sciences through to the arts and humanities. Often too the maternal, lactating body is situated within a biomedical frame that marks the milk-producing body as problematic, failing, and subject to and object of expert knowledges. In this frame, women who identify as producing "not enough milk" to feed their babies have been a significant focus.Despite this extensive attention, however, there is little research that has explored women's experiences of and body practices enacted in relation to continued breastfeeding alongside ongoing milk insufficiency, nor the act of milk sharing as a specific response to this bodily insufficiency.In this thesis, I describe and discuss my research with 13 women who have faced difficulties in breastfeeding based on a shared experience of 'chronic milk insufficiency'. I also focus on the act of milk sharing as one response to this insufficiency. Through analysis and discussion of in-depth interviews and observation, I explore how women enact and experience body practices at the intersection of breastfeeding, milk insufficiency, and milk sharing.My critical exploration of breastfeeding, milk insufficiency, and milk sharing as interrelated body practices and modes of meaning-making is informed by, and also informs, the use of a conceptual frame developed through articulation with corporeal and post-constructionist feminism, and ideas from Deleuze and Guattari's work such as deterritorialisation, complex assemblages, flows, desire, and (inter)corporeality. I employ this rhizomatic, cyborg conceptual frame to analyse women's body practices with reference to a number of Deleuzo-Guattarian thematic strands including expectations and beginnings, incorporation and avoidance, the fragmenting body and complex assemblages, creative corporeality and body extension, and becoming-(breastfeeding-)woman.In situating embodied knowledge relative to creative body practices, and highlighting the spaces between bodies and the tension between normative and resistive body practices, I disarticulate and reterritorialise a range of ideas about maternal, lactating bodies. Taken together, these support the conceptualisation of continued breastfeeding in the context of ongoing insufficient milk as a creative, resistant (inter)corporeal act. I further discuss this creative (inter)corporeality in terms of its pragmatic and conceptual implications for anthropologists and social scientists more broadly, as well as for health professionals and others working with pregnant and breastfeeding women.ii Declaration by authorThis thesis is composed of my original work, and contains no material previously published or written by another person except where due reference has been made in the text. I have clearly stated the contribution by others to jointly-authored works that I have included in my thesis.

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The enablers and barriers to continue breast milk feeding in women returning to work

Abstract: Passion and to a lesser extent intention, influenced women's choice. Women's characteristics played a greater role in their infant feeding outcomes than their work environment.

Cited by 31 publications

References 36 publications

"Once the child is delivered, he is no more your baby," Exclusive Breastfeeding experiences of first-time mothers in Kassena-Nankana Municipality, Ghana - a qualitative study

"Once the child is delivered, he is no more your baby," Exclusive Breastfeeding experiences of first-time mothers in Kassena-Nankana Municipality, Ghana - a qualitative study

Once the child is delivered, he is no more your baby,” Exclusive Breastfeeding experiences of first-time mothers in Kassena-Nankana Municipality, Ghana - a qualitative study

Becoming-(breastfeeding-)woman: women’s body practices and experiences at the intersection of breastfeeding, milk insufficiency, and milk sharing

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