References

Bailey J. Modern parents’ perspectives on breastfeeding: a small study. Br J Midwifery. 2007; 15:(3)148-52 https://doi.org/https://doi.org/10.12968/bjom.2007.15.3.23034

Baker D, Garrow A, Shiels C. Inequalities in immunisation and breast feeding in an ethnically diverse urban area: cross-sectional study in Manchester, UK. J Epidemiol Community Health. 2011; 65:(4)346-52 https://doi.org/https://doi.org/10.1136/jech.2008.085142

Blyth R, Creedy DK, Dennis CL, Moyle W, Pratt J, De Vries SM. Effect of maternal confidence on breastfeeding duration: an application of breastfeeding self-efficacy theory. Birth. 2002; 29:(4)278-84 https://doi.org/https://doi.org/10.1046/j.1523-536X.2002.00202.x

Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006; 3:(2)77-101 https://doi.org/https://doi.org/10.1191/1478088706qp063oa

Britton JR, Britton HL, Gronwaldt V. Breastfeeding, sensitivity, and attachment. Pediatrics. 2006; 118:(5)e1436-43 https://doi.org/https://doi.org/10.1542/peds.2005-2916

Choudhry K, Wallace LM. ‘Breast is not always best’: south Asian women’s experiences of infant feeding in the UK within an acculturation framework. Matern Child Nutr. 2012; 8:(1)72-87 https://doi.org/https://doi.org/10.1111/j.1740-8709.2010.00253.x

Colin WB, Scott JA. Breastfeeding: reasons for starting, reasons for stopping and problems along the way. Breastfeed Rev. 2002; 10:(2)13-19

Feenstra MM, rgine Kirkeby M, Thygesen M, Danbjørg DB, Kronborg H. Early breastfeeding problems: A mixed method study of mothers’ experiences. Sex Reprod Healthc. 2018; 16:167-74 https://doi.org/https://doi.org/10.1016/j.srhc.2018.04.003

Fox R, McMullen S, Newburn M. UK women’s experiences of breastfeeding and additional breastfeeding support: a qualitative study of Baby Café services. BMC Pregnancy Childbirth. 2015; 15:(1) https://doi.org/https://doi.org/10.1186/s12884-015-0581-5

Fraser DM, Cullen L. Postnatal management and breastfeeding. Curr Obstet Gynaecol. 2003; 13:(3)127-33 https://doi.org/https://doi.org/10.1016/S0957-5847(03)00006-4

Guttman N, Zimmerman DR. Low-income mothers’ views on breastfeeding. Soc Sci Med. 2000; 50:(10)1457-73 https://doi.org/https://doi.org/10.1016/S0277-9536(99)00387-1

Hauck YL, Fenwick J, Dhaliwal SS, Butt J. A Western Australian survey of breastfeeding initiation, prevalence and early cessation patterns. Matern Child Health J. 2011; 15:(2)260-8 https://doi.org/https://doi.org/10.1007/s10995-009-0554-2

Hammonds M. Linking early healthy attachment with long-term mental health. Nurs N Z. 2012; 18:(2)12-14

Hives-Wood S. Trial will test whether shopping vouchers encourage breast feeding. BMJ. 2013; 347 https://doi.org/https://doi.org/10.1136/bmj.f6807

Horwood LJ, Fergusson DM. Breastfeeding and later cognitive and academic outcomes. Pediatrics. 1998; 101:(1) https://doi.org/https://doi.org/10.1542/peds.101.1.e9

Huber U, Sandall J. Continuity of carer, trust and breastfeeding. MIDIRS Midwifery Digest. 2006; 16:(4)445-9

Husmillo M. maternal role attainment theory. Int J Childbirth Educ. 2013; 28:(2)46-8

Mannel R, Martens PJ, Walker M. Core Curriculum for Lactation Consultant Practice.Burlington (MA): Jones and Bartlett Learning; 2012

Marshall JL, Godfrey M, Renfrew MJ. Being a ‘good mother’: managing breastfeeding and merging identities. Soc Sci Med. 2007; 65:(10)2147-59 https://doi.org/https://doi.org/10.1016/j.socscimed.2007.06.015

Maycock B, Binns CW, Dhaliwal S Education and support for fathers improves breastfeeding rates: a randomized controlled trial. J Hum Lact. 2013; 29:(4)484-90 https://doi.org/https://doi.org/10.1177/0890334413484387

Mercer RT. Becoming a mother versus maternal role attainment. J Nurs Scholarsh. 2004; 36:(3)226-32 https://doi.org/https://doi.org/10.1111/j.1547-5069.2004.04042.x

Moore ER, Coty MB. Prenatal and postpartum focus groups with primiparas: breastfeeding attitudes, support, barriers, self-efficacy, and intention. J Pediatr Health Care. 2006; 20:(1)35-46 https://doi.org/https://doi.org/10.1016/j.pedhc.2005.08.007

Infant Feeding Survey—UK, 2010.London: NHS; 2012

Postnatal care [QS37].London: NICE; 2015

Nelson A, Sethi S. The breastfeeding experiences of Canadian teenage mothers. J Obstet Gynecol Neonatal Nurs. 2005; 34:(5)615-24 https://doi.org/https://doi.org/10.1177/0884217505280279

Oakley LL, Henderson J, Redshaw M, Quigley MA. The role of support and other factors in early breastfeeding cessation: an analysis of data from a maternity survey in England. BMC Pregnancy Childbirth. 2014; 14:(1) https://doi.org/https://doi.org/10.1186/1471-2393-14-88

Palmér L, Carlsson G, Brunt D, Nyström M. Existential security is a necessary condition for continued breastfeeding despite severe initial difficulties: a lifeworld hermeneutical study. Int Breastfeed J. 2015; 10:(1) https://doi.org/https://doi.org/10.1186/s13006-015-0042-9

Rempel LA, Rempel JK. The breastfeeding team: the role of involved fathers in the breastfeeding family. J Hum Lact. 2011; 27:(2)115-21 https://doi.org/https://doi.org/10.1177/0890334410390045

Shakespeare J, Blake F, Garcia J. Breast-feeding difficulties experienced by women taking part in a qualitative interview study of postnatal depression. Midwifery. 2004; 20:(3)251-60 https://doi.org/https://doi.org/10.1016/j.midw.2003.12.011

Spencer RL, Greatrex-White S, Fraser DM. ‘I thought it would keep them all quiet’. Women’s experiences of breastfeeding as illusions of compliance: an interpretive phenomenological study. J Adv Nurs. 2015; 71:(5)1076-86 https://doi.org/https://doi.org/10.1111/jan.12592

World Health Organization. Baby-friendly Hospital Initiative. 1991. http://www.who.int/nutrition/topics/bfhi/en/

Global strategy for infant and young child feeding.Geneva: WHO; 2003

World Health Organization. Exclusive breastfeeding for six months best for babies everywhere. 2011. http://www.who.int/mediacentre/news/statements/2011/breastfeeding_20110115/en/

Wright CM, Parkinson K, Scott J. Breast-feeding in a UK urban context: who breast-feeds, for how long and does it matter?. Public Health Nutr. 2006; 9:(06)686-91 https://doi.org/https://doi.org/10.1079/PHN2005888

What influences women to stop or continue breastfeeding? A thematic analysis

02 October 2018
Volume 26 · Issue 10

Abstract

Background

The UK figures suggest that rates of breastfeeding are low compared to other countries. While initial breastfeeding rates have increased, figures are still low for those continuing to breastfeed at 6 months.

Aims

To understand the experiences of breastfeeding women and what affects their ability to continue breastfeeding.

Methods

A total of 41 women aged 18-45 years who had attempted to breastfeed between 2011 and 2016 took part in semi-structured interviews, analysed using a thematic approach.

Findings

Four main themes were identified: attachment, provision of information and support, sociocultural pressures and maternal role. The study found that women reported more positive attachment to their infant when breastfeeding.

Conclusions

While women were often highly motivated to breastfeed, they often did not receive sufficient information and support, often leading to early cessation. Women highlighted the societal pressures to breastfeed and how this was incorporated into the perception of what it was to be a ‘mother’.

Breastfeeding is a natural form of infant feeding, but not all women breastfeed, and those who do may not necessarily feed for the recommended length of time (Feenstra et al, 2018). It is advised that breastfeeding takes place exclusively for the first 6 months of an infant's life, followed by the introduction of nutritional foods alongside breastfeeding up to 2 years of age and beyond (World Health Organization (WHO), 2011). Breastfeeding an infant up to and over 8 months of age has been found to result in numerous physical health benefits, such as improved immunity through the transfer of antibodies; protection against health conditions such as diabetes, obesity and allergies (WHO and UNICEF, 2003); and increased cognitive advantages such as higher IQ scores (Horwood and Fergusson, 1998).

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