Breastfeeding initiation: An in-depth qualitative analysis of the perspectives of women and midwives using Social Cognitive Theory
| Autor: | Rhona J. McInnes, M.E. Edwards, Ruth Jepson |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Interview Nurse Midwives media_common.quotation_subject Breastfeeding Mothers Developmental psychology 03 medical and health sciences 0302 clinical medicine Qualitative analysis Nursing Pregnancy Maternity and Midwifery Humans Medicine 030212 general & internal medicine Qualitative Research media_common 030504 nursing business.industry Obstetrics and Gynecology Focus Groups Middle Aged Focus group Breast Feeding Scotland Effective breastfeeding Female 0305 other medical science business Autonomy Social cognitive theory Qualitative research |
| Zdroj: | Midwifery. 57:8-17 |
| ISSN: | 0266-6138 |
| DOI: | 10.1016/j.midw.2017.10.013 |
| Popis: | Objective to explore women's and midwives' expectations, knowledge and experiences of breastfeeding initiation using Social Cognitive Theory. Design a qualitative study using focus group discussions and individual interviews. Breastfeeding initiation was defined for this study as a process within the first 48hours after birth. Data were analysed using qualitative inductive analysis then further deductive analysis using Social Cognitive Theory (SCT). Setting and participants a purposefully selected sample of primigravid antenatal and postnatal women (n=18) and practising midwives (n=18) from one Health Board area in Scotland. Findings attachment of the baby to the breast at birth was hindered by sleepy babies and the busy unfamiliar hospital environment. These resulted in mothers struggling to maintain their motivation to breastfeed and to develop low self-efficacy. Instinctive attachment was rare. Midwives who considered it was normal for babies to be sleepy and unable to attach or feed at birth did not facilitate instinctive baby behaviour. Midwives sometimes experienced lack of autonomy and environmental circumstances that made women centred care difficult. Furthermore caring for high numbers of women, dependent on their help, resulted in reduced self-efficacy for providing effective breastfeeding support. Key conclusions interviewing both women and midwives specifically about initiation of breastfeeding has allowed for deeper insights into this critical period and enabled a comparison between the data obtained from mothers and midwives. The findings suggest that instinctive attachment is not an expectation of either mothers or midwives and results in a loss of breastfeeding confidence in both. Implications for practice to facilitate initiation there is a need for more research to develop appropriate maternal and midwifery skills, and make changes to the cultural environment in hospitals. Social Cognitive Theory could be used as a framework in both the antenatal and immediate postnatal period to develop strategies and materials to increase women's and midwives' self-efficacy specifically in initiation. |
| Databáze: | OpenAIRE |
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