Mothers’ Experience In Support Of Exclusive Breastfeeding: Scoping Review

2020 ◽  
Vol 6 (1) ◽  
pp. 38-46
Author(s):  
Nidya Comdeca Nurvitriana ◽  
Atik Triratnawati ◽  
Warsiti

Exclusive breastfeeding is one of the important strategies to reduce child mortality which has been recommended by the World Health Organization (WHO). Exclusive breastfeeding is defined as the provision of nutritional intake to infants from the first time of birth until at least 6 months can without additional food and drinks. In 2016 WHO showed that the average level of breastfeeding worldwide was only 38% which occurred in urban areas. In the city area it was found that many breastfeeding mothers worked and obstacles and support arose. Working mothers have low trust and intention so as to increase the frequency of failure to give exclusive breastfeeding. This study aims to review support for exclusive breastfeeding. The systematic literature review covers eight stages, namely: Identifying middle frequency problems, Determining priority problems and research questions, Inclusion and Exclusion Criteria, literature search, Selecting articles, data extraction, Critical Assessment, Data collection and Mapping. Data searched from Pubmed and Onesearch. The researchers, then, examined the feasibility of finding documents. Finally, researchers found 9 documents that research criteria. Information on exclusive breastfeeding support was found from 5 journals, namely internal factors (self, family), while external factors (health workers, work environment) were found from 5 journals from 9 journals. The highest influence of support was a work environment characterized by a lack of support from facilities, coworkers, workloads of institutions that influenced the mothers' own intentions. The mother's experience of getting support from exclusive breastfeeding includes internal (self, family) and external (health worker, work environment).

2018 ◽  
Vol 7 (2) ◽  
pp. 14
Author(s):  
Karima Soamole

Abstract : It is estimated that 80% of mothers who gave birth were able to produce milk in quantities sufficient for the purposes of the baby in full without any additional food and according to the World Health Organization recommends breastfeeding until the age of 4-6 months baby. Annually, more than 25,000 babies Indonesia and 1.3 million babies around the world can be saved by exclusive breastfeeding in 1999, while according to the 2000 report, the WHO approximately 1.5 million children die because they are not feeding properly, less than 15% infants worldwide are given for four months of exclusive breastfeeding and complementary feeding is often inappropriate and unsafe. This research is explanatory research because it explains the relationship between independent variables and dependent variable through hypothesis testing. The method used in this study is a survey method with cross sectional study design. The population in this study are all mothers who breastfeed in Puskesmas Kalumata 2012. Knowledge of the highest in the category of knowledge of both 81 (95.3%) and the behavior of the Exclusive breastfeeding is highest among respondents with a good knowledge of the 55 categories (67.9%). Respondents' attitudes toward breastfeeding Exclusive showed much respondeng that supports 54 (63.5%) and 31 (36.5%) that does not support exclusive breastfeeding her baby. Family Support tehadap respondents in the most exclusive breastfeeding: supporting respondents in exclusive breastfeeding her baby 64 (75.3%) and 21 (24.7%) who did not support the.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Alinane Linda Nyondo-Mipando ◽  
Mai-Lei Woo Kinshella ◽  
Sangwani Salimu ◽  
Brandina Chiwaya ◽  
Felix Chikoti ◽  
...  

Abstract Background Exclusive breastfeeding is widely accepted as a key intervention with proven efficacy for improving newborn survival. Despite international commitments and targets to support and promote breastfeeding, there are still gaps in meeting and maintain coverage in many sub-Saharan African countries. This paper aimed to triangulate the perspectives of health workers, mothers, and their family members with facility assessments to identify gaps to improve breastfeeding support in in Malawi. Methods The study on breastfeeding barriers and facilitators was conducted in 2019 at one tertiary hospital and three secondary-level hospitals in Malawi. We conducted 61 semi-structured interviews with health workers, postnatal mothers, grandmothers, aunts, and fathers. In 2017, we carried out a neonatal care facility assessment using the World Health Organization (WHO) Integrated Maternal, Neonatal, and Child Quality of Care Assessment and Improvement Tool. Qualitative data were analysed using a thematic analysis approach within the Systems Framework for Health Policy. Results The district-level hospitals rated high with an average score of 4.8 out of 5 across the three facilities indicating that only minor improvements are needed to meet standards of care for early and exclusive breastfeeding. However, the score fell to an average of 3.5 out of 5 for feeding needs with sick neonates indicating that several improvements are needed in this area. The qualitative data demonstrated that breastfeeding was normalized as part of routine newborn care. However, the focus on routine practice and reliance on breastfeeding knowledge from prenatal counselling highlights inequities and neglect in specialized care and counselling among vulnerable mothers and newborns. Revitalisation of breastfeeding in Malawian facilities will require a systems approach that reinforces policies and guidelines; contextualises knowledge; engagement and empowerment of other relatives to the baby and task-sharing among health workers. Conclusions Breastfeeding is accepted as a social norm among health workers, mothers, grandmothers, aunts, and fathers in Malawi, yet vulnerable groups are underserved. Neglect in breastfeeding support among vulnerable populations exacerbates health inequities. Health systems strengthening related to breastfeeding requires a concerted effort among health workers, mothers, grandmothers, aunts, and fathers while remaining grounded in contexts to support family-centered hospital care.


NSC Nursing ◽  
2021 ◽  
pp. 1-19
Author(s):  
Asnidawati Asnidawati ◽  
Wa Ode Salma ◽  
Adius Kusnan

Background: Breast’s milk is an excellent food for the growth and development of infants. The United Nations Children's Funds (UNICEF) and the World Health Organization (WHO) recommend that children only be exclusively breastfed for six months and continued until two years. This study analyzes the effect of family support, health workers, and socio-culture on exclusive breastfeeding in the working area of the Rumbia Health Center, Rumbia District, Bombana Regency. Methods: This study involved 86 mothers who had babies aged 0-6 months who were registered and domiciled in the working area of the Rumbia Health Center spread over 4 Kelurahan and 1 Village, which were selected by purposive sampling using a cross-sectional design from February to April 2021. Data analysis using odds ratio (OR) and logistic regression at significance level < 0.05. Results: The largest age group in the range of 20-35 years, as many as 68 people (79.1%), undergraduate as many as 32 people (37.2%), and income above Rp. 2.552.014, - / month as many as 60 people (69.8%). The results showed an effect of family support on exclusive breastfeeding (p = 0.002<0.05). There is no influence of socio-cultural factors on exclusive breastfeeding (p = 0.282>0.05) and the results of multivariate analysis of the most dominant variables associated with exclusive breastfeeding in the working area of Rumbia Health Center District Rumbia Bombana Regency is supported by health workers with an OR = 9.199 (p-value = 0.039<0.05). Conclusions: This study concludes that the support of health workers plays a very important role in exclusive breastfeeding to infants aged six months, which can impact improving the health of toddlers. Keywords: Determinant, breastfeeding exclusive, toddler, mother


2021 ◽  
Vol 1 (1) ◽  
pp. 387-410
Author(s):  
Erna Martiyani ◽  
Farah Maulida Rahmah ◽  
Marisa Amalia Citra ◽  
Medinio Leonita KS

Exclusive breastfeeding is that babies are only given breast milk, without the addition of other liquids such as formula milk, orange juice, honey, tea water, water, and without the addition of solid foods such as bananas, papaya, milk porridge, biscuits, rice porridge, and the team, as long as 6 months from the date of birth. Data from the World Health Organization (WHO) in 2016 still shows that the average rate of exclusive breastfeeding in the world is only around 38%. This study aims to determine the description of exclusive breastfeeding in infants in Java. Qualitative research using a descriptive observational study design that is conducting in-depth interviews with 4 informants which are by the interview guidelines. The results showed that the mother's age can affect the exclusive breastfeeding for the baby because the younger mother will produce more milk than the older mother. While the knowledge variable shows the results that mothers who have high knowledge about exclusive breastfeeding have a 20.8 times chance compared to mothers who have low knowledge. The existence of family support can also increase the mother's confidence in breastfeeding and the support from health workers can increase knowledge and motivate mothers to give exclusive breastfeeding. Based on this, we can say that breast milk is a perfect food that contains various nutrients that are needed by the body of living beings so that the body's metabolism can run smoothly and the development of the body goes well.


2018 ◽  
Vol 35 (1) ◽  
pp. 181-191 ◽  
Author(s):  
Kinga Pemo ◽  
Diane Phillips ◽  
Alison M. Hutchinson

Background: Researchers have shown beneficial influences of exclusive breastfeeding for women and infants. Therefore, the World Health Organization recommends exclusively breastfeeding infants for the first 6 months following birth. In Bhutan, researchers have found, through survey research, variable exclusive breastfeeding rates at 6 months. They have not, however, explored the experiences and views of participants in relation to breastfeeding. Research aim: The aim was to explore first-time mothers’ views, intentions, and experiences related to exclusive breastfeeding. Methods: A qualitative, prospective, longitudinal, descriptive study was undertaken using semistructured, audio-recorded interviews at two points of time with first-time mothers prenatally during late third trimester ( n = 24) and at 6 weeks after birth ( n = 22). The framework approach to analysis was used to identify themes. Results: Two themes (breastfeeding, but uncertainty about achieving exclusive breastfeeding and acceptance that breastfeeding is painful) were identified from interviews at term. Five themes were identified from interviews at 6 weeks after birth (lack of timely breastfeeding information and support from health professionals, misconceptions about exclusive breastfeeding, being unprepared for the reality of breastfeeding, limited control or choice over feeding, and adoption of cultural and traditional practices). Conclusion: The participants breastfed but did not practice exclusive breastfeeding due to a lack of timely breastfeeding information and inadequate breastfeeding support. While family elders supported breastfeeding, they also promoted the adoption of certain traditional and cultural practices, which affected exclusive breastfeeding.


2017 ◽  
Vol 39 (2) ◽  
Author(s):  
Roberto Bellù ◽  
Manuela Condò

Although breastfeeding is associated with many health benefits in children and mothers, and World Health Organization (WHO) recommends exclusive breastfeeding until 6 months of age and continued breastfeeding until 2 years of age, overall breastfeeding rates remain low. Italian rates of exclusive breastfeeding do not differ from international data. The aim of this review is to evaluate evidence of breastfeeding promotion interventions and the remaining problems to achieve them. We found that breastfeeding support is a complex system of interventions, including individual, structural and environmental factors. Many systematic reviews report evidence that breastfeeding support offered to women increases duration and exclusivity of breastfeeding, both in full term healthy newborns and in preterm infants. Political and economic efforts should be made to ensure breastfeeding support to all women in the different settings, assuming it as a collective target.


2019 ◽  
Vol 4 (1) ◽  
pp. 8
Author(s):  
Fatwa Imelda ◽  
Nur Afi Darti

Breast Milk  is one of the world health organization programs. The profile of Indonesia's health data for 2015 shows the scope of administration. Exclusive breastfeeding in Indonesia is still low, the percentage of infants breastfeeding exclusively 0 to 6 months is 55.7% lower than in 2011, which was 61.5%. Some of the problems related to achieving exclusive breastfeeding in North Sumatra Province are that there are still many institutions that employ women not giving an opportunity for mothers who have babies 0-6 months to carry out exclusive breastfeeding as evidenced by the unavailability of lactation rooms and supporting devices; and there are still many health workers at the service level who have not cared for or have not side with the fulfillment of the baby's right to get exclusive breastfeeding. For this reason, the team from the Universitas Sumatera Utara, Faculty of Nursing sought to increase the coverage of exclusive breastfeeding specifically by making facilities for breastfeeding mothers and increasing breastfeeding knowledge and skills through community service about Lactation Management. All mothers have the knowledge and ability to carry out lactation management. It is expected by these two educational institutions, so that the team can continue to carry out community service in these two places.Keywords: women's empowerment, lactation management


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Walusa Assad Gonçalves-Ferri ◽  
◽  
Fábia Martins Pereira-Cellini ◽  
Kelly Coca ◽  
Davi Casale Aragon ◽  
...  

Abstract Background The World Health Organization recognizes exclusive breastfeeding a safe source of nutrition available for children in most humanitarian emergencies, as in the current pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Despite the Brazilian national guideline protecting breastfeeding practices, there are many concerns about protecting infants from their infected mothers. This study aimed to analyze how the Brazilian hospitals and maternity services promote and support mothers suspected or diagnosed with coronavirus disease (COVID-19). Methods This is a descriptive cross-sectional and multicenter study which collected data from 24 Brazilian hospitals and maternity services between March and July 2020. Representatives of the institutions completed a questionnaire based on acts to promote and support breastfeeding, the Baby-Friendly Hospital Initiative, and Brazil’s federal law recommendations. Results The results showed that in delivery rooms, 98.5% of the services prohibited immediate and uninterrupted skin-to-skin contact between mothers and their infants and did not support mothers to initiate breastfeeding in the first hour. On the postnatal ward, 98.5% of the services allowed breastfeeding while implementing respiratory hygiene practices to prevent transmission of COVID-19. Companions for mothers were forbidden in 83.3% of the hospitals. Hospital discharge was mostly between 24 and 28 h (79.1%); discharge guidelines were not individualized. Additionally, a lack of support was noticed from the home environment’s health community network (83.3%). Hospital and home breast pumping were allowed (87.5%), but breast milk donation was not accepted (95.8%). There was a lack of guidance regarding the use of infant comforting strategies. Guidelines specific for vulnerable populations were not covered in the material evaluated. Conclusions In Brazil, hospitals have not followed recommendations to protect, promote, and support breastfeeding during the COVID-19 outbreak. The disagreement between international guidelines has been a major issue. The absence of recommendations on breastfeeding support during the pandemic led to difficulties in developing standards among hospitals in different regions of Brazil and other countries worldwide. The scientific community needs to discuss how to improve maternal and infant care services to protect breastfeeding in the current pandemic.


Children ◽  
2020 ◽  
Vol 7 (11) ◽  
pp. 195
Author(s):  
Emma Woolley ◽  
Shirley Wyver

The World Health Organization (WHO) recommends exclusive breastfeeding for six months and continuation of breastfeeding for up to two years. Formal child care has an important role in supporting breastfeeding, as many Australian infants commence care before two years of age. Currently, little is known about support or barriers in child care contexts. The present qualitative instrumental case study explores practices which protect, promote and support breastfeeding at a child care centre located in the Australian Capital Territory’s outer suburbs. Extending from a previously published collective case study, a cultural-institutional focus of analysis was used to explore the roles of proximity, flexibility and communication in supporting breastfeeding within a child care centre located close to an infant’s home. Interviews with centre staff and mothers, triangulated with observations of the centre environment and policy documents provide insight into the environment. Affirming the roles of flexibility in routine and staff rostering and two-way communication, findings suggest longer-term benefits may be derived from selecting a child care centre close to an infant’s home, provided mothers can overcome barriers to breastmilk expression in the workplace. The study recognises the role of non-lactating caregivers in the transition to formal child care, and of the support culture for educators who breastfeed. This study extends the knowledge base of breastfeeding support interventions in the child care setting to inform future research and policy.


2014 ◽  
Vol 32 (1) ◽  
pp. 26-30 ◽  
Author(s):  
MUH Begum

The World Health Organization (WHO) and the American Academy of Pediatrics (AAP) emphasize the value of breastfeeding for mothers as well as children. Both recommend exclusive breastfeeding for the first six months of life. Human breast milk is the healthiest form of milk for babies. Breastfeeding promotes health and helps to prevent diseases including diarrheal diseases. It contains all nutrients including antibodies (IgA),and lactoferrin, that potentially prevent infection and diarrhea in infants and children. Studies conducted in both developed and under developed nations have found that breast feeding is associated with significantly ( upto 64%) less diarrheal disease and the protective effect of breast feeding does not persist beyond two months after breast feeding is stopped. On the other hand, formula fed infants are found an upto 80% increased in the risk of developing diarrhea compared to breast fed infants and there is significantly more diarrheal disease in formula fed infants. Infection may be attributable to contamination of bottles, teats, milk, and food in infants who are not exclusively breastfed. Exclusive breastfeeding for the first six months of life and there after complementary feedings while breastfeeding continues for up to two years of age or beyond, enthusiastic support and involvement from clinicians, obstetricians and pediatricians, are essential in “breastfeeding vs formula feeding” issue and to reduce incidence of diarrheal diseases in infants and children. DOI: http://dx.doi.org/10.3329/jbcps.v32i1.21033 J Bangladesh Coll Phys Surg 2014; 32: 26-30


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