The Association Between Women’s Perceptions of Professional Support and Problems Experienced on Breastfeeding Cessation: A Western Australian Study

Abstract

A cross-sectional survey was used to determine the association among women’s breastfeeding problems, their perceptions of support from midwives and child health nurses, and breastfeeding cessation in the first 10 weeks postbirth in a sample of Western Australian women (N = 2669). Primiparous women (75.8%) experienced significantly more problems that multiparous women (52.6%). Although 78.8% of all women agreed or strongly agreed that staff were helpful with feeding, 53.4% confirmed that different midwives offered different feeding advice; however, receiving different advice from midwives around feeding was not associated with breastfeeding cessation. Differences in breastfeeding cessation were associated with parity. Primiparous women’s cessation was associated with experiencing any breastfeeding problems, unhelpful hospital midwives, and unhelpful information from child health nurses, whereas for multiparous women, this included 2 or more breastfeeding problems, not being able to choose when to feed, and unhelpful information from child health nurses. J Hum Lact. 27(1):49-57.

Keywords

breastfeeding support breastfeeding difficulties breastfeeding cessation

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References

National Health of Medical Research Council. Dietary Guidelines for Children and Adolescents in Australia Incorporating the Infant Feeding Guidelines for Health Workers. Canberra, Australia: Commonwealth of Australia; 2003.

Scott JA , Binns CW , Aroni RA Breast-feeding in Perth: recent trends. Aust N Z J Public Health. 1996;20:210-211.

Scott JA , Binns CW Factors associated with the initiation and duration of breastfeeding: a review of the literature. Breastfeed Rev. 1999;7:5-16.

Gilles MG , Rouse V. , Semmens J. Consumer Views of Maternity Services: A Survey for Mothers. Perth, Australia: Health Statistics Branch; 1995.

Graham KI , Scott JA , Binns CW , Oddy WH National targets for breastfeeding at hospital discharge have been achieved in Perth. Acta Paediatr. 2005;94:352-356.

Hauck YL , Fenwick J. , Dhaliwal S. , Butt J. A Western Australian survey of breastfeeding initiation, prevalence and early weaning patterns [published online ahead of print January 14, 2010]. Matern Child Health J.

Australian Bureau of Statistics. Breastfeeding in Australia 2001. http://www.abs.gov.au/ausstats/abs@.nsf/mf/4810.0.55.001 . Accessed September 29, 2010.

Kohlhuber M. , Rebhan B. , Schwegler U. , Koletzko B. , Fromme H. Breastfeeding rates and duration in Germany: a Bavarian cohort study. Br J Nutr. 2008;99:1127-1132.

Chin LY , Amir LH Survey of patient satisfaction with the Breastfeeding Education and Support Services of the Royal Women’s Hospital, Melbourne. BMC Health Serv Res. 2008;8:83.

10.

Mannan I. , Rahman SM , Sania A. , et al. Can early postpartum home visits by trained community health workers improve breastfeeding of newborns? J Perinatol. 2008;28:632-640.

11.

Binns C. , Scott J. Breastfeeding: reasons for starting, reasons for stopping and problems along the way. Breastfeed Rev. 2002;10:13-19.

12.

Lewallen LP , Dick MJ , Flowers J. , et al. Breastfeeding support and early cessation . J Obstet Gynecol Neonatal Nurs. 2006;35:166-172.

13.

Li R. , Fein SB , Chen J. , Grummer-Strawn LM Why mothers stop breastfeeding: mothers’ self-reported reasons for stopping during the first year. Pediatrics. 2008;122(suppl 2):S69-S76.

14.

Hannula L. , Kaunonen M. , Tarkka MT A systematic review of professional support interventions for breastfeeding . J Clin Nurs. 2008;17: 1132-1143.

15.

Britton C. , McCormick FM , Renfrew MJ , Wade A. , King SE Support for breastfeeding mothers. Cochrane Database Syst Rev. 2007: CD001141.

16.

McInnes RJ , Chambers JA Supporting breastfeeding mothers: qualitative synthesis. J Adv Nurs. 2008;62:407-427.

17.

Schmied V. , Sheehan A. , McCourt C. , Beake S. Women’s Perceptions and Experiences of Breastfeeding Support: A Meta-synthesis of Qualitative Research. Adelaide, Australia: Joanna Briggs Institute; 2009.

18.

Clifford J. , McIntyre E. Who supports breastfeeding? Breastfeed Rev. 2008;16:9-19.

19.

Furber CM , Thomson AM The power of language: a secondary analysis of a qualitative study exploring English midwives’ support of mother’s baby-feeding practice. Midwifery. In press.

20.

Forster DA , McLachlan HL , Yelland J. , Rayner J. , Lumley J. , Davey MA Staffing in postnatal units: is it adequate for the provision of quality care? Staff perspectives from a state-wide review of postnatal care in Victoria, Australia. BMC Health Serv Res. 2006;6:83.

21.

Simmons V. Exploring inconsistent breastfeeding advice. Br J Midwifery . 2002;10:616-619.

22.

Tarrant M. , Dodgson JE , Tsang Fei S. Initiating and sustaining breastfeeding in Hong Kong: contextual influences on new mothers’ experiences. Nurs Health Sci. 2002;4:181-191.

23.

Rudman A. , Waldenstrom U. Critical views on postpartum care expressed by new mothers. BMC Health Serv Res. 2007;7:178.

24.

Moore ER , Coty MB Prenatal and postpartum focus groups with primiparas: breastfeeding attitudes, support, barriers, self-efficacy, and intention. J Pediatr Health Care. 2006;20:35-46.

25.

Dykes F. A critical ethnographic study of encounters between midwives and breast-feeding women in postnatal wards in England. Midwifery. 2005;21:241-252.

26.

Spear H. When reality does not meet expectations: the importance of consistent communication, support and anticipatory guidance for high-risk mothers who plan to breastfeed . J Clin Nurs. 2004;13:773-775.

27.

Nelson AM Maternal-newborn nurses’ experiences of inconsistent professional breastfeeding support. J Adv Nurs. 2007;60:29-38.

28.

Hintz J. Power Analysis and Sample Size System (PASS 2008). Kaysville, UT: NCSSm LLC; 2008.

29.

Cooke M. , Stacey T. Differences in the evaluation of postnatal midwifery support by multiparous and primiparous women in the first two weeks after birth. Aust J Midwifery. 2003;16:18-24.

30.

Cooke M. , Sheehan A. , Schmied V. A description of the relationship between breastfeeding experiences, breastfeeding satisfaction, and weaning in the first 3 months after birth. J Hum Lact. 2003;19:145-156.

31.

Field A. Discovering Statistics Using SPSS. 2nd ed. London, UK: Sage; 2005.

32.

Gee V. , Ernstzen A. Perinatal statistics in Western Australia, 2006: twenty-fourth annual report of the Western Australian midwives’ notification system. Perth, Australia: Department of Health; 2008.

33.

Hauck Y. , Hall WA , Jones C. Prevalence, self-efficacy and perceptions of conflicting advice and self-management: effects of a breastfeeding journal. J Adv Nurs. 2007;57:306-317.

34.

Scott JA , Landers MC , Hughes RM , Binns CW Factors associated with breastfeeding at discharge and duration of breastfeeding . J Paediatr Child Health. 2001;37:254-261.

35.

McLeod D. , Pullon S. , Cookson T. Factors influencing continuation of breastfeeding in a cohort of women. J Hum Lact. 2002;18:335-343.

36.

Bailey C. , Pain RH , Aarvold JE A "give it a go" breast-feeding culture and early cessation among low-income mothers. Midwifery. 2004;20: 240-250.

37.

Sheehan A. , Schmied V. , Barclay L. Women’s experiences of infant feeding support in the first 6 weeks post-birth . Matern Child Nutr. 2009;5:138-150.

38.

Bottorff JL Persistence in breastfeeding: a phenomenological investigation. J Adv Nurs. 1990;15:201-209.

39.

Schmied V. , Barclay L. Connection and pleasure, disruption and distress: women’s experience of breastfeeding. J Hum Lact. 1999;15:325-334.

40.

Gribble KD Long-term breastfeeding; changing attitudes and overcoming challenges. Breastfeed Rev. 2008;16:5-15.

41.

Rempel LA Factors influencing the breastfeeding decisions of long-term breastfeeders . J Hum Lact. 2004;20:306-318.

42.

Hills-Bonczyk SG , Tromiczak KR , Avery MD , Potter S. , Savik K. , Duckett LJ Women’s experiences with breastfeeding longer than 12 months. Birth. 1994;21:206-212.

43.

Kendall-Tackett KA , Sugarman M. The social consequences of long-term breastfeeding . J Hum Lact. 1995;11:179-183.

44.

Cox SG , Turnbull CJ Breastfeeding: a gradual return to mother’s autonomy. Breastfeed Rev. 2000;8:5-8.

45.

Cronin C. , McCarthy G. First-time mothers: identifying their needs, perceptions and experiences. J Clin Nurs. 2003;12:260-267.

46.

Hailes JF , Wellard SJ Support for breastfeeding in the first postpartum month: perceptions of breastfeeding women. Breastfeed Rev. 2000;8:5-9.

47.

Hegney D. , Fallon T. , O’Brien ML Against all odds: a retrospective case-controlled study of women who experienced extraordinary breastfeeding problems. J Clin Nurs. 2008;17:1182-1192.

48.

Park YK , Meier ER , Song WO. Characteristics of teenage mothers and predictors of breastfeeding initiation in the Michigan WIC Program in 1995. J Hum Lact. 2003;19:50-56.

49.

Ward M. , Sheridan A. , Howell F. , Hegarty I. , O’Farrell A. Infant feeding: factors affecting initiation, exclusivity and duration. Ir Med J. 2004;97: 197-199.

50.

Grjibovski AM , Yngve A. , Bygren LO , Sjostrom M. Socio-demographic determinants of initiation and duration of breastfeeding in northwest Russia. Acta Paediatr . 2005;94:588-594.