Mothers’ Experiences of the Strategies Used to Gain Successful Exclusive Breastfeeding: A Qualitative Study

Sabzi, Zahra; Anoosheh, Monireh; Mohammadi, Easa; Parsay, Susan

Authors

¹ nursing PhD. Graduate of Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University .Tehran, Iran

² Department of Nursing, Faculty of medical sciences, Tarbiat Modares University, Tehran, Iran

³ Professor, Department of Nursing, Faculty of medical sciences, Tarbiat Modares University, Tehran, Iran

⁴ Professor, Department of Public Health and Social Medicine, faculty member of Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Introduction: Effective and appropriate interventions used by nursing mothers in exclusive breast feeding, in accordance with existing conditions, can have a great effect on the maintenance, continuity and promotion of breastfeeding. So, identifying these successful strategies is essential to make future breast feeding health plans for mothers and infants, and to ensure exclusive breastfeeding.

Method: This was a qualitative study of conventional content analysis conducted in the year 2014. Participants included sixteen lactating mothers of kids up to one year old, and of successful experience in exclusive breastfeeding, who have refereed to health centers in Golestan and Mazandaran universities of medical sciences, Iran. Their experiences on the strategies used successfully in the first six months of exclusive breastfeeding were collected through unstructured and in-depth interviews. Sampling was purposive and was continued until reaching data saturation. The study data were analyzed using constant comparison analysis technique.

Results: Eight main themes related to the nature and dimensions of mothers’ understanding of the strategies used to gain successful exclusive breastfeeding were extracted. These themes were as “comfortable and pleasant preparation before breastfeeding”, “information from reliable sources”, “lifestyle adjustment to breastfeeding”, “intelligent resiliency”, “resolutions for infant’s reluctance in breastfeeding”, “strengthening and ensuring the adequacy of milk and lactation”, “breast care during breastfeeding”, and “the use of religious instructions”.

Conclusion: It is recommended to consider the role and eminence of mothers, and their successful strategies and guidelines related to successful exclusive breastfeeding seriously in codification of health care policies.

Keywords

References

1. Kliegman RM. Nelson textbook of pediatrics: Saunders Elsevier; 2012. 2. Hockenberry MJ, Wilson D. Wong's Essentials of Pediatric Nursing9: Wong's Essentials of Pediatric Nursing: Elsevier Health Sciences; 2012. 3. Olds SW, Marks L, Eiger MS. The complete book of breastfeeding: Workman Publishing; 2010. 4. Szucs KA. American Academy of Pediatrics Section on Breastfeeding. Journal of Human Lactation. 2011;27(4):378-9. 5. Aghdas K, Talat K, Sepideh B. Effect of immediate and continuous mother–infant skin-to-skin contact on breastfeeding self-efficacy of primiparous women: A randomised control trial. Women and Birth. 2014;27(1):37-40. 6. Breastfeeding Promotion Society Commissioned the Ministry of Health . Treatment and Medical Education in collaboration with the United Nations children’s fund (UNICEF). Training set of promotion of breastfeeding education. 2009:Tehran: Amir Kabir publication. (Persian) 7. Portrait of programs promote breastfeeding in the Islamic Republic of Iran: Past, Present and Future.Ministry of Health Medical Education. 2012. Foojan Gostar Publication.IRAN. persian. 8. Raisi Dehkordi Z, Raei M, Ghassab Shirazi M, Raisi Dehkordi SAR, Mirmohammadali M. Effect of telephone counseling on continuity and duration of breastfeeding among primiparus women. Hayat. 2012;18(2):57-65. 9. Kyle T. Essentials of pediatric nursing: Lippincott Williams & Wilkins; 2008. 10. Olang B, Farivar K, Heidarzadeh A, Strandvik B, Yngve A. Breastfeeding in Iran: prevalence, duration and current recommendations. Int Breastfeed J. 2009;4:8. 11. Abolghasemi N, Merghati Khoie ES. Determinants of breastfeeding promotion as perceived by health personnel. Journal of School of Public Health and Institute of Public Health Research. 2012;9(4):33-42. 12. Barona-Vilar C, Escriba-Aguir V, Ferrero-Gandia R. A qualitative approach to social support and breast-feeding decisions. Midwifery. 2009 Apr;25(2):187-94. 13. Blyth RJ, Creedy DK, Dennis CL, Moyle W, Pratt J, De Vries SM, et al. Breastfeeding duration in an Australian population: the influence of modifiable antenatal factors. J Hum Lact. 2004 Feb;20(1):30-8. 14. Rambod M, Rafii F. Perceived Social Support in Hemodialysis Patients. Iran Journal of Nursing. 2009;22(58):99-110. 15. Haidari S, Salahshourian A, Rafii F. The relationship between social support and quality of life in cancer patients affiliated to Iran University of Medical Sciences (MSc. Dissertation). Tehran: Iran University of Medical Sciences. 2006:124-5. 16. Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qualitative health research. 2005;15(9):1277-88. 17. Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: Advancing the humanistic imperative: Lippincott Williams & Wilkins; 2011. 18. Amir LH. Breastfeeding in public: "You can do it?". Int Breastfeed J. 2014;9(1):187. 19. Bellintxon M, Zaragueta MC, Adrian MC, Lopez-Dicastillo O. [Initiating breastfeeding: experiences of first-time mothers]. An Sist Sanit Navar. 2011 Sep-Dec;34(3):409-18. 20. Schanler RJ, Krebs NF, Mass SB. Breastfeeding handbook for physicians: American Academy of Pediatrics; 2013. 21. McQueen KA, Dennis CL, Stremler R, Norman CD. A pilot randomized controlled trial of a breastfeeding self‐efficacy intervention with primiparous mothers. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2011;40(1):35-46. 22. Boskabadi H, Maamouri G, Ebrahimi M, Ghayour-Mobarhan M, Esmaeily H, Sahebkar A, et al. Neonatal hypernatremia and dehydration in infants receiving inadequate breastfeeding. Asia Pac J Clin Nutr. 2010;19(3):301-7. 23. Morland-Schultz K, Hill PD. Prevention of and therapies for nipple pain: a systematic review. J Obstet Gynecol Neonatal Nurs. 2005 Jul-Aug;34(4):428-37. 24. Powers D. Understanding the Physics Behind Correctly Positioning a Baby at the Breast. International Journal of Childbirth Education. 2008;23(2). 25. Lundberg PC, Trieu TN. Vietnamese women's cultural beliefs and practices related to the postpartum period. Midwifery. 2011 Oct;27(5):731-6. 26. Roudbari M, Mousavi A, Asadi B. The breastfeeding period and its associated factors in mothers with less than 3 years infants at Zahedan health centers in 2005. koomesh. 2006;7(1):49-54. 27. Morowatisharifabad M, Hajizadeh H, Akhavan Karbasi S, Fallahzadeh H. Study of the Status of 6-12 Months Children Exclusive Breast-fed up to Six Months and itsRelated Factors in the Urban Health Care Centers of Ardakan City. Journal of Shahid Sadoughi University of Medical Sciences. 2012;40(3):64-94. 28. Gafari Asl M, Fadakar Sogheh R, Ghavi A, Ahmad Shear bafi M. Related factors to continued breastfeeding in infants. Holistic Nursing and Midwifery. 2014;24(2):1-8. 29. McDonald SD, Pullenayegum E, Chapman B, Vera C, Giglia L, Fusch C, et al. Prevalence and predictors of exclusive breastfeeding at hospital discharge. Obstet Gynecol. 2012 Jun;119(6):1171-9. 30. Huang MZ, Kuo SC, Avery MD, Chen W, Lin KC, Gau ML. Evaluating effects of a prenatal web-based breastfeeding education programme in Taiwan. J Clin Nurs. 2007 Aug;16(8):1571-9. 31. Sturrock WA, Johnson JA. The relationship between childbirth education classes and obstetric outcome. Birth. 1990 Jun;17(2):82-5. 32. Cwiek D, Grochans E, Sowinska-Glugiewicz I, Wysiecki P. [Analysis of some pro-health behaviors of pregnant women after a childbirth education class]. Wiad Lek. 2004;57 Suppl 1:48-51. 33. Cantrill RM, Creedy DK, Cooke M. An Australian study of midwives' breast-feeding knowledge. Midwifery. 2003 Dec;19(4):310-7. 34. Hellings P, Howe C. Breastfeeding knowledge and practice of pediatric nurse practitioners. J Pediatr Health Care. 2004 Jan-Feb;18(1):8-14. 35. Holy Quran: Ahmadiyya Anjuman Ishaat Islam Lahore USA; 2011. 36. Yahyazadeh Jeloudar S, Lotfi Godarzi F. Treatment of Depression by Praying and Worship. Journal of Babol University Of Medical Sciences. 2013;15(1):94-100. 37. Salarkia N, Amini M, Abdollahi M, Eshrati B. Socio-Economic and Cultural Factors Affecting Child Feeding Practices: an Exploratory Qualitative Study in Damavand. Iranian Journal of Nutrition Sciences & Food Technology. 2011;5(4) 38. Wang X, Wang Y, Zanzhou S, Wang J, Wang J. A population-based survey of women's traditional postpartum behaviours in Northern China. Midwifery. 2008 Jun;24(2):238-45. 39. Osman H, Chaaya M, El Zein L, Naassan G, Wick L. What do first-time mothers worry about? A study of usage patterns and content of calls made to a postpartum support telephone hotline. BMC Public Health. 2010;10:611. 40. de Jager E, Broadbent J, Fuller-Tyszkiewicz M, Skouteris H. The role of psychosocial factors in exclusive breastfeeding to six months postpartum. Midwifery. 2014 Jun;30(6):657-66. 41. Cadwell K, Turner-Maffei C, Blair A, Brimdyr K, Maja McInerney Z. Pain reduction and treatment of sore nipples in nursing mothers. J Perinat Educ. 2004 Winter;13(1):29-35. 42. Tafazoli.M EA, Mohammad Zadeh.A, Esmaili.H Effect of breastfeeding technique modification on prevention of nipple sore (Text in Persian). Iranina Journal of Obstetrics Gynecology and Infertility. 2015;17(138):10-7. 43. Boskabadi H, Ramazanzadeh M, Zakerihamidi M, Omran FR. Risk factors of breast problems in mothers and its effects on newborns. Iranian Red Crescent Medical Journal. 2014;16(6).

Journal of Qualitative Research in Health Sciences

Mothers’ Experiences of the Strategies Used to Gain Successful Exclusive Breastfeeding: A Qualitative Study

References

References

Volume 7, Issue 4
January 2018
Pages 385-399

Mothers’ Experiences of the Strategies Used to Gain Successful Exclusive Breastfeeding: A Qualitative Study

References

References

Volume 7, Issue 4January 2018Pages 385-399

Volume 7, Issue 4
January 2018
Pages 385-399