Overcoming challenges in Breast-feeding Support: Insights from midwives in a General Hospital setting
Keywords:
exclusive breastfeeding, cultural views, challenges, hospitals, midwives, Breastfeeding supportAbstract
Background: As the primary carers in a general hospital, midwives play a crucial role in breastfeeding support. However, difficulties in providing effective support and confronting cultural beliefs can hinder breastfeeding practices. Understanding midwifes' perspective on effective breastfeeding support is crucial for the development of targeted interventions and the improvement of breastfeeding support services.
Aim and Objective: The objective of this study was to analyze the various challenges faced by midwives in providing breastfeeding support within a typical hospital setting.
Method: In-depth interviews with midwives to gather valuable insights and experiences were employed. The data collected were analyzed using thematic analysis as a methodological approach to discern emerging themes and patterns with the help of ATLAS.ti software.
Results: The findings revealed two primary obstacles midwives encounter. First, insufficient personnel and time constraints which impeded their capacity to provide comprehensive support and education to the large number of women seeking assistance. Secondly, cultural beliefs about lactation posed additional obstacles. Misconceptions regarding the sufficiency of breast milk,
concerns regarding breast appearance, and the importance of colostrum influenced mothers' ability to exclusively breastfeed. Cultural practices including the premature introduction of complementary foods and the discarding of colostrum impeded the promotion of exclusive breastfeeding.
Conclusion: The study showed that staffing and time constraints had a negative effect on provision of breastfeeding support by midwives while cultural norms prevented exclusive breastfeeding. Addressing these challenges by stakeholders' through increased healthcare funding and staffing of health facilities is necessary to ensure effective breastfeeding support, educating the community on the importance of colostrum andbreast appearance to eliminate cultural myths, ultimately leading to a successful breastfeeding.
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References
1. Ekström, A., Widström, A. M., & Nissen, E. (2021). Process of becoming a professional breast feeding supporter: the voices of volunteer
breastfeeding counsellors. International Breastfeeding Journal, 16(1), 1-10.
2. Hauck, Y. L., Blixt, I., Hildingsson, I., Gallagher, L., & Rubertsson, C. (2016). Swedish midwives' perceptions of fear of childbirth.
Midwifery, 34, 53-59.
3. Vogel, A., Hutchison, B. L., Mitchell, E. A., & Lawton, B. (2018). Challenges faced by midwives when providing antenatal and postnatal care to women with perinatal mental health issues. Journal of Women and Birth Control, 1(1): 7-24.
4. Ogbo, F. A., Padmadas, S. S., Kalumba, K., Babatunde, O., & Khatab, K. (2020). Is there an association between maternal knowledge on
newborn care and newborn care practices? Findings from a cross-sectional survey among postnatal mothers in Masvingo and Harare,
Zimbabwe. Child Care, Health and Development, 46(2), 190-198.
5. Hunter, J., Fenwick, J., Sidebotham, M.,Henley, J., & Taylor, J. (2015). Midwives and lactation consultants: roles and responsibilities in relation to women's infant feeding decisions. Midwifery, 31(1): 103-111.
6. Sarfraz, M., & Hamid, S. (2014). maternal care – experiences of community midwives in Pakistan. BMC Pregnancy and Childbirth, 14, 59-59.
https://doi.org/10.1186/1471-2393-14-59.
7. Clark, A., Anderson, J., Adams, E., &Baker, S. (2008). Assessing the knowledge, attitudes, behaviors and training needs related to infant
feeding, specifically breastfeeding, of child care providers. Maternal and Child Health Journal, 12, 128- 135.
8. Kakute, P., Ngum, J., Mitchell, P., Kroll, K., Forgwei, G., Ngwang, L., & Meyer, D. (2005). Cultural barriers to exclusive breastfeeding by
mothers in a rural area of Cameroon, Africa.. Journal of midwifery & women's health, 50 4, 324-8. https://doi.org/10.1016/J.JMWH.2005.01.005.
9. Zhang, Y., Wang, B., & Jin, S. (2019). The challenges of providing social support to breastfeeding mothers in general hospitals: a systematic
review. International Journal of Nursing Sciences, 6(1): 103-111.
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