搜尋結果
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- Early Initiation of Breastfeeding
- Exclusive Breastfeeding
- Barriers For EBF Around The First 2–3 Days of Life
- Facilitators and Barriers For EBF at 2–3 Weeks Postpartum
- Facilitators and Barriers For EBF During 4–5 Months Postpartum
Facilitators of early breastfeeding initiation
All mothers knew about the concept of early initiation of breastfeeding. This is consistent with the fact that PHMs mentioned that health education covering breastfeeding is done at multiple opportunities that during routine antenatal care. According to them, mothers are introduced to the topic of breastfeeding in their second antenatal session in the second trimester of pregnancy and are provided with more detailed information in the third trimester. In the last antenatal domiciliary visit P...
Barriers for early breastfeeding initiation
The only reported reason for not practicing early initiation of breastfeeding were medical complications of mother and child. Maternal anaphylaxis and severe postpartum hemorrhage resulting in admission of the mother directly to the intensive care unit, premature delivery (at or before 28 weeks of gestation) and in situations where the child had serious birth complications such as asphyxia, were the reported medical complications in this community. In spite of not being able to follow early i...
The time periods of interruption of EBF
Figure 1shows that time periods when EBF was interrupted in the study sample clustered around three periods. Firstly, within the first 2–3 days, second within the second or third week of delivery, and ultimately around four to five months after birth. The barriers were different at these different time periods and exceeded the driving forces.
We identified maternal, child related and environment related factors that acted as barriers for EBF continuation (Fig. 1).
Sub optimal practices of health staff before mother’s discharge
Sometimes mothers with serious medical conditions were trained on cup feeding and at the discharge breastfeeding were not established. This created challenges for the PHMs who had to counsel women on breastfeeding difficulties after hospital discharge. “I had three newborns in my field who were given formula feeds due to maternal problems. After the mother is stable, they were asked to express the breast milk and feed the child using the cup. When there are maternal complications, they come h...
Influence of family members
Negative comments of extended family members affected the mothers’ confidence on breastfeeding leading to introduction of infant formula feeds or feeding water to the child. Comments about “child is not getting enough milk” were mostly made by the mothers in law. Mothers as well as PHMs shared this experience. “The mother in laws try to force mother to breastfeed the baby too often. They keep complaining that the mother does not have enough milk throughout the day. One of them said that the c...
Past experience, benefits and misconceptions of mothers
Mothers past feeding experience influenced EBF practices. Some mothers talked proudly of their past experiences and how these would help them to continue with EBF for their new child even in the face of some challenges. “When you hold the child like this [the mother shows the exact positioning] it’s very easy to feed. My sons, they very well-kept suckling until they detach on their own. But this new one [daughter] is not that interested. I sat and fed my sons. But as this one was problematic...
Employed mothers
Returning to work was discussed as the main factor for cessation of breastfeeding before six months after birth.
Returning to work
According to the PHMs, most mothers working in the government sector would take the government approved maternity leave of fully paid first four months and half paid next 84 days so that the mother could return to work after introducing complementary foods to the child at six months of age. By contrast, mothers working in other sectors had to report to duty by four months after birth. While some mothers needed to return to work to keep their jobs those in the lower socio-economic groups had t...
Lack of support after returning to work
Practicing EBF seemed to be difficult when returning to work due to long working hours, long distance between the work place and home, type of job and lack of facilities at the work place to express breastmilk or feed the child. “One of my employed mothers had started formula milk. She is a bank officer and had to work until late. Another one was a cashier and could only leave her seat to have lunch. It was a small place and she didn’t have a place to express breastmilk during working hours.”...
- Thilini Chanchala Agampodi, Neerodha Kithmini Dharmasoma, Iresha Sandamali Koralagedara, Thushari Di...
- 2021
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Sir Paul Nurse, Cancer Research UK Your research papers will be: available free of charge to the entire biomedical community peer reviewed and published immediately upon acceptance cited in PubMed and archived on PubMed Central yours — you keep the ...
