Skip to Main Content

Login to your account

Show
Forgot password?
Don’t have an account?
Create a Free Account

If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. You will then receive an email that contains a secure link for resetting your password

If the address matches a valid account an email will be sent to __email__ with instructions for resetting your password

Cancel
ADVERTISEMENT
SCROLL TO CONTINUE WITH CONTENT



Property Value
Status
Version
Ad File
Disable Ads Flag
Environment
Moat Init
Moat Ready
Contextual Ready
Contextual URL
Contextual Initial Segments
Contextual Used Segments
AdUnit
SubAdUnit
Custom Targeting
Ad Events
Invalid Ad Sizes
Advertisement
Journal of Pediatric Nursing
  • Submit
  • Log in
  • Register
  • Log in
    • Submit
    • Log in
  • Subscribe
  • Claim

Access provided by

Skip menu
  • Articles
    • Cover Image - Journal of Pediatric Nursing: Nursing Care of Children and Families, Volume 70, Issue undefined
    • Latest

      • Articles in Press
      • Issues In Progress
      • Current issue
      • Past Issues
    • Popular Articles

      • Society of Pediatric Nurses Department

        Immunizations – Nursing Interventions to Enhance Vaccination Rates

        • Ann M. Bowling
      • Research Article

        The effect of using maternal voice, white noise, and holding combination interventions on the heel stick sampling

          Apaydin Cirik et al.
      • Editorial

        Infants with colic: Their childhood characteristics

          Neu et al.
    • Latest Articles

      • Research Article
        Open Access

        Barriers and facilitators of family rules and routines during pediatric cancer treatment

          Bates et al.
      • Review Article

        Pedagogical practices developed with children through hospital classes: An integrative literature review

          Ludgério et al.
      • Research Article

        Polycystic ovary syndrome and body image concerns during adolescence

          Saei Ghare Naz et al.
  • Publish
    • For Authors

      • Submit Article
        External Link
      • Guide for Authors
      • Aims & Scope
      • Open Access Information
        External Link
      • Researcher Academy
        External Link
  • Topics
    • Collections

      • Covid-19
      • Instruments and Tools Article Collection
  • About
    • Society

      • SPN
        External Link
      • PENS
        External Link
      • Editorial Board
    • Journal Information

      • Aims & Scope
      • Permissions
      • Reprints
        External Link
      • Abstracting & Indexing
    • Access

      • Subscribe
      • Activate Online Access
  • Contact
    • Contact

      • Contact Us
      • Career Opportunities
        External Link
      • Advertise with Us
        External Link
      • Go to Product Catalog
        External Link
    • Follow Us

      • New Content Alerts
Advanced search
Advanced search

Please enter a term before submitting your search.

Ok
Research Article| Volume 66, e61-e66, September 2022

Download started.

Ok
  • Purchase
    • Academic & Personal: 24 hour online access
    • Corporate R&D Professionals: 24 hour online access
  • Subscribe
  • Save
    • Add To Online LibraryPowered ByMendeley
    • Add To My Reading List
    • Export Citation
    • Create Citation Alert
  • Share
    Share on
    • Twitter
    • Facebook
    • Linked In
    • Sina Weibo
    • Email
  • more
    • Reprints
    • Request
  • Top

Breastfeeding practices and coping strategies adopted by lactating nurses and midwives: A qualitative study

  • Alhassan Sibdow Abukari, (PhD(c), MPhil, RN)
    Alhassan Sibdow Abukari
      Affiliations
      School of Nursing, Wisconsin International University College-Ghana, P.O Box LG, Accra, Ghana
      Search for articles by this author
    • Angela Kwartemaa Acheampong, (PhD, RN)
      Angela Kwartemaa Acheampong
      Correspondence
      Corresponding author.
      Contact
      Affiliations
      School of Nursing, Wisconsin International University College-Ghana, P.O Box LG, Accra, Ghana
      Search for articles by this author
    Published:May 27, 2022DOI:https://doi.org/10.1016/j.pedn.2022.05.017
    Breastfeeding practices and coping strategies adopted by lactating nurses and midwives: A qualitative study
    Previous ArticleThe perceptions of sexuality and sexually transmitted diseases (STDs) among adolescent STD patients: A qualitative study
    Next ArticleBeyond objective measurements: Danish nurses' identification of hospitalized pediatric patients at risk of clinical deterioration – A qualitative study
        Advertisement

        Highlights

        • •
          Nurses and midwives are experts , but some find it difficult to maintain exclusive breastfeeding.
        • •
          Consumption of “rice-water” porridge and groundnut soup mayimprove breastmilk production.
        • •
          Support from family and co-workers, may help lactating mothers manage breastfeeding stress .

        Abstract

        Purpose

        This study aimed to explore the breastfeeding practices and coping mechanisms of nurses and midwives to navigate the breastfeeding experience as health professionals.

        Design and methods

        A descriptive qualitative design was employed. Twenty-five registered nurses' and midwives' breastfeeding habits and coping methods were explored through five focus group discussions, each with five members. A purposive sampling approach was used to recruit participants. Only women who were currently breastfeeding an infant between the ages of 3 and 18 months were considered. For thematic content analysis, MAXQDA qualitative software was used.

        Results

        Breastfeeding practices and breastfeeding coping mechanisms emerged as the two main themes. Theme 1: Breastfeeding practices had four sub-themes: breastfeeding positions, breastfeeding duration, lactation nutrition, and expressed breast milk. Theme 2: breastfeeding coping strategies had four subthemes, support from family and co-workers, crying, praying, and communicating with infants.

        Conclusions

        Due to work and other related pressures, our study indicates a disparity in exclusive breastfeeding practice among registered nurses and midwives. Working lactating health professionals can use some of the study's coping strategies and beneficial breastfeeding practices to enhance effective breastfeeding.

        Practice implications

        Breastfeeding in the ideal sitting posture, eating the right diet to increase milk flow, and freezing breast milk to feed the infant while at work are all strategies proposed to help practicing nurses, midwives, and other working women navigate breastfeeding.

        Keywords

        • Breastfeeding practices
        • Coping strategies
        • Lactation nutrition
        • Infant feeding
        • Qualitative study
        To read this article in full you will need to make a payment

        Purchase one-time access:

        Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
        One-time access price info
        • For academic or personal research use, select 'Academic and Personal'
        • For corporate R&D use, select 'Corporate R&D Professionals'

        Subscribe:

        Subscribe to Journal of Pediatric Nursing: Nursing Care of Children and Families
        Already a print subscriber? Claim online access
        Already an online subscriber? Sign in
        Register: Create an account
        Institutional Access: Sign in to ScienceDirect

        References

          • Ahishakiye J.
          • Bouwman L.
          • Brouwer I.D.
          • Vaandrager L.
          • Koelen M.
          Prenatal infant feeding intentions and actual feeding practices during the first six months postpartum in rural Rwanda: A qualitative, longitudinal cohort study.
          International Breastfeeding Journal. 2020; 15: 1-14
          https://doi.org/10.1186/s13006-020-00275-y
          View in Article
          • Scopus (8)
          • PubMed
          • Crossref
          • Google Scholar
          • Awoke S.
          • Mulatu B.
          Determinants of exclusive breastfeeding practice among mothers in Sheka zone, Southwest Ethiopia: A cross-sectional study.
          Public Health in Practice. 2021; 2100108
          https://doi.org/10.1016/j.puhip.2021.100108
          View in Article
          • Google Scholar
          • Ayalew T.
          Exclusive breastfeeding practice and associated factors among first-time mothers in Bahir Dar city, North West Ethiopia, removed: A community based cross sectional study.
          Heliyon. 2020; 6e04732
          https://doi.org/10.1016/j.heliyon.2020.e04732
          View in Article
          • Scopus (11)
          • Abstract
          • Full Text
          • Full Text PDF
          • Google Scholar
          • Bäckström C.A.
          • Wahn E.I.H.
          • Ekström A.C.
          Two sides of breastfeeding support: Experiences of women and midwives.
          BMC International Breastfeeding Journal. 2010; : 1-8
          http://creativecommons.org/licenses/by/2.0
          View in Article
          • Google Scholar
          • Belotto M.J.
          Data analysis methods for qualitative research : Managing the challenges of coding , interrater reliability, and thematic analysis.
          The Qualitative Report. 2018; 23: 2622-2633
          View in Article
          • Google Scholar
          • Berger P.K.
          • Lavner J.A.
          • Smith J.J.
          • Birch L.L.
          Differences in early risk factors for obesity between African American formula-fed infants and white breastfed controls.
          Pilot and Feasibility Studies. 2017; 3: 1-8
          https://doi.org/10.1186/s40814-017-0198-8
          View in Article
          • Scopus (12)
          • PubMed
          • Crossref
          • Google Scholar
          • Bewket Zeleke L.
          • Welday Gebremichael M.
          • Mehretie Adinew Y.
          • Abebe Gelaw K.
          Appropriate weaning practice and associated factors among infants and young children in Northwest Ethiopia.
          Journal of Nutrition and Metabolism. 2017; 2017
          https://doi.org/10.1155/2017/9608315
          View in Article
          • Scopus (7)
          • PubMed
          • Crossref
          • Google Scholar
          • Bonia K.
          • Twells L.
          • Halfyard B.
          • Ludlow V.
          • Newhook L.A.
          • Murphy-Goodridge J.
          A qualitative study exploring factors associated with mothers’ decisions to formula-feed their infants in Newfoundland and Labrador, Canada.
          BMC Public Health. 2013; 13
          https://doi.org/10.1186/1471-2458-13-645
          View in Article
          • Scopus (25)
          • PubMed
          • Crossref
          • Google Scholar
          • Cook E.J.
          • Powell F.
          • Ali N.
          • Penn-Jones C.
          • Ochieng B.
          • Randhawa G.
          Improving support for breastfeeding mothers: A qualitative study on the experiences of breastfeeding among mothers who reside in a deprived and culturally diverse community.
          International Journal for Equity in Health. 2021; 20: 1-14
          https://doi.org/10.1186/s12939-021-01419-0
          View in Article
          • Scopus (13)
          • PubMed
          • Crossref
          • Google Scholar
          • Creswell J.W.
          Qualitative methods.
          Research Design: Qualitative, Quantitative and Mixed Methods Approaches. 4th ed. Sage Publications Ltd., Thousand Oaks, CA: Sage2014
          View in Article
          • Google Scholar
          • Dachew B.A.
          • Bifftu B.B.
          Breastfeeding practice and associated factors among female nurses and midwives at North Gondar Zone, Northwest Ethiopia: A cross-sectional institution based study.
          International Breastfeeding Journal. 2014; 9: 1-7
          https://doi.org/10.1186/1746-4358-9-11
          View in Article
          • Scopus (22)
          • PubMed
          • Crossref
          • Google Scholar
          • Davies C.
          • Fisher M.
          Understanding research paradigms.
          Research in Brief. 2018; : 21-26
          View in Article
          • Google Scholar
          • Ekström A.C.
          • Thorstensson S.
          Nurses and midwives professional support increases with improved attitudes - design and effects of a longitudinal randomized controlled process-oriented intervention.
          BMC Pregnancy and Childbirth. 2015; 15: 1-9
          https://doi.org/10.1186/s12884-015-0712-z
          View in Article
          • Scopus (24)
          • PubMed
          • Crossref
          • Google Scholar
          • Hanson L.Å.
          Breastfeeding provides passive and likely long-lasting active immunity.
          Annals of Allergy, Asthma and Immunology. 1998; 81: 523-534
          https://doi.org/10.1016/S1081-1206(10)62704-4
          View in Article
          • Scopus (238)
          • PubMed
          • Abstract
          • Full Text PDF
          • Google Scholar
          • Inoue M.
          • Binns C.W.
          • Otsuka K.
          • Jimba M.
          • Matsubara M.
          Infant feeding practices and breastfeeding duration in Japan: A review.
          International Breastfeeding Journal. 2012; 7
          https://doi.org/10.1186/1746-4358-7-15
          View in Article
          • Scopus (53)
          • PubMed
          • Crossref
          • Google Scholar
          • Islam M.
          • Kabir R.
          Prevalence and associated factors of early cessation of exclusive breastfeeding practice in Noakhali , Bangladesh : A mixed-method study.
          Journal of Pediatric Nursing. 2021; 58: e44-e53
          https://doi.org/10.1016/j.pedn.2020.12.017
          View in Article
          • Scopus (3)
          • PubMed
          • Abstract
          • Full Text
          • Full Text PDF
          • Google Scholar
          • Katsinde S.M.
          • Srinivas S.C.
          Breast feeding and the sustainable development agenda.
          Indian Journal of Pharmacy Practice. 2016; 9: 144-146
          https://doi.org/10.5530/ijopp.9.3.2
          View in Article
          • Crossref
          • Google Scholar
          • Moran V.H.
          • Dykes F.
          • Burt S.
          • Shuck C.
          Breastfeeding support for adolescent mothers: Similarities and differences in the approach of midwives and qualified breastfeeding supporters.
          International Breastfeeding Journal. 2006; 1: 1-11
          https://doi.org/10.1186/1746-4358-1-23
          View in Article
          • Scopus (16)
          • PubMed
          • Crossref
          • Google Scholar
          • Mugambi M.N.
          • Musekiwa A.
          • Lombard M.
          • Young T.
          • Blaauw R.
          Probiotics, prebiotics infant formula use in preterm or low birth weight infants: A systematic review.
          Nutrition Journal. 2012; 11: 1-18
          https://doi.org/10.1186/1475-2891-11-58
          View in Article
          • PubMed
          • Google Scholar
          • Ngo L.T.H.
          • Chou H.F.
          • Gau M.L.
          • Liu C.Y.
          Breastfeeding self-efficacy and related factors in postpartum Vietnamese women.
          Midwifery. 2019; 70: 84-91
          https://doi.org/10.1016/j.midw.2018.12.014
          View in Article
          • Scopus (47)
          • PubMed
          • Abstract
          • Full Text
          • Full Text PDF
          • Google Scholar
          • Nick
          Microsoft Word - IJQM 8.3 Onwuegbuzie. 1–21.
          http://research.apc.org/images/2/2f/A_Qualitative_Framework_for_Collecting_and_Analyzing_Data_in_Focus_Group_Research.pdf%5Cnpapers3://publication/uuid/97441C12-D3E5-4116-BE31-58D5E04A3915
          Date: 2009
          View in Article
          • Google Scholar
          • Schmied V.
          • Gribble K.
          • Sheehan A.
          • Taylor C.
          • Dykes F.C.
          Ten steps or climbing a mountain: A study of Australian health professionals’ perceptions of implementing the baby friendly health initiative to protect, promote and support breastfeeding.
          BMC Health Services Research. 2011; 11: 1-10
          https://doi.org/10.1186/1472-6963-11-208
          View in Article
          • Scopus (50)
          • PubMed
          • Crossref
          • Google Scholar
          • Taye A.A.
          • Asegidew W.
          • Taderegew M.M.
          • Bizuwork Y.G.
          • Zegeye B.
          Formula feeding practice and associated factors among mothers with infants 0–6 months of age in Addis Ababa, Ethiopia: A community-based cross-sectional study.
          Italian Journal of Pediatrics. 2021; 47: 1-9
          https://doi.org/10.1186/s13052-021-01010-x
          View in Article
          • Scopus (6)
          • PubMed
          • Crossref
          • Google Scholar
          • Thomas E.
          • Kuo C.
          • Cohen S.
          • Hoare J.
          • Koen N.
          • Barnett W.
          • Stein D.J.
          Mental health predictors of breastfeeding initiation and continuation among HIV infected and uninfected women in a south African birth cohort study.
          Preventive Medicine. 2017; 102: 100-111
          https://doi.org/10.1016/j.ypmed.2017.07.004
          View in Article
          • Scopus (7)
          • PubMed
          • Crossref
          • Google Scholar
          • Tobin G.A.
          • Begley C.M.
          Methodological rigour within a qualitative framework.
          Journal of Advanced Nursing. 2004; 4: 388-396
          https://doi.org/10.1111/j.1365-2648.2004.03207.x
          View in Article
          • Scopus (595)
          • Crossref
          • Google Scholar
          • Wanjohi M.
          • Griffiths P.
          • Wekesah F.
          • Muriuki P.
          • Muhia N.
          • Musoke R.N.
          • Kimani-Murage E.W.
          Sociocultural factors influencing breastfeeding practices in two slums in Nairobi, Kenya.
          International Breastfeeding Journal. 2017; 12: 1-8
          https://doi.org/10.1186/s13006-016-0092-7
          View in Article
          • PubMed
          • Google Scholar
          • Wieczorek C.C.
          • Marent B.
          • Dorner T.E.
          • Dür W.
          The struggle for inter-professional teamwork and collaboration in maternity care : Austrian health professionals ’ perspectives on the implementation of the baby-friendly hospital initiative.
          BMC Health Services Research. 2016; 1–15
          https://doi.org/10.1186/s12913-016-1336-3
          View in Article
          • Google Scholar

        Article info

        Publication history

        Published online: May 27, 2022
        Accepted: May 22, 2022
        Received in revised form: May 22, 2022
        Received: February 6, 2022

        Identification

        DOI: https://doi.org/10.1016/j.pedn.2022.05.017

        Copyright

        © 2022 Elsevier Inc. All rights reserved.

        ScienceDirect

        Access this article on ScienceDirect

        Related Articles

          Hide CaptionDownloadSee figure in Article
          Toggle Thumbstrip
            • Download Hi-res image
            • Download .PPT
            • Home
            • Articles & Issues
            • Current Issue
            • List of Issues
            • Covid-19 Information
            • For Authors
            • Permissions
            • Researcher Academy
            • Journal Info
            • About the Journal
            • Abstracting/Indexing
            • Activate Online Access
            • Career Opportunities
            • Contact Information
            • Editorial Board
            • Info for Advertisers
            • Pricing
            • Reprints
            • New Content Alerts
            • Subscribe
            • More Periodicals
            • Find a Periodical
            • Go to Product Catalog

            The content on this site is intended for healthcare professionals.



            We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the Cookie Preference Center for this site.
            Copyright © 2023 Elsevier Inc. except certain content provided by third parties.

            • Privacy Policy  
            • Terms and Conditions  
            • Accessibility  
            • Help & Contact

            RELX