Thesis (Ph. D.)--University of Texas at Austin, 2007. / Vita. Includes bibliographical references.

Bakgrund: Amning medför många hälsofördelar för både barnet, modern och för samhället. Gällande rekommendationer i Sverige är att barnet helammas de första sex månaderna. Statistik visar dock på en sjunkande amningsfrekvens. I barnmorskans profession ingår att erbjuda stöd och råd vid amning. Syfte: Att undersöka kvinnors erfarenhet av amning, amningsinformation och amningsproblem. Metod: Kvantitativ tvärsnittsstudie med deduktiv ansats där data samlades in genom enkäter i en SIFO undersökning utförd av Philips Nordic. Analys utfördes i SPSS och redovisas med deskriptiv statistik. Resultat: Studiens resultat visade att många vänder sig till sjukvården för att få information och råd om amning men att de upplever brister i den information de får.  Många kvinnor uppgav att de haft problem med amningen och nästan en femtedel hade någon gång känt sig tveksamma till att amma. Konklusion: Många kvinnor slutade amma tidigare än rekommenderat och en stor del upplevde problem och tveksamheter i samband med amning. För att få information och stöd vände sig många till sjukvården. Det visade sig dock att informationen och stödet från sjukvården var bristfällig vilket kan påverka amningsfrekvensen negativt. Sjukvården behöver förbättra den information och det stöd som erbjuds för att kunna vända den sjunkande amningsfrekvensen. / Background: Breastfeeding brings many health benefits to the child, the mother and the community. Current recommendations in Sweden are exclusive breastfeeding the first six months. Statistics show a decreasing breastfeeding rate. The midwife's profession includes offering support and advice on breastfeeding. Aim: To investigate womens experience of breastfeeding, information about breastfeeding and problems related to breastfeeding. Method: A quantitative cross-sectional study with a deductive approach was used. Data was collected through a SIFO survey conducted by Philips Nordic. Analysis was performed in SPSS and presented by descriptive statistics. Results: The results of the study showed that many women were turning to health care for information and advice on breastfeeding, and that they experienced deficiencies in the information they received. Many of the women reported that problems with breastfeeding had occurred, and almost one-fifth had felt uncertain to breastfeed. Conclusion: Many women stopped breastfeeding earlier than recommended and experienced problems and uncertainties about breastfeeding. To get information and support, many women turned to the health care services. However, it appeared that the information and support was inadequate, which may adversely affect breastfeeding rates. Healthcare needs to improve the information and support offered to reverse the declining breastfeeding rate.

There is some evidence suggesting that the rate of breastfeeding initiation is lower among particular ethnic or cultural groups who have immigrated to Canada and South Asian women comprise one of these groups. Given the evidence that breastfeeding is important in promoting infant health and maternal health, it is important to understand factors that influence breastfeeding initiation among South Asian immigrant women. This descriptive exploratory study investigated the following research question: What are South Asian women's perceptions about the social, socio-economic, personal and acculturation factors that influence their initiation of breastfeeding? The study explored factors that could influence the initiation of breastfeeding among primiparous South Asian immigrant women who have immigrated to Canada. It was informed in part by the conceptual framework used by Kong and Lee (2004), whose study investigated factors that influenced 252 first-time mothers in their decision-making about whether or not to breastfeed. A convenience sample of 15 subjects was interviewed using a semi-structured interview guide with 10 questions. Data were transcribed and analyzed using inductive constant comparative analysis. The following themes emerged: the representation of breastfeeding, vicarious learning about breastfeeding, family influences, spiritual connection, breaking with tradition, resisting the moral mandate, deferring to medical authority, transition to work and cultural mores. With respect to the findings, implications are discussed for nursing research, theory and education. / Applied Science, Faculty of / Nursing, School of / Graduate

Objective: The purpose of this study was to assess the attitudes of WIC Nutritionists regarding current WIC breastfeeding programs as well as their suggestions for potential interventions to promote breastfeeding within WIC. Methods: WIC Nutritionists from three counties in Georgia were emailed a link to a brief survey regarding their demographics, breastfeeding promotion at their clinics, and perceived barriers and interventions for discussing breastfeeding in their clinics. Data was analyzed using descriptive statistics. Results: Twenty-seven WIC Nutritionists from Gwinnett, Newton, and Rockdale counties and the District Office completed the survey. All of the respondents indicated that they believed breastfeeding is important and that their clinics are providing breast pumps and peer support groups for mothers who have chosen to breastfeed. The vast majority (92.6%) indicated that they are very likely to discuss breastfeeding with pregnant mothers during their initial session. Lack of interest was reported by 37% to be the primary barrier to discussing breastfeeding with mothers, and the most popular intervention reported was educational programs for family members of the mother (26%). Conclusion: WIC Nutritionists in Gwinnett, Newton, and Rockdale counties have positive attitudes toward breastfeeding and provide support for mothers seeking it in the form of education and resources early in pregnancy. Each clinic should have the opportunity to determine the key barriers to breastfeeding in their clinic population and find evidence-based interventions that will best serve their clients.

This thesis explores the perceptions of nurses regarding the importance of breastfeeding, the need for lactation education, and the barriers that may be preventing nurses from obtaining lactation education. Nurses working in Minnesota, North Dakota, or South Dakota were the focus. Secondary data from a lactation education needs assessment was used to explore the perceptions and barriers in these states. It was determined that 290 surveys were useable. The Health Belief Model was used to explore the relationship between the nurse's characteristics, perceived breastfeeding importance, perceived need for lactation education, likelihood to take action to obtain lactation education, and perceived barriers to lactation education. Findings from this study indicate that several characteristics of nurses were significantly related to nurses' perceptions of breastfeeding and the need for lactation education. Among several findings, work setting and the level of nursing education were significantly related to nurses' perceptions of the importance of breastfeeding.

Magister Scientiae (Nutrition Management) - MSc(NM) / Despite evidence-based proof on the benefits of breastfeeding, little progress has been made globally to improve breastfeeding rates (The Lancet, 2016), including in South Africa. Despite many attempts to improve breastfeeding rates worldwide, women are still choosing to stop breastfeeding or avoid it due to various factors (The Lancet, 2016). Aim: To explore the factors influencing the exclusive breastfeeding rate within the first 14 weeks postpartum with mothers in the Khayelitsha Eastern Substructure.

The authors report a case of breastfeeding strike temporally related to the onset of a herpes zoster prodrome involving the left breast.

Background: In Canada over the past three decades first-time mothers > 35 years have been, and continue to be, the fastest growing demographic of new mothers. The quality of a mother’s breastfeeding experience has the potential to affect breastfeeding duration and other mothering behaviours that promote healthy maternal-infant attachment, optimal infant growth and development, and maternal mental health. Previous studies on breastfeeding have not examined the breastfeeding experiences of older first-time mothers. Older mothers are a group that is potentially unique due to their experience of coming to motherhood in the context of the growing phenomenon of delayed childbearing in the 21st century. Older women often come to motherhood with both well-established life and professional experiences, and as such may have different needs from those of their younger or multiparous counterparts. Research Question: What factors affect how first-time mothers >35 years of age make decisions about breastfeeding, and how do these factors affect the decisions they make related to breastfeeding in the first six months postpartum? Design: A constructivist grounded theory study Findings: The theory of From Ideology to Independence: Older First-time Mothers, Breastfeeding, and Becoming a Mother provides an explanation of both the factors affecting the decisions the mothers made related to breastfeeding, and how these factors affected the decisions they ultimately made. The mothers worked through the processes of learning breastfeeding, redefining self, and defining motherhood. This occurred under the belief that breastfeeding is pivotal to motherhood. Over the first six months postpartum, the influence of the belief in breastfeeding defining mothering waned as the mothers became increasingly active agents in decision making around infant feeding and their overall mothering practices.

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