The initiation and duration of exclusive chest/breastfeeding are important health determinants and a key focus of existing public health policy and programs. Despite the demonstrated benefits of chest/breastfeeding and focus on interventions, overall rates of initiation and exclusivity in Ontario remain low. The purpose of this study was to describe how midwifery clients in Ontario - a population credited with high rates of exclusive chest/breastfeeding - access information to support infant feeding decisions. A descriptive, cross-sectional online electronic survey was conducted using the Midwifery Infant Feeding Information Survey questionnaire which was locally developed for this study. A total of 235 midwifery clients who were either in or recently discharged from midwifery care at the time of the survey completed the questionnaire. Data analysis was completed using descriptive statistics with total counts and content analysis for open-ended questions. This research contributes new knowledge about infant feeding information access including the reported usefulness and preferences of various information sources across the continuum of care; the importance of the midwife-client relationship and the online information environment; potential communication gaps in the delivery of comprehensive prenatal infant feeding information; and self-reported infant feeding patterns suggesting midwifery exclusive chest/breastfeeding rates may not be as high as previously thought. Further research to improve information access is needed in order to identify barriers midwives face in discussing infant feeding with clients; explore the effect of health literacy in an online information environment to support the potential development of evidence-based, midwifery-specific online/digital tools. The study findings are relevant for both the academic and clinical midwifery community in developing effective strategies to further support midwifery clients in meeting their infant feeding goals. This study will further inform researchers, public health practitioners, policy makers, and other stakeholders representing all childbearing families in Ontario. / Thesis / Master of Public Health (MPH) / The goal of this study was to examine how midwifery clients in Ontario access information about infant feeding throughout the pregnancy and postpartum period. An online survey of 235 current and former midwifery clients identified why some information sources were more useful than others, and how infant feeding information could become more accessible. The midwife-client relationship and use of online/digital media were identified as important information sources. However, a number of information gaps were identified that suggest not all clients benefit from comprehensive discussions with their midwife in preparation for infant feeding. Further research is needed to understand barriers midwives may face in discussing infant feeding with their clients, and the use of online/digital tools to support midwifery clients to meet their infant feeding goals. The results of this study may benefit all childbearing families in Ontario.
| Identifer | oai:union.ndltd.org:mcmaster.ca/oai:macsphere.mcmaster.ca:11375/27334 |
| Date | January 2021 |
| Creators | Jones, Jessica |
| Contributors | Alvarez, Elizabeth, Health Research Methodology |
| Source Sets | McMaster University |
| Language | English |
| Detected Language | English |
| Type | Thesis |
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