The breastfeeding experience of women with major difficulties who use the services of a breastfeeding clinic: a descriptive study

International Breastfeeding Journal - Tập 3 Số 1 - 2008
Caroline Lamontagne1, Anne-Marie Hamelin2, Monik St-Pierre1
1Public Health Office in the Capitale-Nationale, Québec, G1E 7G9, Canada
2Department of Food Sciences and Nutrition, Université Laval, Québec, G1V 0A6, Canada

Tóm tắt

Abstract Background

Many women experience breastfeeding difficulties. Sometimes these difficulties lead to breastfeeding cessation. Breastfeeding clinics provide support for women facing such problems. This study aims to describe the breastfeeding experience of women, particularly those who use the services of the breastfeeding clinic located in the Greater Quebec City area.

Methods

This is a descriptive study based on information gathered through telephone questionnaires that were administered in 2006 to a sample of 86 women and semi-structured interviews conducted with 12 of these women.

Results

Painful nipples/breasts, low milk supply and latching difficulties were the three most frequent major breastfeeding problems identified by women. Their personal characteristics as well as the moral and physical support provided by family and friends and by health professional and clinicians at the breastfeeding clinic were the factors identified most often as having a positive influence on the breastfeeding experience.

Conclusion

The results suggest that breastfeeding clinics have a critical role to play in improving the breastfeeding experience of women with major difficulties.

Từ khóa


Tài liệu tham khảo

Ministère de la Santé et des Services sociaux: L'allaitement maternel au Québec – Lignes directrices. Québec. 2001

Neill G, Beauvais B, Plante N, Haiek LN: Recueil statistique sur l'allaitement maternel au Québec, 2005–2006. 2006, Québec: Institut de la statistique du Québec

Cattaneo A, Yngve A, Koletzko B, Guzman LR: Protection, promotion and support of breast-feeding in Europe: current situation. Public Health Nutr. 2005, 8 (1): 39-46. 10.1079/PHN2005660.

Lepage M-C, Doré N, Carignan G: Étude sur l'alimentation du nourrisson et sur l'utilité des services en périnatalité pour la pratique de l'allaitement – région de Québec. 2000, Régie régionale de la santé et des services sociaux de Québec, Direction de la santé publique, 85-et annexes

Renfrew M, Dyson L, Wallace L, D'Souza L: The Effectiveness of Public Health Interventions to Promote the Duration of Breastfeeding – Systematic Review. 2005, London: National Institute for Health and Clinical Excellence, 1

Couto de Oliveira MI, Bastos Camacho LA, Tedstone AE: Extending breastfeeding duration through primary care: a systematic review of prenatal and postnatal interventions. J Hum Lact. 2001, 17 (4): 326-343. 10.1177/089033440101700407.

Palda VA, Guise JM, Wathen CN: Interventions to promote breast-feeding: applying the evidence in clinical practice. CMAJ. 2004, 170 (6): 976-978.

U.S. Preventive Services Task Force: Behavioral Interventions To Promote Breastfeeding: Recommendations and Rationale. 2003, Rockville, MD: Agency for Healthcare Research and Quality

Sikorski J, Renfrew MJ, Pindoria S, Wade A: Support for breastfeeding mothers: a systematic review. Paediatr Perinat Epidemiol. 2003, 17: 407-417. 10.1046/j.1365-3016.2003.00512.x.

Adams C, Berger R, Conning P, Cruikshank L, Dore K: Breastfeeding trends at a community breastfeeding center: an evaluative survey. J Obstet Gynecol Neonatal Nurs. 2001, 30 (4): 392-400. 10.1111/j.1552-6909.2001.tb01558.x.

Stefiuk W, Green KL, Turnell R, Smith B: Process evaluation of the Saskatoon breastfeeding center. J Hum Lact. 2002, 18 (1): 29-37. 10.1177/089033440201800105.

Kvist LJ, Hall-Lord ML, Larsson BW: A descriptive study of Swedish women with symptoms of breast inflammation during lactation and their perceptions of the quality of care given at a breastfeeding clinic. Int Breastfeed J. 2-2. 2007, Jan 23

Berridge K, McFaden K, Abayomi J, Topping J: Views of breastfeeding difficulties among drop-in-clinic attendees. Matern Child Nutr. 2005, 1 (4): 250-262. 10.1111/j.1740-8709.2005.00014.x.

Pastore MT, Nelson A: A Breastfeeding drop-in center survey evaluation. J Hum Lact. 1997, 13 (4): 291-298. 10.1177/089033449701300414.

Kvist LJ, Larsson BW, Hall-Lord ML: A grounded theory study of Swedish women's experiences of inflammatory symptoms of the breast during breast feeding. Midwifery. 2006, 22: 137-146. 10.1016/j.midw.2005.02.007.

Chin LY, Amir LH: Survey of patient satisfaction with the Breastfeeding Education and Support Services of The Royal Women's Hospital, Melbourne. BMC Health Serv Res. 2008, 8: 83-10.1186/1472-6963-8-83.

Shaikh U, Smillie CM: Physician-led outpatient breastfeeding medicine clinics in the United States. Breastfeed Med. 2008, 3 (1): 28-33. 10.1089/bfm.2007.0011.

Direction régionale de santé publique de la Capitale-Nationale: Clinique externe d'allaitement du CHUQ, État de la situation – Document de consultation. 2006, Agence de la santé et des services sociaux de la Capitale-Nationale

Lamontagne C, Hamelin AM, St-Pierre M: An assessment of the impact of breastfeeding clinic attendance on women's breastfeeding experiences. J Hum Lact.

Statistics Canada: National Population Health Survey, Household Component, Cycle 3 (1998–1999), Questionnaire. 2000

Statistics Canada: Canadian Community Health Survey (CCHS), Cycle 2.2 Nutrition, Questionnaire. 2005

Statistics Canada: Canadian Community Health Survey (CCHS), Questionnaire for CYCLE 2.1, January 2003 – November 2003. 2003

Statistics Canada, Social Development Canada: National Longitudinal Survey of Children & Youth, Cycle 5 Survey Instruments 2002/03 Book 1 – Parent, Child & Youth. 2005

Santé Québec: En 2002... J'aurai 5 ans! Étude longitudinale sur le développement des enfants du Québec (ÉLDEQ) – Volet Questionnaire papier rempli par l'intervieweure (QPRI). 1998

Santé Québec: En 2002... J'aurai 5 ans! Questionnaire informatisé rempli par l'interviewer (QIRI) – E1. 1999

Casebeer AL, Verhoef MJ: L'utilisation combinée des méthodes de recherche qualitatives et quantitatives pour améliorer l'étude des maladies chroniques. Maladies chroniques au Canada. 1997, 18 (3): 145-151.

SPSS Inc: SPSS 13.0 software for Windows. 2004, Chicago, Illinois: SPSS Inc

L'Écuyer R: L'analyse de contenu: notion et étapes. Les méthodes de la recherche qualitative, sous la direction de Jean-Pierre Deslauriers. 1988, Presses de l'Université du Québec. Sillery, 49-65.

Ltd. QIP: NVivo 2.0 software. 2002, Doncaster, VIC, Australia: QSR International Pty Ltd

Miles MB, Huberman AM: Analyse de données qualitatives (2e édition). 2003, Bruxelle: De Boeck Université

Khoury AJ, Moazzem SW, Jarjoura CM, Carothers C, Hinton A: Breast-feeding initiation in low-income women: Role of attitudes, support, and perceived control. Womens Health Issues. 2005, 15 (2): 64-72. 10.1016/j.whi.2004.09.003.

Duckett L, Henly S, Avery M, Potter S, Hills-Bonczyk S, Hulden R, Savik K: A theory of planned behavior-based structural model for breast-feeding. Nurs Res. 1998, 47 (6): 325-336. 10.1097/00006199-199811000-00006.

Swanson V, Power KG: Initiation and continuation of breastfeeding: theory of planned behaviour. J Adv Nurs. 2005, 50 (3): 272-282. 10.1111/j.1365-2648.2005.03390.x.

Ajzen I: The theory of planned behavior. Organ Behav Hum Decis Process. 1991, 50: 179-211. 10.1016/0749-5978(91)90020-T.

Godin G: L'éducation pour la santé: les fondements psychosociaux de la définition des messages éducatifs. Sci Soc Sante. 1991, 9 (1): 67-94.

Godin G: Le changement des comportements de santé. Traité de psychologie de la santé. 2002, Paris: DUNOD, 375-388.

Green LW, Kreuter MW: Health Program Planning – An Educational and Ecological Approach. 2005, New York: Mc Graw Hill, 4

Millar WJ, Maclean H: Breastfeeding practices. Health Reports. 2005, 23-31. (Statistics Canada, catalogue no. 82-003-XIE)

Dubois L, Bédard B, Girard M, Beauchesne E: "L'alimentation" dans: Étude longitudinale du développement des enfants du Québec (ÉLDEQ 1998–2002). 2000, Québec: Institut de la statistique du Québec, 1 (5):

Simard I, O'Brien HT, Beaudoin A, Turcotte D, Damant D, Ferland S, Marcotte MJ, Jauvin N, Champoux L: Factors influencing the initiation and duration of breastfeeding among low-income women followed by the Canada prenatal nutrition program in 4 regions of Quebec. J Hum Lact. 2005, 21 (3): 327-337. 10.1177/0890334405275831.

Dennis CL: Breastfeeding initiation and duration: a 1990–2000 literature review. J Obstet Gynecol Neonatal Nurs. 2002, 31 (1): 12-32. 10.1111/j.1552-6909.2002.tb00019.x.

Scott JA, Binns CW: Factors associated with the initiation and duration of breastfeeding: a review of the literature. Breastfeed Rev. 1999, 7 (1): 5-16.

Rempel LA: Factors influencing the breastfeeding decisions of long-term breastfeeders. J Hum Lact. 2004, 20 (3): 306-318. 10.1177/0890334404266969.

Lawson K, Tullock MI: Breastfeeding duration: prenatal intention and postnatal practices. J Adv Nurs. 1995, 22: 841-849.

Nelson AM: A metasynthesis of qualitative breastfeeding studies. J Midwifery Womens Health. 2006, 51 (2): e13-20. 10.1016/j.jmwh.2005.09.011.

Guillemette A, Badlissi D: Enquête sur l'alimentation du nouveau-né dans Lanaudière, 2003–2004 – Fascicule 10, L'intention d'allaiter et les attitudes face à l'allaitement: un lien étroit avec le mode d'alimentation du nouveau-né. 2006, Agence de la santé et des services sociaux de Lanaudière

Hoddinott P, Pill R: A qualitative study of women's views about how health professionals communicate about infant feeding. Health Expect. 2000, 3 (4): 224-233. 10.1046/j.1369-6513.2000.00108.x.

Hauck YL, Irurita VF: Incompatible expectations: the dilemma of breastfeeding mothers. Health Care Women Int. 2003, 24 (1): 62-78.

Losch M, Dungy CI, Russell D, Dusdieker LB: Impact of attitudes on maternal decisions regarding infant feeding. J Pediatr. 1995, 126 (4): 507-514. 10.1016/S0022-3476(95)70342-X.

The Breastfeeding Committee for Canada, The National Authority for the WHO/UNICEF Baby-Friendly™ Hospital Initiative in Canada: The Baby-Friendly™ Initiative in Community Health Services: A Canadian Implementation Guide. Toronto. 2002

World Health Organization, UNICEF: Protecting, Promoting and Supporting Breast-feeding. The Special Role of Maternity Services. 1989, Geneva, Switzerland: WHO, 36-

Graffy J, Taylor J: What information, advice, and support do women want with breastfeeding?. Birth. 2005, 32 (3): 179-186. 10.1111/j.0730-7659.2005.00367.x.

Ted Greiner's Breastfeeding Website. [http://www.welcome.to/breastfeeding]

Mozingo JN, Davis MW, Droppleman PG, Merideth A: "It wasn't working. " Women's experiences with short-term breastfeeding. MCN Am J Matern Child Nurs. 2000, 25 (3): 120-126. 10.1097/00005721-200005000-00004.