It takes a mother to practise breastfeeding: Women's perceptions of breastfeeding during the period of intention |
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| Authors: | Alberta Oosterhoff Inge Hutter Hinke Haisma |
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| Institution: | 1. Population Research Centre, Department of Demography, Faculty of Spatial Sciences, University of Groningen, Landleven 1, 9747 AD Groningen, Netherlands;2. Research and Innovation Group in Health Care and Nursing, School of Health, Hanze University of Applied Sciences, Eyssoniusplein 18, 9714 CE Groningen, Netherlands;1. Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN 37240, United States;2. College of Nursing, University of Tennessee, Knoxville, 1200 Volunteer Boulevard, Knoxville, TN 37996, United States;1. School of Nursing and Midwifery, Building EB Parramatta Campus, University of Western Sydney, Australia;2. Tresillian Chair for Child & Family Health Centre for Midwifery, Child & Family Health Faculty of Nursing, Midwifery & Health University of Technology Sydney, Australia;3. Queensland Centre for Mothers & Babies, The University of Queensland, Brisbane, Qld 4072, Australia;4. School of Nursing and Midwifery, The Family and Community Health Research Group, Building EB Parramatta Campus, University of Western Sydney, Australia;1. Manitoba Centre for Health Policy, Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, 408-727 McDermot Avenue, Winnipeg, Canada MB R3E 3P5;2. Carolina Global Breastfeeding Institute, Gillings School of Global Public Health, 422 Rosenau Hall, University of North Carolina at Chapel Hill, CB #7445, Chapel Hill, NC 27599-7445, USA;3. Department of Maternal and Child Health, Gillings School of Global Public Health, 422 Rosenau Hall, University of North Carolina at Chapel Hill, CB #7445, Chapel Hill, NC 27599-7445, USA;4. Department of Health Policy and Management, Gillings School of Global Public Health, 1102-C McGavran-Greenberg Hall, University of North Carolina at Chapel Hill, 135 Dauer Drive, CB #7441, Chapel Hill, NC 7599-7441, USA;1. Karolinska Institutet, Department of Women''s and Children''s Health, Stockholm, Sweden;2. University of Melbourne, School of Rural Health, Shepparton, Victoria, Australia;3. Mid Sweden University, Department of Nursing, Sundsvall, Sweden;4. Uppsala University, Department of Women''s and Children''s Health, Uppsala, Sweden;1. The University of Nottingham, School of Health Sciences, Queen''s Medical Centre, Nottingham NG7 2HA, UK;2. The University of Nottingham, School of Health Sciences, Lincoln County Hospital, Greetwell Road, Lincoln LN2 5QY, UK |
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| Abstract: | BackgroundIn the Netherlands, 81% of mothers initiate breastfeeding. After one month the percentage of mothers still breastfeeding drops, despite positive intentions. Little is known about women's perceptions of breastfeeding during the period of intention.AimThis qualitative study aimed to gain insight into these perceptions among first-time mothers from middle and high socioeconomic backgrounds in the northern part of the Netherlands.MethodsWe used the theory of planned behaviour as the deductive model. In 2008, 16 in-depth interviews were conducted with 8 mothers who intended to breastfeed. The interviews were conducted at two time points (prepartum and postpartum) and covered the same period (that is, from the time when the intention was formed until after childbirth). The interviews were transcribed verbatim and analysed using grounded theory.FindingsFive inductive themes were identified: combining breastfeeding with work, learning about breastfeeding, making arrangements for childbirth, reflecting on the intention, and becoming a mother. During the extended period of intention, the women anticipated breastfeeding, but were cautious in expressing their intentions. They felt that the experience of becoming a mother would be critical to their breastfeeding outcomes.ConclusionThe theory of planned behaviour has been widely used in breastfeeding research. However, the period of intention is relatively long for breastfeeding. Rather than recommending an intensification of antenatal breastfeeding education, recommendations must incorporate the awareness that practising breastfeeding should not be considered the continuous outcome of the intention to do so – it takes a mother to practise breastfeeding. |
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| Keywords: | Breastfeeding Becoming a mother Theory of planned behaviour The Netherlands Qualitative research cycle |
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