Partner behaviours improving breastfeeding outcomes: An integrative review |
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| Institution: | 1. Osakidetza, Basque Health Service, La Peña Health Center, Bilbao, Spain;2. Midwifery Teaching Unit, Osakidetza, Basque Health Service, Spain;3. Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain;4. Department of Nursing I, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain;5. Osakidetza, Basque Health Service, Otxarkoaga Health Center, Bilbao, Spain;6. Osakidetza, Basque Health Service, Basurto University Hospital, Bilbao, Spain;7. Biocruces Bizkaia Health Research Institute, Barakaldo, Bizkaia, Spain |
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| Abstract: | ProblemThe impact of specific supportive behaviours of a woman’s partner on breastfeeding outcomes is unclear.BackgroundBreastfeeding is beneficial for the infant, mother, and society. Partner support plays a significant role in promoting breastfeeding. Strategies to improve breastfeeding rates have had limited success with rates worldwide remaining well below World Health Organization recommendations, contributing to significant morbidity, mortality, and economic burden globally.AimTo determine what specific supportive behaviours of a breastfeeding woman’s partner increase breastfeeding initiation, exclusivity, and duration rates in Western-culture settings.MethodsA Population-Interest-Context framework-based search strategy was applied to the Cumulative Index to Nursing Allied Health Literature Plus with full-text, Web of Science, Scopus, and PubMed databases, limited to primary research published January 2008–December 2018 in English conducted in Western-culture settings.FindingsFrom 652 articles, after critical appraisal seven articles (eight studies) satisfied the requirements of this integrative review. Supportive behaviours were categorised as knowledge, help, encouragement, and responsiveness. Help and encouragement behaviours were associated with increased initiation. Results were mixed regarding behaviours affecting exclusivity and duration; however, responsiveness was found to ameliorate otherwise generally negative effects of knowledge, help, and encouragement on these outcomes.DiscussionConsistent with wider social support research, awareness of receiving support is associated with negative health consequences. However, where partner support is provided in a responsive manner as part of a ‘breastfeeding team’, thereby promoting the woman’s sense of autonomy and self-efficacy, breastfeeding outcomes improve.ConclusionResponsive partner behaviours improved breastfeeding outcomes in Western-culture settings. Further primary research is needed. |
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| Keywords: | Breast feeding Domestic partners Partner support Initiation Exclusivity Duration |
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