AI Article Synopsis
- The study aimed to uncover midwives' and maternal-child health nurses' perspectives on factors impacting breastfeeding initiation and continuation, with a focus on improving support for new mothers.
- The research involved focus groups with nurses and midwives working with postpartum women in Victoria, Australia, identifying key themes related to the challenges of breastfeeding support.
- Findings revealed critical concerns about timing of support, continuity of care, and time constraints faced by healthcare providers, suggesting a need for better collaboration and administration of services to enhance breastfeeding outcomes.
Article Abstract
Objective: to explore the views of midwives and maternal-child health nurses regarding factors that influence breast feeding initiation and continuation, focusing on how support for women could be improved to increase breast feeding duration.
Design: a focus group study.
Setting: hospital or domiciliary (home-visiting) midwives and community-based maternal and child health (MCH) nurses in one region of Victoria, Australia.
Methods: twelve MCH nurses and five midwives who provided supportive services to women in the immediate postnatal period attended one of three audio-recorded focus groups. Thematic findings were identified.
Findings: four key themes were: 'Guiding women over breast-feeding hurdles', 'Timing, and time to care'; 'Continuity of women's care' and 'Imparting professional knowledge'. Given the a pattern of hospital discharge of mother and infant on day one or day two after birth, participants thought the timing of immediate postnatal breast-feeding support was critical to enable women to initiate and continue breast feeding. Community-based MCH nurses reported time gaps in uptake of new mother referrals and time-pressured face-to-face consultations. Both groups perceived barriers to continuity of women's care.
Conclusions: health services subscribe to the Baby Friendly Health Initiative and government policies which support breast feeding, however providers described time pressures and a lack of continuity of women's care, including during transition from hospital to community services.
Implications For Practice: there is a need to examine administration of service delivery and how domiciliary and community nurses can collaborate to establish and maintain supportive relationships with breast feeding women.
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| http://dx.doi.org/10.1016/j.midw.2014.09.008 | DOI Listing |
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