Experiences with peer support for breastfeeding in Beirut, Lebanon: A qualitative study


Autoři: Tamar Kabakian-Khasholian aff001;  Hana Nimer aff001;  Soumaya Ayash aff002;  Fatima Nasser aff002;  Mona Nabulsi aff002
Působiště autorů: Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon aff001;  Department of Pediatrics and Adolescent Medicine, American University of Beirut, Beirut, Lebanon aff002
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0223687

Souhrn

Background

Despite the beneficial effects of peer support on breastfeeding, research on the process of peer support is scarce. In Lebanon, exclusive breastfeeding is only 15% in infants below six months. A multidisciplinary team launched a multi-component breastfeeding support intervention, with peer support, and professional lactation support provided by International Board Certified Lactation Consultants (IBCLs) to target this decline.

Aim

To describe the experiences of breastfeeding mothers and peer support providers with the process of breastfeeding support, and the influence of the intervention on their social support system.

Methods

Using a qualitative methodology, a purposive sample of breastfeeding and support mothers was accessed from among those who completed their six months interview in the trial taking place in two hospitals in Beirut, Lebanon. Data were collected from 43 participants using in-depth interviews and following the data saturation principle. All interviews were audio recorded and transcribed verbatim. Thematic analysis was conducted, guided by the principles of grounded theory.

Results

Breastfeeding mothers were satisfied with their breastfeeding experience, and extremely appreciative of the support provided by their peers and the IBCLCs. They experienced these forms of support differently. Peer support was perceived to be important in encouraging breastfeeding continuation, whereas IBCLC support was influential in problem solving.

Conclusion

These findings can improve our understanding of the peer and professional lactation support process within the social context, and the realities of breastfeeding mothers, and help facilitate the scaling up of interventions in similar contexts.

Klíčová slova:

Breast feeding – Breast milk – Emotions – Infants – Lactation – Mothers – Pregnancy – Social networks


Zdroje

1. McFadden A, Gavine A, Renfrew MJ, Wade A, Buchanan P, Taylor JL, et al. Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database Syst Rev. 2017; 2:CD001141. doi: 10.1002/14651858.CD001141.pub5 28244064

2. Shaykya P, Kunieda MK, Koyama M, Rai SS, Miyaguchi M, Dhakal S, et al. Effectiveness of community-based peer support for mothers to improve their breastfeeding practices: A systematic review and meta-analysis. PLOS ONE. 2017; 12(5):e0177434. doi: 10.1371/journal.pone.0177434 28510603

3. Benedict RK, Craig HC, Torlesse H, Stoltzfus RJ. Effectiveness of programmes and interventions to support optimal breastfeeding among children 0–23 months, South Asia: A scoping review. Matern Child Nutr. 2018; Suppl 4:e12697.

4. Leeming D, Marshall J, Locke A. Understanding process and context in breastfeeding support interventions: The potential of qualitative research. Matern Child Nutr. 2017; 13(4): doi: 10.1111/mcn.12407 28194883 Epub 2017 Feb 14.

5. Oliveira IB, Leal LP, Coriolano-Marinus MW, Santos AH, Horta BL, Pontes CM. Meta-analysis of the effectiveness of educational interventions for breastfeeding promotion directed to the woman and her social network. J Adv Nurs. 2017; 73(2):323–335. doi: 10.1111/jan.13104 27533785

6. Sousa AM, Fracolli LA, Zoboli ELCP. Práticas familiares relacionadas à mamutenção da amamentação: revisão da literature e metassíntese. PAJP. 2013;34(2):127–134.

7. Brown A. Maternal trait personality and breastfeeding duration: the importance of confidence and social support. J Adv Nurs. 2014; 70(3): 587–98. doi: 10.1111/jan.12219 23919294

8. Thomson G, Balaam M, Hymers K. Building social capital through breastfeeding peer support: Insights from an evaluation of a voluntary breastfeeding peer support service in North-West England. Int Breastfeed J. 2015; 10:15. doi: 10.1186/s13006-015-0039-4 25897318

9. Islam P. Why are hard-to-reach women not engaging in a breastfeeding peer support programme? Community Pract. 2016; 89(2):36–41. 27164801

10. Youens K, Chisnell D, Marks-Maran D. Mother-to-mother breastfeeding peer support: The Breast Buddies project. BJM. 2014; 22(1): 35–43. doi: 10.12968/bjom.2014.22.1.35

11. UNICEF. The state of the world’s children 2015: Executive summary. Reimagine the future. Innovation for every child. Geneva: World health Organization; 2015.

12. United Nations. United Nations Population Fund: Country programme document for Lebanon. 2016. file:///C:/Users/User/Downloads/Country%20programme%20document%20for%20Lebanon%20Eng.pdf

13. Nabulsi M, Hamadeh H, Tamim H, Kabakian T, Charafeddine L, Yehya N, et al. A complex breastfeeding promotion and support intervention in a developing country: study protocol for a randomized clinical trial. BMC Public Health. 2014; 14:36. doi: 10.1186/1471-2458-14-36 24428951

14. Nabulsi M, Tamim H, Shamsedine L, Charafeddine L, Yehya N, Kabakian-Khasholian T, et al. A multi-component intervention to support breastfeeding in Lebanon: A randomized controlled trial. PLoS ONE. 2019; 14(6): e0218467. doi: 10.1371/journal.pone.0218467 31199849

15. Bryman A. The nature of qualitative research. In: Social Research Methods. New York, NY: Oxford University Press; 2016. pp. 380–411.

16. Tong A, Sainsburry P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007; 19(6):349–357. doi: 10.1093/intqhc/mzm042 17872937

17. Nova Scotia Health. Mother to Mother: Creating a Breastfeeding Support Line in Your Community. 2007. https://novascotia.ca/dhw/healthy-communities/documents/Mother-to-Mother-Creating-a-Breastfeeding-Support-Line-in-Your-Community.pdf

18. WHO/UNICEF. Breastfeeding Councelling: A Training Course. 1993. www.who.int/maternal_child_adolescent/documents/who_cdr_93_3/en/

19. WHO/UNICEF. Infant an Young Child Feeding Councelling: An Integrated Couse. 2006. http://www.who.int/maternal_child_adolescent/documents/9789241594745/en/

20. Akik C, Ghattas H, Filteau S, Knai C. Barriers to breastfeeding in Lebanon: a policy analysis. JPHP. 2017; 38(3): 314–326.

21. Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nurs Health Sci. 2013; 15:398–405. doi: 10.1111/nhs.12048 23480423

22. Trickey H, Thomson G, Grant A, Sanders J, Mann M, Murphy S, et al. A realist review of one-to-one breastfeeding peer support experiments conducted in developed country settings. Matern Child Nutr. 2017; 14(1):e12559.

23. Bou Diab S, Werle C. What motivates women to breastfeed in Lebanon: An exploratory qualitative analysis. Appetite. 2018; 123:23–31. doi: 10.1016/j.appet.2017.12.002 29208482


Článek vyšel v časopise

PLOS One


2019 Číslo 10