Positive breastfeeding experiences and facilitators in mothers of preterm and low birthweight infants: a meta-ethnographic review

Abstract Background Most qualitative research on breastfeeding the preterm or low-birthweight (LBW) infant has focused on negative insights; there are no comprehensive insights into how, when and why mothers experience positive breastfeeding experiences. We aimed to address this knowledge gap by exp...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Renée Flacking, Bente Silnes Tandberg, Hannakaisa Niela-Vilén, Rakel B. Jónsdóttir, Wibke Jonas, Uwe Ewald, Gill Thomson
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Attunement Breastfeeding Breast milk Feeding Low-birthweight Mother Pediatrics RJ1-570 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/596cb2d4c7a3405e8ebcaaa7af0537a0
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:596cb2d4c7a3405e8ebcaaa7af0537a0
record_format	dspace
spelling	oai:doaj.org-article:596cb2d4c7a3405e8ebcaaa7af0537a02021-11-28T12:39:08ZPositive breastfeeding experiences and facilitators in mothers of preterm and low birthweight infants: a meta-ethnographic review10.1186/s13006-021-00435-81746-4358https://doaj.org/article/596cb2d4c7a3405e8ebcaaa7af0537a02021-11-01T00:00:00Zhttps://doi.org/10.1186/s13006-021-00435-8https://doaj.org/toc/1746-4358Abstract Background Most qualitative research on breastfeeding the preterm or low-birthweight (LBW) infant has focused on negative insights; there are no comprehensive insights into how, when and why mothers experience positive breastfeeding experiences. We aimed to address this knowledge gap by exploring what characterizes and facilitates a positive breastfeeding experience in mothers of preterm and/or LBW infants. Methods A systematic review using meta-ethnographic methods was conducted. Search strategies involved a comprehensive search strategy on six bibliographic databases, citation tracking and reference checking. The analysis involved a reciprocal level of translation and a line of argument synthesis. Results Searches identified 1774 hits and 17 articles from 14 studies were included, representing the views of 697 mothers. A positive breastfeeding experience was identified as being ‘attuned’. Three themes and eight sub-themes were developed to describe what characterizes attuned breastfeeding. ‘Trusting the body and what it can do’, concerned how attuned breastfeeding was facilitated through understanding the bodily responses and capacity and feeling comfortable with holding the infant and to breastfeed. ‘Being emotionally present – in the here and now’ described the importance of feeling relaxed and reassured. ‘Experiencing mutual positive responses’, illuminated how attunement was related to feelings of mutuality - when the mother recognises the infant’s cues, responds to these signals and receives a positive response from the infant. The key factors to facilitate attuned breastfeeding were opportunities for prolonged close physical contact with the infant, positive relationships with and support from staff and peers, and being facilitated to breastfeed when the infant showed feeding cues. Conclusions This study provides new insights into what characterizes a positive breastfeeding experience and how staff can facilitate and enable mothers to achieve attuned breastfeeding. Improvements in units’ design, such as for rooming-in and having prolonged skin-to-skin contact, and care provided by knowledgeable, supportive and encouraging staff and peers, are crucial. The mother’s physical and emotional states and the infant’s behavioural responses and physiological signals should guide the process towards positive breastfeeding practices.Renée FlackingBente Silnes TandbergHannakaisa Niela-VilénRakel B. JónsdóttirWibke JonasUwe EwaldGill ThomsonBMCarticleAttunementBreastfeedingBreast milkFeedingLow-birthweightMotherPediatricsRJ1-570Public aspects of medicineRA1-1270ENInternational Breastfeeding Journal, Vol 16, Iss 1, Pp 1-17 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Attunement Breastfeeding Breast milk Feeding Low-birthweight Mother Pediatrics RJ1-570 Public aspects of medicine RA1-1270
spellingShingle	Attunement Breastfeeding Breast milk Feeding Low-birthweight Mother Pediatrics RJ1-570 Public aspects of medicine RA1-1270 Renée Flacking Bente Silnes Tandberg Hannakaisa Niela-Vilén Rakel B. Jónsdóttir Wibke Jonas Uwe Ewald Gill Thomson Positive breastfeeding experiences and facilitators in mothers of preterm and low birthweight infants: a meta-ethnographic review
description	Abstract Background Most qualitative research on breastfeeding the preterm or low-birthweight (LBW) infant has focused on negative insights; there are no comprehensive insights into how, when and why mothers experience positive breastfeeding experiences. We aimed to address this knowledge gap by exploring what characterizes and facilitates a positive breastfeeding experience in mothers of preterm and/or LBW infants. Methods A systematic review using meta-ethnographic methods was conducted. Search strategies involved a comprehensive search strategy on six bibliographic databases, citation tracking and reference checking. The analysis involved a reciprocal level of translation and a line of argument synthesis. Results Searches identified 1774 hits and 17 articles from 14 studies were included, representing the views of 697 mothers. A positive breastfeeding experience was identified as being ‘attuned’. Three themes and eight sub-themes were developed to describe what characterizes attuned breastfeeding. ‘Trusting the body and what it can do’, concerned how attuned breastfeeding was facilitated through understanding the bodily responses and capacity and feeling comfortable with holding the infant and to breastfeed. ‘Being emotionally present – in the here and now’ described the importance of feeling relaxed and reassured. ‘Experiencing mutual positive responses’, illuminated how attunement was related to feelings of mutuality - when the mother recognises the infant’s cues, responds to these signals and receives a positive response from the infant. The key factors to facilitate attuned breastfeeding were opportunities for prolonged close physical contact with the infant, positive relationships with and support from staff and peers, and being facilitated to breastfeed when the infant showed feeding cues. Conclusions This study provides new insights into what characterizes a positive breastfeeding experience and how staff can facilitate and enable mothers to achieve attuned breastfeeding. Improvements in units’ design, such as for rooming-in and having prolonged skin-to-skin contact, and care provided by knowledgeable, supportive and encouraging staff and peers, are crucial. The mother’s physical and emotional states and the infant’s behavioural responses and physiological signals should guide the process towards positive breastfeeding practices.
format	article
author	Renée Flacking Bente Silnes Tandberg Hannakaisa Niela-Vilén Rakel B. Jónsdóttir Wibke Jonas Uwe Ewald Gill Thomson
author_facet	Renée Flacking Bente Silnes Tandberg Hannakaisa Niela-Vilén Rakel B. Jónsdóttir Wibke Jonas Uwe Ewald Gill Thomson
author_sort	Renée Flacking
title	Positive breastfeeding experiences and facilitators in mothers of preterm and low birthweight infants: a meta-ethnographic review
title_short	Positive breastfeeding experiences and facilitators in mothers of preterm and low birthweight infants: a meta-ethnographic review
title_full	Positive breastfeeding experiences and facilitators in mothers of preterm and low birthweight infants: a meta-ethnographic review
title_fullStr	Positive breastfeeding experiences and facilitators in mothers of preterm and low birthweight infants: a meta-ethnographic review
title_full_unstemmed	Positive breastfeeding experiences and facilitators in mothers of preterm and low birthweight infants: a meta-ethnographic review
title_sort	positive breastfeeding experiences and facilitators in mothers of preterm and low birthweight infants: a meta-ethnographic review
publisher	BMC
publishDate	2021
url	https://doaj.org/article/596cb2d4c7a3405e8ebcaaa7af0537a0
work_keys_str_mv	AT reneeflacking positivebreastfeedingexperiencesandfacilitatorsinmothersofpretermandlowbirthweightinfantsametaethnographicreview AT bentesilnestandberg positivebreastfeedingexperiencesandfacilitatorsinmothersofpretermandlowbirthweightinfantsametaethnographicreview AT hannakaisanielavilen positivebreastfeedingexperiencesandfacilitatorsinmothersofpretermandlowbirthweightinfantsametaethnographicreview AT rakelbjonsdottir positivebreastfeedingexperiencesandfacilitatorsinmothersofpretermandlowbirthweightinfantsametaethnographicreview AT wibkejonas positivebreastfeedingexperiencesandfacilitatorsinmothersofpretermandlowbirthweightinfantsametaethnographicreview AT uweewald positivebreastfeedingexperiencesandfacilitatorsinmothersofpretermandlowbirthweightinfantsametaethnographicreview AT gillthomson positivebreastfeedingexperiencesandfacilitatorsinmothersofpretermandlowbirthweightinfantsametaethnographicreview
_version_	1718407833188302848

Positive breastfeeding experiences and facilitators in mothers of preterm and low birthweight infants: a meta-ethnographic review

Ejemplares similares