Breastfeeding needs of mothers of preterm infants in China: a qualitative study informed by the behaviour change wheel
Abstract Background Although breastfeeding is strongly recommended, the breastfeeding rate of preterm infants in China remains significantly low. In addition to the global structural challenges to breastfeeding and the physiological immaturity of preterm infants, Chinese mothers of preterm infants f...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | International Breastfeeding Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13006-023-00587-9 |
| _version_ | 1797556163884089344 |
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| author | Yaqi Yu Qianru Liu Xiaoju Xiong Ying Luo Wen Xie Wenshuai Song Maoling Fu Qiaoyue Yang Genzhen Yu |
| author_facet | Yaqi Yu Qianru Liu Xiaoju Xiong Ying Luo Wen Xie Wenshuai Song Maoling Fu Qiaoyue Yang Genzhen Yu |
| author_sort | Yaqi Yu |
| collection | DOAJ |
| description | Abstract Background Although breastfeeding is strongly recommended, the breastfeeding rate of preterm infants in China remains significantly low. In addition to the global structural challenges to breastfeeding and the physiological immaturity of preterm infants, Chinese mothers of preterm infants face unique challenges of maternal-infant separation after birth. Moreover, little is known about Chinese mothers’ specific needs in coping with the difficulties posed by these challenges. This study utilized the Behaviour Change Wheel to investigate the breastfeeding needs of Chinese preterm mothers that may facilitate its practice in the future. Method A qualitative descriptive design was implemented in Wuhan in 2022. Based on purposeful sampling, 13 preterm mothers were recruited from a NICU in a Grade III Class A hospital in Wuhan, China. Face-to-face semi-structured interviews were conducted to collect data using the interview guide developed by the Theoretical Domains Framework. Theoretical Thematic Analysis was used to review the data in 6 steps to identify themes. Results Five major themes emerged: (1) capability: ability to interpret infants’ cues and identify problems, and need for breastfeeding knowledge and skills training; (2) physical opportunity: cleanliness and quietness in household environment, private lactation spaces and breastfeeding tools in workplaces and hospitals; (3) social opportunity: family support, peer support, and authoritative support from healthcare providers; (4) reflective motivation: information on health impacts of breastfeeding; (5) automatic motivation: maternal-infant bonding, free of aversive stimulus. Conclusion Preterm mothers’ needs to enable breastfeeding were diverse, including increasing their capability, physical and social opportunities, and reflective and automatic motivation. People, resources and environments associated with these needs should be engaged together to stablish a conducive structural environment for breastfeeding. The policy change for “zero separation” and implementation of kangaroo care should also be implemented in Chinese neonatal intensive care units. Future studies are needed to design effective interventions according to mothers’ specific needs. |
| first_indexed | 2024-03-10T16:58:03Z |
| format | Article |
| id | doaj.art-7147ae9e6a5740c98fd67deafc8e2c79 |
| institution | Directory Open Access Journal |
| issn | 1746-4358 |
| language | English |
| last_indexed | 2024-03-10T16:58:03Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | International Breastfeeding Journal |
| spelling | doaj.art-7147ae9e6a5740c98fd67deafc8e2c792023-11-20T11:03:40ZengBMCInternational Breastfeeding Journal1746-43582023-09-0118111410.1186/s13006-023-00587-9Breastfeeding needs of mothers of preterm infants in China: a qualitative study informed by the behaviour change wheelYaqi Yu0Qianru Liu1Xiaoju Xiong2Ying Luo3Wen Xie4Wenshuai Song5Maoling Fu6Qiaoyue Yang7Genzhen Yu8Nursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologySchool of Nursing, Tongji Medical College, Huazhong University of Science and TechnologyNursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyNursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologySchool of Nursing, Tongji Medical College, Huazhong University of Science and TechnologyNursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyNursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyNursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyNursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyAbstract Background Although breastfeeding is strongly recommended, the breastfeeding rate of preterm infants in China remains significantly low. In addition to the global structural challenges to breastfeeding and the physiological immaturity of preterm infants, Chinese mothers of preterm infants face unique challenges of maternal-infant separation after birth. Moreover, little is known about Chinese mothers’ specific needs in coping with the difficulties posed by these challenges. This study utilized the Behaviour Change Wheel to investigate the breastfeeding needs of Chinese preterm mothers that may facilitate its practice in the future. Method A qualitative descriptive design was implemented in Wuhan in 2022. Based on purposeful sampling, 13 preterm mothers were recruited from a NICU in a Grade III Class A hospital in Wuhan, China. Face-to-face semi-structured interviews were conducted to collect data using the interview guide developed by the Theoretical Domains Framework. Theoretical Thematic Analysis was used to review the data in 6 steps to identify themes. Results Five major themes emerged: (1) capability: ability to interpret infants’ cues and identify problems, and need for breastfeeding knowledge and skills training; (2) physical opportunity: cleanliness and quietness in household environment, private lactation spaces and breastfeeding tools in workplaces and hospitals; (3) social opportunity: family support, peer support, and authoritative support from healthcare providers; (4) reflective motivation: information on health impacts of breastfeeding; (5) automatic motivation: maternal-infant bonding, free of aversive stimulus. Conclusion Preterm mothers’ needs to enable breastfeeding were diverse, including increasing their capability, physical and social opportunities, and reflective and automatic motivation. People, resources and environments associated with these needs should be engaged together to stablish a conducive structural environment for breastfeeding. The policy change for “zero separation” and implementation of kangaroo care should also be implemented in Chinese neonatal intensive care units. Future studies are needed to design effective interventions according to mothers’ specific needs.https://doi.org/10.1186/s13006-023-00587-9BreastfeedingMothersPreterm InfantBarriers and facilitatorsBehaviour change wheelNeonatal intensive care unit |
| spellingShingle | Yaqi Yu Qianru Liu Xiaoju Xiong Ying Luo Wen Xie Wenshuai Song Maoling Fu Qiaoyue Yang Genzhen Yu Breastfeeding needs of mothers of preterm infants in China: a qualitative study informed by the behaviour change wheel International Breastfeeding Journal Breastfeeding Mothers Preterm Infant Barriers and facilitators Behaviour change wheel Neonatal intensive care unit |
| title | Breastfeeding needs of mothers of preterm infants in China: a qualitative study informed by the behaviour change wheel |
| title_full | Breastfeeding needs of mothers of preterm infants in China: a qualitative study informed by the behaviour change wheel |
| title_fullStr | Breastfeeding needs of mothers of preterm infants in China: a qualitative study informed by the behaviour change wheel |
| title_full_unstemmed | Breastfeeding needs of mothers of preterm infants in China: a qualitative study informed by the behaviour change wheel |
| title_short | Breastfeeding needs of mothers of preterm infants in China: a qualitative study informed by the behaviour change wheel |
| title_sort | breastfeeding needs of mothers of preterm infants in china a qualitative study informed by the behaviour change wheel |
| topic | Breastfeeding Mothers Preterm Infant Barriers and facilitators Behaviour change wheel Neonatal intensive care unit |
| url | https://doi.org/10.1186/s13006-023-00587-9 |
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