Factors influencing breastfeeding practices in China: A meta‐aggregation of qualitative studies
Abstract The World Health Organization recommends that women exclusively breastfeed until their babies are 6 months old and continue to breastfeed while introducing complementary foods. A meta‐aggregation methodology was used to systematically review and synthesise the qualitative studies on factors...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-10-01
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| Series: | Maternal and Child Nutrition |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/mcn.13251 |
| _version_ | 1818620363854053376 |
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| author | Wei Wu Jian Zhang Irma Silva Zolezzi Lisa R. Fries Ai Zhao |
| author_facet | Wei Wu Jian Zhang Irma Silva Zolezzi Lisa R. Fries Ai Zhao |
| author_sort | Wei Wu |
| collection | DOAJ |
| description | Abstract The World Health Organization recommends that women exclusively breastfeed until their babies are 6 months old and continue to breastfeed while introducing complementary foods. A meta‐aggregation methodology was used to systematically review and synthesise the qualitative studies on factors influencing breastfeeding practices of healthy Chinese women in Greater China. English and Chinese databases were searched to identify peer‐reviewed qualitative studies (published 2008–2019). Relevant data were extracted, and key themes related to factors influencing breastfeeding practices were identified. Of 7587 articles identified, 22 qualitative studies met inclusion criteria for the review, 10 of which were published in Chinese. A total of 87 themes were extracted from all included studies and classified into 9 subcategories: government enactment of policies, implementation of policies in workplaces, social expectations, social support, medical and health services, services with Chinese characteristics, breastfeeding and pumping facilities, maternal perceptions of breastfeeding and self‐efficacy to breastfeed. The nine subcategories were then grouped into four categories. Potential effect associations among these influence factors of breastfeeding practices emerged from categories and subcategories. Family members' influence on breastfeeding motivation and self‐efficacy suggest a potential benefit of breastfeeding promotion interventions targeting the whole family. The role of primary care should be fully exploited in breastfeeding promotion, including both prenatal education and post‐partum visits. Standardising the training and qualifications of maternity matrons (yuesao) and folk breastfeeding specialists (cuirushi) can promote evidence‐based approaches to facilitating breastfeeding during the confinement period. Increased availability of breastfeeding and pumping facilities in the workplace would facilitate continuing breastfeeding after returning to work. |
| first_indexed | 2024-12-16T17:52:12Z |
| format | Article |
| id | doaj.art-93eb35e229b446d08e8a9bdccabd919a |
| institution | Directory Open Access Journal |
| issn | 1740-8695 1740-8709 |
| language | English |
| last_indexed | 2024-12-16T17:52:12Z |
| publishDate | 2021-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Maternal and Child Nutrition |
| spelling | doaj.art-93eb35e229b446d08e8a9bdccabd919a2022-12-21T22:22:16ZengWileyMaternal and Child Nutrition1740-86951740-87092021-10-01174n/an/a10.1111/mcn.13251Factors influencing breastfeeding practices in China: A meta‐aggregation of qualitative studiesWei Wu0Jian Zhang1Irma Silva Zolezzi2Lisa R. Fries3Ai Zhao4Vanke School of Public Health Tsinghua University Beijing ChinaDepartment of Nutrition and Food Hygiene, School of Public Health Peking University Beijing ChinaNestlé Research SingaporeNestlé Research Beijing ChinaVanke School of Public Health Tsinghua University Beijing ChinaAbstract The World Health Organization recommends that women exclusively breastfeed until their babies are 6 months old and continue to breastfeed while introducing complementary foods. A meta‐aggregation methodology was used to systematically review and synthesise the qualitative studies on factors influencing breastfeeding practices of healthy Chinese women in Greater China. English and Chinese databases were searched to identify peer‐reviewed qualitative studies (published 2008–2019). Relevant data were extracted, and key themes related to factors influencing breastfeeding practices were identified. Of 7587 articles identified, 22 qualitative studies met inclusion criteria for the review, 10 of which were published in Chinese. A total of 87 themes were extracted from all included studies and classified into 9 subcategories: government enactment of policies, implementation of policies in workplaces, social expectations, social support, medical and health services, services with Chinese characteristics, breastfeeding and pumping facilities, maternal perceptions of breastfeeding and self‐efficacy to breastfeed. The nine subcategories were then grouped into four categories. Potential effect associations among these influence factors of breastfeeding practices emerged from categories and subcategories. Family members' influence on breastfeeding motivation and self‐efficacy suggest a potential benefit of breastfeeding promotion interventions targeting the whole family. The role of primary care should be fully exploited in breastfeeding promotion, including both prenatal education and post‐partum visits. Standardising the training and qualifications of maternity matrons (yuesao) and folk breastfeeding specialists (cuirushi) can promote evidence‐based approaches to facilitating breastfeeding during the confinement period. Increased availability of breastfeeding and pumping facilities in the workplace would facilitate continuing breastfeeding after returning to work.https://doi.org/10.1111/mcn.13251breastfeedingChinainfluencing factorspolicyqualitativesocial network |
| spellingShingle | Wei Wu Jian Zhang Irma Silva Zolezzi Lisa R. Fries Ai Zhao Factors influencing breastfeeding practices in China: A meta‐aggregation of qualitative studies Maternal and Child Nutrition breastfeeding China influencing factors policy qualitative social network |
| title | Factors influencing breastfeeding practices in China: A meta‐aggregation of qualitative studies |
| title_full | Factors influencing breastfeeding practices in China: A meta‐aggregation of qualitative studies |
| title_fullStr | Factors influencing breastfeeding practices in China: A meta‐aggregation of qualitative studies |
| title_full_unstemmed | Factors influencing breastfeeding practices in China: A meta‐aggregation of qualitative studies |
| title_short | Factors influencing breastfeeding practices in China: A meta‐aggregation of qualitative studies |
| title_sort | factors influencing breastfeeding practices in china a meta aggregation of qualitative studies |
| topic | breastfeeding China influencing factors policy qualitative social network |
| url | https://doi.org/10.1111/mcn.13251 |
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