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A Qualitative Analysis of the Barriers and Facilitators for Breastfeeding and Kangaroo Mother Care Among Service Providers, Mothers and Influencers of Neonates Admitted in Two Urban Hospitals in India.
Breastfeed Med. 2019 03; 14(2):108-114.BM

Abstract

BACKGROUND

Known interventions like breastfeeding and kangaroo mother care (KMC) can avert a large share of infant deaths. Mother Baby Friendly Initiative Plus (MBFI+) is an integrated approach to ensure exclusive human milk diet through promotion of breastfeeding, KMC, and provision of donor human milk (DHM) to vulnerable neonates lacking mothers' own milk.

MATERIALS AND METHODS

Qualitative research was conducted among 56 service recipients including mothers and key influencers and 9 service providers to understand their knowledge, perceptions, and practices on breastfeeding, KMC, DHM, and human milk banks (HMBs) in 2 facilities in India, one with and another without an operational HMB. This article presents the findings on breastfeeding and KMC.

RESULTS

Nearly all mothers mentioned that antenatal visits lacked information on breastfeeding. Most were unaware of the recommended duration of exclusive breastfeeding. Most parents knew about the benefits of breast milk and colostrum. Limited staff and privacy in facilities resulted in inadequate breastfeeding and milk expression support to mothers, who found feeding of preterm and low-birth-weight babies challenging. Mothers shared challenges in breastfeeding at home, such as low family support and privacy and burden of household chores. Only those mothers who practiced KMC were aware of its benefits. Few service providers and recipients were comfortable with the practice of wet nursing in the absence of breastfeeding.

CONCLUSIONS

MBFI+ is a promising approach to strengthen breastfeeding and KMC. Quality counseling on breastfeeding and milk expression from antenatal period, increasing awareness and training on KMC for mothers, improving infrastructure, addressing staff shortage, and building capacities of hospital staff on MBFI+ are needed.

Authors+Show Affiliations

1 Department of Maternal, Newborn, Child Health and Nutrition, PATH, New Delhi, India.2 Department of Neonatology, Lokmanya Tilak Municipal Medical College and Lokmanya Tilak Municipal General Hospital, Mumbai, India.3 Department of Neonatology, MBFI+ project, Lokmanya Tilak Municipal Medical College and Lokmanya Tilak Municipal General Hospital, Mumbai, India.3 Department of Neonatology, MBFI+ project, Lokmanya Tilak Municipal Medical College and Lokmanya Tilak Municipal General Hospital, Mumbai, India.2 Department of Neonatology, Lokmanya Tilak Municipal Medical College and Lokmanya Tilak Municipal General Hospital, Mumbai, India. 3 Department of Neonatology, MBFI+ project, Lokmanya Tilak Municipal Medical College and Lokmanya Tilak Municipal General Hospital, Mumbai, India.4 Community Health, Jawaharlal Nehru University, New Delhi, India.1 Department of Maternal, Newborn, Child Health and Nutrition, PATH, New Delhi, India. 5 Department of Maternal, Newborn, Child Health and Nutrition, PATH, Seattle, Washington.

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30676061

Citation

Chugh Sachdeva, Ruchika, et al. "A Qualitative Analysis of the Barriers and Facilitators for Breastfeeding and Kangaroo Mother Care Among Service Providers, Mothers and Influencers of Neonates Admitted in Two Urban Hospitals in India." Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine, vol. 14, no. 2, 2019, pp. 108-114.
Chugh Sachdeva R, Mondkar J, Shanbhag S, et al. A Qualitative Analysis of the Barriers and Facilitators for Breastfeeding and Kangaroo Mother Care Among Service Providers, Mothers and Influencers of Neonates Admitted in Two Urban Hospitals in India. Breastfeed Med. 2019;14(2):108-114.
Chugh Sachdeva, R., Mondkar, J., Shanbhag, S., Manuhar, M., Khan, A., Dasgupta, R., & Israel-Ballard, K. (2019). A Qualitative Analysis of the Barriers and Facilitators for Breastfeeding and Kangaroo Mother Care Among Service Providers, Mothers and Influencers of Neonates Admitted in Two Urban Hospitals in India. Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine, 14(2), 108-114. https://doi.org/10.1089/bfm.2018.0177
Chugh Sachdeva R, et al. A Qualitative Analysis of the Barriers and Facilitators for Breastfeeding and Kangaroo Mother Care Among Service Providers, Mothers and Influencers of Neonates Admitted in Two Urban Hospitals in India. Breastfeed Med. 2019;14(2):108-114. PubMed PMID: 30676061.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Qualitative Analysis of the Barriers and Facilitators for Breastfeeding and Kangaroo Mother Care Among Service Providers, Mothers and Influencers of Neonates Admitted in Two Urban Hospitals in India. AU - Chugh Sachdeva,Ruchika, AU - Mondkar,Jayashree, AU - Shanbhag,Sunita, AU - Manuhar,Minu, AU - Khan,Aisha, AU - Dasgupta,Rajib, AU - Israel-Ballard,Kiersten, Y1 - 2019/01/24/ PY - 2019/1/25/pubmed PY - 2020/1/16/medline PY - 2019/1/25/entrez KW - Comprehensive Lactation Management Centre KW - Mother Baby Friendly Initiative model KW - breastfeeding KW - human milk banking KW - kangaroo mother care KW - preterm babies KW - qualitative research SP - 108 EP - 114 JF - Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine JO - Breastfeed Med VL - 14 IS - 2 N2 - BACKGROUND: Known interventions like breastfeeding and kangaroo mother care (KMC) can avert a large share of infant deaths. Mother Baby Friendly Initiative Plus (MBFI+) is an integrated approach to ensure exclusive human milk diet through promotion of breastfeeding, KMC, and provision of donor human milk (DHM) to vulnerable neonates lacking mothers' own milk. MATERIALS AND METHODS: Qualitative research was conducted among 56 service recipients including mothers and key influencers and 9 service providers to understand their knowledge, perceptions, and practices on breastfeeding, KMC, DHM, and human milk banks (HMBs) in 2 facilities in India, one with and another without an operational HMB. This article presents the findings on breastfeeding and KMC. RESULTS: Nearly all mothers mentioned that antenatal visits lacked information on breastfeeding. Most were unaware of the recommended duration of exclusive breastfeeding. Most parents knew about the benefits of breast milk and colostrum. Limited staff and privacy in facilities resulted in inadequate breastfeeding and milk expression support to mothers, who found feeding of preterm and low-birth-weight babies challenging. Mothers shared challenges in breastfeeding at home, such as low family support and privacy and burden of household chores. Only those mothers who practiced KMC were aware of its benefits. Few service providers and recipients were comfortable with the practice of wet nursing in the absence of breastfeeding. CONCLUSIONS: MBFI+ is a promising approach to strengthen breastfeeding and KMC. Quality counseling on breastfeeding and milk expression from antenatal period, increasing awareness and training on KMC for mothers, improving infrastructure, addressing staff shortage, and building capacities of hospital staff on MBFI+ are needed. SN - 1556-8342 UR - https://www.unboundmedicine.com/medline/citation/30676061/A_Qualitative_Analysis_of_the_Barriers_and_Facilitators_for_Breastfeeding_and_Kangaroo_Mother_Care_Among_Service_Providers_Mothers_and_Influencers_of_Neonates_Admitted_in_Two_Urban_Hospitals_in_India_ L2 - https://www.liebertpub.com/doi/10.1089/bfm.2018.0177?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -