A qualitative study on the breastfeeding experiences of first-time mothers in Vientiane, Lao PDR

Lee, Hope Mei Hong, Durham, Jo, Booth, Jenny and Sychareun, Vanphanom (2013) A qualitative study on the breastfeeding experiences of first-time mothers in Vientiane, Lao PDR. BMC Pregnancy and Childbirth, 13 . doi:10.1186/1471-2393-13-223


Author Lee, Hope Mei Hong
Durham, Jo
Booth, Jenny
Sychareun, Vanphanom
Title A qualitative study on the breastfeeding experiences of first-time mothers in Vientiane, Lao PDR
Journal name BMC Pregnancy and Childbirth   Check publisher's open access policy
ISSN 1471-2393
Publication date 2013-12-05
Year available 2013
Sub-type Article (original research)
DOI 10.1186/1471-2393-13-223
Open Access Status DOI
Volume 13
Total pages 9
Place of publication London, United Kingdom
Publisher BioMed Central Ltd.
Collection year 2014
Language eng
Subject 2729 Obstetrics and Gynaecology
Abstract Background: The benefits of breastfeeding are well-recognised. The majority of first-time mothers in the Lao People's Democratic Republic however do not follow WHO guidelines of exclusively breastfeeding for the first six months, and less than half breastfeed for two years. UNICEF identified lack of exclusive breastfeeding as the second highest risk factor for under 5 mortality in Lao PDR, closely following lack of skilled delivery care. This study explored the reasons and influences behind first-time mothers' breastfeeding practices, as well as the role of attitudes, beliefs and experiences in influencing those practices.Methods: A qualitative research design was chosen for this exploratory study. Two districts in Vientiane were selected, and in each district four focus group discussions, two with six first-time mothers and two with health staff were undertaken. In addition, sixteen in-depth interviews with first-time mothers and seven individual key informants were conducted.Results: Participants demonstrated positive attitudes towards breastfeeding and recognised its importance. Despite this, breastfeeding practices were suboptimal. Few exclusively breastfed for the first six months of the baby's life and most of the first-time mothers included in the sample had stopped or planned to stop breastfeeding by the time the infant was 18 months of age. Work was named as one of the main reasons for less than ideal breastfeeding practices. Traditional beliefs and advice from health staff and the first-time mothers' own mothers, were important influences on breastfeeding practices. First-time mothers also cited experiencing tension when there were differences in advice they received from different people.Conclusion: Overall, the mothers were well-informed on the benefits of breastfeeding, and displayed positive attitudes towards it. Nevertheless, few maintained optimal breastfeeding practices in the first two years of the infant's life. Further effort needs to be directed at addressing knowledge and non-knowledge barriers to optimal breastfeeding practices. Of particular importance is working with employers, developing supportive employment policies, providing postnatal support and working with lay people and health professionals. Research is also needed to identify the optimal combination of interventions to promote good breastfeeding practices.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
 
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