uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Experience of the First Breastfeeding Session in Association with the Use of the Hands-On Approach by Healthcare Professionals: A Population-Based Swedish Study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Obstetrics and Gynaecology. (Internationell sexuell och reproduktiv hälsa/Larsson)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Reproduktiv hälsa/Sundström Poromaa)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Reproduktiv hälsa/Sundström Poromaa)ORCID iD: 0000-0002-4935-7532
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Internationell sexuell och reproduktiv hälsa/Larsson)
2014 (English)In: Breastfeeding Medicine, ISSN 1556-8253, E-ISSN 1556-8342, Vol. 9, no 6, p. 294-300Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to investigate the prevalence of healthcare professionals' use of the hands-on approach during the first breastfeeding session postpartum and its possible association with the mothers' experience of their first breastfeeding session. Materials and Methods: This was a population-based longitudinal study conducted at Uppsala University Hospital, Uppsala, Sweden, of all women giving birth at the hospital from May 2006 to June 2007. Six months postpartum, a questionnaire including questions regarding breastfeeding support, caregiving routines, depressive symptoms, and the woman's experience of the first breastfeeding session was sent to the mothers. The main outcome measures were use of the hands-on approach during the first breastfeeding session and the mother's experience of the breastfeeding session. Results: In total, 879 women participated in the study. Thirty-eight percent of the women received the hands-on approach during the first breastfeeding session. High body mass index, primiparity, and having the first breastfeeding session postponed were all independently associated with the hands-on approach. Women who received the hands-on approach were more likely to report a negative experience of the first breastfeeding session (odds ratio = 4.48; 95% confidence interval, 2.57-7.82), even after adjustment for possible confounders (odds ratio = 2.37; 95% confidence interval, 1.02-5.50). Conclusions: This study indicates that the hands-on approach is commonly used during the first breastfeeding session and is associated with a more negative experience of the first breastfeeding session. Consequently, caregivers need to question the use of this method, and further research about breastfeeding support is required.

Place, publisher, year, edition, pages
2014. Vol. 9, no 6, p. 294-300
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:uu:diva-229427DOI: 10.1089/bfm.2014.0005ISI: 000338135200005OAI: oai:DiVA.org:uu-229427DiVA, id: diva2:736796
Available from: 2014-08-08 Created: 2014-08-07 Last updated: 2018-04-19Bibliographically approved
In thesis
1. The first breastfeeding session: studies on caregivers' support and breastfeeding duration
Open this publication in new window or tab >>The first breastfeeding session: studies on caregivers' support and breastfeeding duration
2015 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

Abstract

Cato, K. 2015 The first breastfeeding session: studies on caregivers’ support and breastfeeding duration. 33pp. Uppsala. ISBN 978-91-506-2494-6

 

It is well-known that the first breastfeeding session can be essential for breastfeeding duration. The hands-on approach given by health care professionals, where health care professionals touch the woman’s breast and the baby in order to stimulate latch on and breastfeeding, has been described as awkward and disturbing.

 

The aim of this thesis was to increase knowledge on the first breastfeeding session postpartum, as to frequency and experience of the hands-on approach, and possible correlates of shorter breastfeeding duration.

 

Questionnaires were sent five days, six weeks and six months postpartum, including questions regarding breastfeeding initiation and duration. Eight hundred and fifty-four women and 679 women were included in Study I and Study II, respectively.

 

The prevalence of the hands-on approach was 38%. Women who received the hands-on approach were more likely to report a negative experience of the first breastfeeding session (Study I). Seventy-seven percent of the women reported exclusive breastfeeding at two months postpartum. Being a first time mother, reporting emotional distress during pregnancy and giving birth by cesarean section were factors independently associated with exclusive breastfeeding less than two months postpartum (Study II).

 

These results can help to develop clinical practice, in order to improve women’s experience of the first breastfeeding session and identifying women in need of targeted, individualized support, to be able to promote longer exclusive breastfeeding duration.

 

Place, publisher, year, edition, pages
Uppsala: Uppsala universitet, 2015. p. 32
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:uu:diva-267856 (URN)
Presentation
2015-12-10, Ulmstenssalen, Kvinnokliniken Akademiska sjukhuset, Uppsala, 13:00 (Swedish)
Supervisors
Available from: 2015-12-02 Created: 2015-11-27 Last updated: 2015-12-02Bibliographically approved
2. Breastfeeding – Initiation, duration, attitudes and experiences
Open this publication in new window or tab >>Breastfeeding – Initiation, duration, attitudes and experiences
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis was to increase knowledge about factors that influence breastfeeding initiation and duration, as well as about women’s attitudes towards breastfeeding during pregnancy.

The first two studies were a part of the UPPSAT project, a population-based cohort study conducted in Uppsala, Sweden. The women answered questionnaires five days, six weeks and six months postpartum, including questions on breastfeeding initiation and duration. Eight hundred and seventy-nine women and 679 women were included in the first study (Paper I) and second study (Paper II), respectively. The third study (Paper III) was part of the BASIC study, a large cohort following women from pregnancy and up to one year postpartum. In BASIC, the women completed web-questionnaires, and 1217 women participated during mid-pregnancy and postpartum. The fourth study (Paper IV) was part of a qualitative project, “Narratives of breastfeeding”, and included 11 women, interviewed individually in late pregnancy.

The prevalence of the hands-on approach was 38%. Women who received the hands-on approach were more likely to report a negative experience of the first breastfeeding session (Paper I). Seventy-seven percent of the women reported exclusive breastfeeding up to, at least, two months postpartum. Being a first-time mother, reporting emotional distress during pregnancy, and giving birth by cesarean section were factors independently associated with exclusive breastfeeding lasting less than two months postpartum (Paper II). Women with depressive symptoms during pregnancy who breastfed for the first time later than two hours postpartum had the highest odds of not breastfeeding exclusively at six weeks postpartum (Paper III). When pregnant women thought about their future breastfeeding, they were balancing between social norms and personal desires (Paper IV).

These results can help to develop clinical practice to improve women’s experience of the first breastfeeding session. Additionally, the results may facilitate identifying women in need for targeted support, in order to promote longer exclusive breastfeeding duration. By acknowledging pregnant women’s thoughts and attitudes about breastfeeding, breastfeeding information and support, health care professionals can meet the needs and desires of women.

 

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2018. p. 72
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 1468
Keyword
Breastfeeding, Breastfeeding duration, Breastfeeding initiation, Depression, Hands-on approach, Pregnancy
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:uu:diva-348656 (URN)978-91-513-0349-9 (ISBN)
Public defence
2018-06-14, Gunnesalen, Akademiska sjukhuset ing 10, Sjukhusvägen 10, Uppsala, 09:15 (Swedish)
Opponent
Supervisors
Available from: 2018-05-23 Created: 2018-04-19 Last updated: 2018-05-23

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full text

Authority records BETA

Cato, KarinSylvén, SaraSkalkidou, AlkistisRubertsson, Christine

Search in DiVA

By author/editor
Cato, KarinSylvén, SaraSkalkidou, AlkistisRubertsson, Christine
By organisation
Obstetrics and GynaecologyDepartment of Women's and Children's Health
In the same journal
Breastfeeding Medicine
Obstetrics, Gynecology and Reproductive Medicine

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 730 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf