Perceptions of expressed breast milk for preterm infants in Malawian hospitals: A qualitative study: A qualitative study

Anna Joy Ong; Mai Lei Woo Kinshella; Sangwani Salimu; Marianne Vidler; Rajavel Elango; Mwai Banda; Queen Dube; David Goldfarb; Kondwani Kawaza; Alinane Linda Nyondo-Mipando

doi:10.1016/j.jnn.2021.08.006

Perceptions of expressed breast milk for preterm infants in Malawian hospitals: A qualitative study: A qualitative study

Anna Joy Ong
, Mai Lei Woo Kinshella
, Sangwani Salimu
, Marianne Vidler
, Rajavel Elango
, Mwai Banda
, Queen Dube
, David Goldfarb
, Kondwani Kawaza
, Alinane Linda Nyondo-Mipando

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Background: Expressed breastmilk (EBM) can support lactation for mothers of preterm infants with underdeveloped feeding skills. However, there may be implementation challenges in resource-limited global health settings. Objective: To explore EBM barriers and facilitators perceived by caregivers and healthcare workers in Malawi. Methods: A secondary analysis of in-depth interviews exploring breastfeeding support at health facilities conducted at three secondary-level district hospitals and one tertiary-level central hospital in southern Malawi. Interviews underwent content analysis in NVivo 12 (QSR International, Melbourne, Australia). Results: There were 58 healthcare workers and 54 caregivers interviewed. Caregiver unfamiliarity, maternal exhaustion, and inadequate clinical support/equipment were barriers to EBM practice. Caregiver acceptance was supported by witnessing infant growth. Demonstrations of EBM by healthcare workers and family support also facilitated practice. Conclusion: Raising community awareness and extending counselling to family members upon initiation are vital to supporting mothers practice EBM in resource-limited global health settings with chronic staffing shortages.

Original language	English
Pages (from-to)	113-117
Number of pages	5
Journal	Journal of Neonatal Nursing
Volume	28
Issue number	2
DOIs	https://doi.org/10.1016/j.jnn.2021.08.006
Publication status	Published - 1 Apr 2022
Externally published	Yes

Keywords

Africa South of the Sahara
Breast feeding
Expressed breastmilk
Global health
Malawi
Preterm infants
Qualitative research

Access to Document

10.1016/j.jnn.2021.08.006

Cite this

@article{59283582ba3c4fbdb68044513728299f,

title = "Perceptions of expressed breast milk for preterm infants in Malawian hospitals: A qualitative study: A qualitative study",

abstract = "Background: Expressed breastmilk (EBM) can support lactation for mothers of preterm infants with underdeveloped feeding skills. However, there may be implementation challenges in resource-limited global health settings. Objective: To explore EBM barriers and facilitators perceived by caregivers and healthcare workers in Malawi. Methods: A secondary analysis of in-depth interviews exploring breastfeeding support at health facilities conducted at three secondary-level district hospitals and one tertiary-level central hospital in southern Malawi. Interviews underwent content analysis in NVivo 12 (QSR International, Melbourne, Australia). Results: There were 58 healthcare workers and 54 caregivers interviewed. Caregiver unfamiliarity, maternal exhaustion, and inadequate clinical support/equipment were barriers to EBM practice. Caregiver acceptance was supported by witnessing infant growth. Demonstrations of EBM by healthcare workers and family support also facilitated practice. Conclusion: Raising community awareness and extending counselling to family members upon initiation are vital to supporting mothers practice EBM in resource-limited global health settings with chronic staffing shortages.",

keywords = "Africa South of the Sahara, Breast feeding, Expressed breastmilk, Global health, Malawi, Preterm infants, Qualitative research",

author = "Ong, \{Anna Joy\} and \{Woo Kinshella\}, \{Mai Lei\} and Sangwani Salimu and Marianne Vidler and Rajavel Elango and Mwai Banda and Queen Dube and David Goldfarb and Kondwani Kawaza and Nyondo-Mipando, \{Alinane Linda\}",

year = "2022",

month = apr,

day = "1",

doi = "10.1016/j.jnn.2021.08.006",

language = "English",

volume = "28",

pages = "113--117",

journal = "Journal of Neonatal Nursing",

issn = "1355-1841",

publisher = "Elsevier B.V.",

number = "2",

}

TY - JOUR

T1 - Perceptions of expressed breast milk for preterm infants in Malawian hospitals: A qualitative study: A qualitative study

AU - Ong, Anna Joy

AU - Woo Kinshella, Mai Lei

AU - Salimu, Sangwani

AU - Vidler, Marianne

AU - Elango, Rajavel

AU - Banda, Mwai

AU - Dube, Queen

AU - Goldfarb, David

AU - Kawaza, Kondwani

AU - Nyondo-Mipando, Alinane Linda

PY - 2022/4/1

Y1 - 2022/4/1

N2 - Background: Expressed breastmilk (EBM) can support lactation for mothers of preterm infants with underdeveloped feeding skills. However, there may be implementation challenges in resource-limited global health settings. Objective: To explore EBM barriers and facilitators perceived by caregivers and healthcare workers in Malawi. Methods: A secondary analysis of in-depth interviews exploring breastfeeding support at health facilities conducted at three secondary-level district hospitals and one tertiary-level central hospital in southern Malawi. Interviews underwent content analysis in NVivo 12 (QSR International, Melbourne, Australia). Results: There were 58 healthcare workers and 54 caregivers interviewed. Caregiver unfamiliarity, maternal exhaustion, and inadequate clinical support/equipment were barriers to EBM practice. Caregiver acceptance was supported by witnessing infant growth. Demonstrations of EBM by healthcare workers and family support also facilitated practice. Conclusion: Raising community awareness and extending counselling to family members upon initiation are vital to supporting mothers practice EBM in resource-limited global health settings with chronic staffing shortages.

AB - Background: Expressed breastmilk (EBM) can support lactation for mothers of preterm infants with underdeveloped feeding skills. However, there may be implementation challenges in resource-limited global health settings. Objective: To explore EBM barriers and facilitators perceived by caregivers and healthcare workers in Malawi. Methods: A secondary analysis of in-depth interviews exploring breastfeeding support at health facilities conducted at three secondary-level district hospitals and one tertiary-level central hospital in southern Malawi. Interviews underwent content analysis in NVivo 12 (QSR International, Melbourne, Australia). Results: There were 58 healthcare workers and 54 caregivers interviewed. Caregiver unfamiliarity, maternal exhaustion, and inadequate clinical support/equipment were barriers to EBM practice. Caregiver acceptance was supported by witnessing infant growth. Demonstrations of EBM by healthcare workers and family support also facilitated practice. Conclusion: Raising community awareness and extending counselling to family members upon initiation are vital to supporting mothers practice EBM in resource-limited global health settings with chronic staffing shortages.

KW - Africa South of the Sahara

KW - Breast feeding

KW - Expressed breastmilk

KW - Global health

KW - Malawi

KW - Preterm infants

KW - Qualitative research

U2 - 10.1016/j.jnn.2021.08.006

DO - 10.1016/j.jnn.2021.08.006

M3 - Article

SN - 1355-1841

VL - 28

SP - 113

EP - 117

JO - Journal of Neonatal Nursing

JF - Journal of Neonatal Nursing

IS - 2

ER -

Perceptions of expressed breast milk for preterm infants in Malawian hospitals: A qualitative study: A qualitative study

Abstract

Keywords

Access to Document

Fingerprint

Cite this