Midwives' views on infant feeding methods in the early post-partum period

Abstract

The aim of this research was to explore midwives’ views on infant feeding methods in the early post-partum period. The objectives were to explore midwives’ thoughts about, and experiences of, supporting mothers in their infant feeding choices, as well as to inquire into circumstances that influenced the advice that midwives give to mothers about infant feeding. To fulfil the aim and objectives, a qualitative approach was adopted, with individual, face-to-face, semi-structured interviews used to generate data. The purposive sample comprised eight participants who worked at one of two postnatal wards at a local general hospital, representing a response rate achieved of 100%. The interviews were audio-recorded and transcribed verbatim. Data gathered was analysed using thematic analysis, as described by Braun and Clarke (2006). The findings that emerged from the study suggested that while most midwives preferred breastfeeding over formula-feeding, they were also conscious of the importance of supporting mothers in their feeding choices. Common challenges met by mothers in establishing breastfeeding were identified, some of which were attributed to inadequate preparation during pregnancy. Finally, barriers to the provision of adequate infant feeding support were discussed. These included a lack of time and resources, feeling unprepared to support mothers in certain aspects of feeding and a working within a culture that discredited breastfeeding. Although offering infant feeding support is regarded as an important part of their role, midwives often feel that they do not have the adequate training and time to dedicate to this task. Based on the results that emerged from this study, a series of recommendations for practice, education and further research are suggested, such as the need to increase the number of midwives on the ward to decrease each individuals’ workload.