RNQualitativeInvestigacion y educacion en enfermeria2019

Care during Breastfeeding: Perceptions of Mothers and Health Professionals.

Camila Lucchini-Raies, Francisca Márquez-Doren, Nicole Garay Unjidos and 5 others

PMID 31487446

WHAT IT FOUND

Mothers described breastfeeding support as stronger when nurses and other clinicians were close, respectful and willing to listen; distant or pressured care was described as causing more anguish.

They said trust in the relationship seemed to increase their confidence in breastfeeding.

Key findings

01Mothers described support as strengthened by close, respectful, affectionate treatment and willingness to clear doubts, consider their opinions and experiences, and provide information.

02Mothers said staff who were distant, cold, unwilling to answer questions, short on time, or who pressured them to breastfeed were unsupportive, and distrustful encounters caused more anguish and distancing.

03When a secure, trusting relationship was established, mothers described the professional as focused on their needs and seemed to gain confidence in their capacity to breastfeed.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study included only 34 participants from two primary care centres in Santiago, so it may not represent other settings. It did not interview the close relatives who mothers said were principal sources of support. The mothers were lower-middle and middle class public health system users; private-sector families were not represented. The study reports perceptions and themes, not breastfeeding duration, clinical outcomes, or tested effects of a different approach.

Declared interests

No conflicts of interest were declared. Funding came from the Research Direction of the School of Nursing at Pontificia Universidad Católica de Chile.

The easy way to misread this

Do not read these themes as proof that respectful breastfeeding support improves breastfeeding. The study reports perceptions from 34 participants and did not test an intervention or measure breastfeeding outcomes.

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