RNQualitativeJournal of human lactation : official journal of International Lactation Consultant Association2025

Women's Breastfeeding Support Experiences in Ireland: A Qualitative Framework Analysis.

Niamh Mc Evoy, Elaine Lehane, Patricia Leahy-Warren and 4 others

PMID 40996300

WHAT IT FOUND

Women's diaries described breastfeeding support as shaped by family, friends, colleagues and health professionals.

Practical, reassuring advice was described as helpful; conflicting comments and formula offered after a health care assistant said the baby was starving were described as leaving some confused and less confident.

Key findings

01Women described three themes: Family Circle of Influence, It Takes a Village, and Maternity Service Providers.

02Some participants reported receiving conflicting information from health professionals, which served to confuse and worry them.

03Participants sought information and practical skills from midwives and public health nurses, and breastfeeding classes were deemed useful.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Only 27 of the 86 women who consented completed at least one diary entry, and the reasons for the missing entries were not known. No age, marital status, education, or other demographic data were collected, so the findings cannot be linked to a described participant profile. Most women provided antenatal entries only; only nine provided postpartum data and just two provided both periods, so the study captures little postpartum experience for many participants. The sample was a convenience sample from one hospital in the south of Ireland, and the authors note it may not have included non-traditional or LGBTQ families. Only women who could read and write English were eligible, so experiences of women who could not read English are absent. Participants were not asked to record the context of each interaction, and suggested positive-to-negative ratings were not required, so the diary text alone carries the interpretation. Reminders were sent to maximize participation, but the authors state that depth of data was not achieved.

The easy way to misread this

Do not read this as evidence that specific breastfeeding support messages improve breastfeeding rates. The study is a qualitative analysis of 27 women's diary entries, did not test an intervention or compare groups, and cannot separate the contribution of any single interaction.

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