Experiences and Contextual Factors Related to Exclusive Breastfeeding in Full-time Working Mothers

Main Article Content

Pornnapa Tangsuksan
Ameporn Ratinthorn


Purpose: To explore the experiences and contextual factors, including barriers and facilitators, related to exclusive breastfeeding for full-time working mothers before and after returning to work.

Design: Qualitative research employing interviews.

Methods: A total of 29 full-time working mothers were selected for purposive sampling from well-baby and lactation clinics at Siriraj Hospital. Data were collected through semi-structured face-to-face interviews at 2, 4, and 6 months postpartum and analyzed by using content analysis.

Main findings: Four main themes of experiences and contextual factors, including barriers and facilitators related to exclusive breastfeeding, emerged. These were: 1) Insufficient information for breastfeeding during work. Mothers could not prepare for breastfeeding prior to returning to work and faced problems with insufficient breast milk; 2) Struggles in maintaining sufficient breast milk for 6 months depending on working contexts that supported breast milk expression. This included work characteristics, feeling secure at work, and understanding and support from colleagues; 3) Seeking information to facilitate breastfeeding. Mothers received insufficient information on methods of breast milk expression and feeding breast milk to their babies; and 4) Support from family members and child care workers. These could be both a support and an obstacle to breastfeeding.

Article Details

How to Cite
Tangsuksan, P., & Ratinthorn, A. (2011). Experiences and Contextual Factors Related to Exclusive Breastfeeding in Full-time Working Mothers. Nursing Science Journal of Thailand, 29(3), 52–63. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/2785
Research Papers


Johnston LM, Esposito N. Barriers and facilitators for breastfeeding among working women in the United States. JOGNN 2007; 36(1): 9-20.

Kimbro RT. On-the-job moms: work and breastfeeding initiation and duration for a sample of low income women. MCH 2006; 10(1): 19-26.

The Ninth National Economic and Social Development Plan. Bangkok: Ministry of Public Health; 2005. (in Thai)

UNICEF. Multiple indicator cluster survey of children and women in Thailand: summary report; 2006. Available from: URL: http:// www.unicef.org/thailand/MICS_ summary_ report_ENG.pdf

YimYam S. Influencing of socio-economic, cultural and policy factors to breastfeeding in working mothers in Chiang Mai province. (research report) Chiang Mai: Chiang Mai University; 2002. (in Thai)

Fein BS, Roe B. The effect of work status on initiation and duration of breast-feeding. Am J Public Health 1998; 88(7): 1042-6.

Sumritsopak R. Determination of maternity leave and breastfeeding practices among employed mothers in Bangkok. (Master thesis). Bangkok, Mahidol University; 1999. 80 p. (in Thai)

Kamdee K. Factors related to the duration of breastfeeding among working mother. (Master thesis). Chiang Mai, Chiang Mai University; 1994. 207 p. (in Thai)

Patton MQ. Qualitative research & evaluation methods. 3rd ed. London: Sage Publications; 2002.

Rojjanasrirat W. Working women’s breastfeeding experiences. MCN Am J Matern Child Nurs 2004; 29(4): 222-7.

Sridara L. Working mothers’ experiences in exclusive breastfeeding. (Master thesis). Bangkok, Chulalongkorn University; 2005. 160 p. (in Thai)

Biagioli F. Returning to work while breastfeeding. Am Fam Physician 2003 Dec 1; 68(11): 2199-207.

Kent JC, Mitoulas LR, Cregan MD, Geddes DT, Larsson M, Doherty DA, HartmannPE. Importance of vacuum for breast milk expression. Breastfeeding Med 2008; 3(1): 11-9.

Osman H, Zein LE, Wick L. Cultural beliefs that may discourage breastfeeding among Lebanese women: a qualitative analysis. Int Breastfeed J 2009; 4: 1-6. Available from: URL: http://www.ncbi.nlm.nih.gov/pmc/ articles/PMC2774667/

Hawkins SS, Griffiths LJ, Dezateux C, Law C, the Millennium Cohort Study Child Health Group. The impact of maternal employment on breast-feeding duration in the UK Millennium Cohort Study. Public Health Nutr2007; 10(9): 891-6.

Kosmala-Anderson J, Wallace LM. Breastfeeding works: the role of employers in supporting women who wish to breastfeed and work in four organizations in England. J Public Health 2006; 28(3): 183–91.

Win NN, Binns CW, Zhao Y, Scott JA, Oddy WH. Breastfeeding duration in mothers who express breast milk: a cohort study. Int Breastfeed J 2006; 1(28): 1-5. Available from: URL: http://www.ncbi.nlm.nih.gov/pmc/ articles/PMC1764725/pdf/1746-4358-1-28.pdf

Clemons SN, Amir LH. Breastfeeding Women’s Experience of Expressing: A Descriptive Study. J Hum Lact 2010; 26(3): 258-65. Available from: URL: http://jhl. sagepub.com/content/26/3/258.long

Valdes V, Pugin E, Schooley J, Catalan S, Aravena R. Clinical support can make the difference in exclusive breastfeeding success among working woman. J Trop Pediatr 2000; 46(3): 149-54.

WHO/UNICEF. Baby-friendly hospital initiative: revised, updated and expanded for integrated care. 2009. Available from: URL: www.unicef.org/nutrition/files/BFHI_2009_s3.1 and2.pdf

Huang YY, Gau ML, Huang CM, Lee JT. Supplementation with cup-feeding as a substitute for bottle-feeding to promote breastfeeding. Chang Gung Med J 2009 Jul- Aug; 32(4): 423-31.

Howard CR, Howard FM, Lanphear B, Eberly S, deBlieck EA, Oakes D, Lawrence RA. Randomized clinical trial of pacifier use and bottle-feeding or cup feeding and their effect on breastfeeding. Pediatrics 2003; 111(3): 511-8.

Thulier D, Mercer J. Variables associated with breastfeeding duration. JOGNN 2009; 38(3): 259-68.

Susin LRO, Giugliani ERJ, Kummer SC. Influence of grandmothers on breastfeeding Practices. Rev Saude Publica 2005; 39(2):