Perception in Breastfeeding of Postpartum Mothers with Newborns Hospitalized in Neonatal Intensive Care Unit

Main Article Content

Rangsinan Khaonark
Sasikarn Kala
Warangkana Chatchawet

Abstract

          Breastfeeding perception affects decisions and behaviors in breastfeeding. This research study aimed to explore the perception in breastfeeding of postpartum mothers with newborns hospitalized in Neonatal Intensive Care Units [NICU]. Descriptive qualitative analysis was used in this study. The participants comprised sixteen postpartum mothers with newborns hospitalized in NICU. Data were collected between February and May, 2017 from in-depth interview two to three times for each mother, approximately 30-45 minutes/time. Each interview was tape-recorded and transcribed verbatim. Consequently, content analysis was employed for data analysis. The findings revealed two themes of perception in breastfeeding of postpartum mothers with newborns hospitalized in NICU; “value of breastfeeding” and “breastfeeding difficulties”. The first theme - “value of breastfeeding” had three categories including: 1) breastfeeding is useful, 2) breastfeeding is the duty of mother, and 3) breastfeeding brings happiness. The second theme “breastfeeding difficulties” included four categories:1) postpartum complications, 2) stress and anxiety, 3) lacking skills in providing adequate milk supply, and 4) difficulties in practicing breast-feeding initiation. The study could provide better understanding and further insights into breastfeeding from maternal perspectives of postpartum mothers with newborns hospitalized in NICU. The findings also offer possible approaches in the development of effective holistic nursing intervention that promote and support postpartum mothers to continue breastfeeding their babies.

Article Details

How to Cite
Khaonark, R. ., Kala, S. ., & Chatchawet, W. . (2020). Perception in Breastfeeding of Postpartum Mothers with Newborns Hospitalized in Neonatal Intensive Care Unit. Journal of Research in Nursing-Midwifery and Health Sciences, 40(1), 30–44. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/240697
Section
Research Articles

References

American Academy of Pediatrics. Level of neonatal care. Pediatrics. 2004; 114(5): 1341-47. doi: https://doi.org/10.1542/peds.2004-1697

Queen Sirikit National Institute of Child Health. Sick infant need to breastfeeding for increased immune [Internet]. Thai HealthPromotion Foundation; 2014 [updated 12 Mar 2014; cited 2017 Oct 29]. Available from: https://www.thaihealth.or.th/Content/23422-20.html. Thai.

Kala S, Khaonark R. Breastfeeding in Postpartum Mothers of Sick Newborns. Songklanagarind J Nurs. 2016; 36 (Suppl): 196-208. Thai.

Sawasdivorn S. Breastfeeding situation in Thailand. In: Sawasdivorn S, Thussanasupap B. editors. Substance from international conference: Breastfeeding sick babies by Prof. Dr. Diane L. Spatz. Bangkok: Breastfeeding

Organization; 2013; 19-22. Thai.

Spatz DL. Development and application of ten steps for promoting and protecting breastfeeding in sick babies. In: Sawasdivorn S, Thussanasupap B. editors. Substance from international conference: Breastfeeding sick babies by Prof. Dr. Diane L. Spatz. Bangkok: Breastfeeding Organization; 2013; 30-9. Thai.

National Statistical Office. The number of hospitalized patients Classifieds by the group of 75 illness in Public Health Service of Thai Ministry of Public Health A.D. 2003-2012 [Internet]. National Statistical Office 2012

[updated 18 Feb 2013; cited 2017 Mar 29]. Available from: https://service.nso.go.th/nso/web/statseries/statseries09.html.Thai.

Spatz DL. Ten steps for promoting and protecting breastfeeding for vulnerable infants. J Perinat Neonat Nurs. 2004; 18(4): 385-96. doi: 10.1097/00005237-200410000-00009

Chomtho S, Spatz DL, Ewald U. Transferring the U.S. ten steps for promoting and protecting breastfeeding for sick babies into south-east asian context: Challenges and solutions. Panel discussion from the fourth international conference: Breastfeeding sick babies. Bangkok:Breastfeeding Organization; 2016. Thai.

da-Silva LR, de-S Elles MEI, Silva MDB,et al. Social factors that influence breastfeeding in preterm infants: A descriptive study. OBJN. 2012; 11(1): 40-52. doi: https://dx.doi.org/10.5935/1676-4285.20120005

Kamath SP, Garg D, Khan M, et al. Perceptions and Practices regarding Breastfeeding among Postnatal Women at a District Tertiary Referral Government Hospital in Southern India. Scientifica. 2016; 1-6. doi: https://dx.doi.org/10.1155/2016/5430164

Radwan H, Sapsford R. Maternal Perceptions and Views About Breastfeeding Practices Among Emirati Mothers. Food and Nutrition Bulletin. 2016; 37(1): 73-84. doi: https://doi.org/10.1177/0379572115624289

Isarabhakdi P. Concepts of social research and qualitative research. Institute for Population and Social Research [Internet]. Mahidol University; 2014 [updated 20 May 2014; cited 2017 Oct 29]. Available from: https://www.priv.nrct.go.th/ewt_dl.php?nid=1206. Thai.

Lambert VA, Lambert CE. Editorial: qualitative descriptive research: an acceptable design. Pacific Rim Int J Nurs Res. 2012; 16(4): 255-56. Available from: https://connection. ebscohost.com/c/editorials/84669663/editorial

-qualitative-descriptive-research-acceptable-design

Sawangdee Y. Content Analysis. Substance from workshop training on techniques for writing qualitative research reports. Bangkok: Institute for Population and Social Research, Mahidol University; 2016. Thai.

Lincoln SY, Guba GE. Naturalistic inquiry. Newbury Park: SAGE; 1985

Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991; 50(2): 179-211. doi: https://doi.org/10.1016/0749-5978(91)90020-T

Wangsawat T, Kaleang N, Phibal A, et al. Factors Influencing Intention to Exclusive Breastfeeding for 6 Months of Mothers in Naradhiwat Province. Nursing journal. 2014; 41(5): 123-133. Thai.

Payakkaraung S. Practices guideline for breastfeeding: Common problem in infants. In: Vijitsukon K, Sangperm P, Wattayu N, et al. editors. Breastfeeding. Bangkok: Pre-one;2014; 219-42. Thai

Peres-Escamilla R, Martinez JL, Segura-Perez S. Impact of the Baby-friendly Hospital initiative on breastfeeding and child healthoutcomes: A systematic review. Matern & Child Nutr. 2016; 12(3): 402-17. doi: 10.111/mcn.12294

Mercer RT. A theoretical framework for studying factors that impact on the maternal role. Nurs Res. 1981; 30(2): 73-7. Available from:https://www.ncbi.nlm.nih.gov/pubmed/7010317

Ngai FW, Chan SW, Holroyd E. Chinese primiparous women’s experiences of early motherhood: factors affecting maternal role competence. JCN. 2011; 20(9-10): 1481-89. doi:https://doi.org/10.1111/j.1365-2702.2010.03415.x

Boonjan J, Pathumwiwatana P, Chouwajaroen P, et al. Development of Services for Promoting Sustainable Breastfeeding. Journal of Nurse’s Association of Thailand, North-Eastern Division.2011; 29(2): 14-24. Thai

Sivichi A. Successful breastfeeding experiences of mothers with preterm infant [dissertation]. [Bangkok]: Chulalongkorn University; 2008.140 p. Thai.

Flacking R, Ewald U, Starrin B. “I wanted to do a good job”: experiences of “becoming a mother”and breastfeeding in mothers of very preterm infants after discharge from a neonatal unit. Soc Sci Med. 2007; 64(12): 2405-16. doi: https://doi.org/10.1016/j.socscimed.2007.03.008

Hardin J. Breastfeeding and kangaroo care:Biobehavioral measures of dyadic bonding, infant cortical maturation, and infant HPA reactivity [Doctoral dissertation]. [Florida]: Florida Atlantic University; 2014. 167 p. Available from: https://search.proquest.com/docview/1547947579?accountid=28431

Bangsainoi K. Feeding at the breast & breastfeeding assessment. In: Voramonkol N. editor. Training manual for breastfeeding specialists. Bangkok: The war veterans organization of Thailand; 2010; 92-115. Thai.

Kala S, Khoonphet Ch. Experience in Promoting Breastfeeding of Registered Nurses Working in Postpartum Units. PNUJ. 2017; 9(3): 1-11. Thai.

Payakkaraung S, Sangperm P, Samart Ch. Breastfeeding Problem in Early Postpartum Period: Mother’s Experiences. J Nurs Sci, 2016;34(3): 30-40. Thai.

Kala S. Breastfeeding Support: Nurses’ Role. Songkhla; Chanmuang: 2018. Thai.

Bandura A. On the functional properties of perceived self-efficacy revisited. Journal of Management. 2012; 38(1): 9-44. doi:10.1177/0149206311410606

Powell R, Davis M, Anderson AK. A qualitativelook into mother’s breastfeeding experiences. J Neonatal Nurs. 2014; 20(6): 259-65. doi:https://doi.org/10.1016/j.jnn.2014.04.001

Hwang YS, Ma MC, Tseng Y M, et al. Associations among perinatal factors and age of achievement of full oral feeding in very preterm infants. Pediatrics and Neonatology. 2013;54(5): 309-14. doi: 10.1016/j.pedneo.2013.03.013

Lau C. Development of infant oral feeding skills: what do we know?. Am J Clin Nutr. 2016; 103(2): 616S-21S. doi: 10.3945/ajcn.115.109603.