Abstract

Background: Breast is best… but not all mothers agree and choose breastfeeding as an option. The mother is ultimately responsible for the choice of infant feeding (breastfeeding, formula feeding or mixed feeding) after birth. Based on the mothers' choices it appears as if there are various factors that influence the mothers' choices of feeding for their infants.

Purpose: The purpose of this study was to describe the factors influencing the mothers' choices of infant feeding; breastfeeding, formula feeding or mixed feeding.

Methods: A quantitative descriptive design was used. Data was collected with a semi-structured questionnaire to describe factors influencing mothers' choices of infant feeding (breastfeeding, formula feeding or mixed feeding) during the first few days after birth. The population was mothers who delivered in the private hospital and were admitted in the post-natal ward. Non-probability convenience sampling was used to include 300 respondents within the first three days of their delivery, as they had already chosen their feeding methods and it was prior to discharge irrespective if they had a normal delivery or delivered by cesarean section, or if their infant was healthy or admitted in the neonatal intensive care unit. The data was collected over a period of 4 months, was analysed and reported using descriptive statistics to describe factors influencing choice of infant feeding in frequency, percentages and means.

Results: The majority (65.67%) of the respondents chose breastfeeding and a major source of information that influenced their decision to breastfeed was family and friends. Furthermore 14.67% chose formula feeding based on information in pictures and information in doctors' rooms, and 27.27% mother chose formula feeding based on themselves having a medical condition. Mixed feeding respondents represented 16% of the responses, with their major source of information being family and friends or the perception of having insufficient milk supply. Conclusion Although the majority of respondents chose breastfeeding, many more babies should be breastfed, as factors influencing the mothers' decision not to breastfeed are mostly unscientific. Implications The results of the study were utilized for strategies to improve the choice of infant feeding and to address the challenges or reasons why formula or mixed feeding were chosen. The emphasis shifted to education to healthcare providers as well as parents to ultimately enhance breastfeeding of infants in the neonatal period and beyond.

Author Details

Dorothy Seipati Padi, Netcare Femina Clinic, Pretoria, Dr. C. Maree, and Dr. M. Yazbek

Sigma Membership

Non-member

Lead Author Affiliation

Netcare Femina Clinic, Pretoria, South Africa

Type

Poster

Format Type

Text-based Document

Study Design/Type

Descriptive/Correlational

Research Approach

Quantitative Research

Keywords:

Maternal-Child Health, Breastfeeding, Choice of Infant Feeding

Conference Name

Inter-professional Education and Collaborative Practice for Africa Conference

Conference Host

Tau Lambda at-Large Chapter of Sigma Theta Tau International||Amref International University||WHO-FIC Collaborating Centre for the African region||Africa Interprofessional Education Network (AfrIPEN)||WHO Regional Office for Africa

Conference Location

Nairobi, Kenya

Conference Year

2019

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty/Mentor Approved: Sigma Academy Participant Poster

Acquisition

Proxy-submission

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Factors influencing maternal choice during early initiation of infant feeding in a private hospital, Gauteng Province

Nairobi, Kenya

Background: Breast is best… but not all mothers agree and choose breastfeeding as an option. The mother is ultimately responsible for the choice of infant feeding (breastfeeding, formula feeding or mixed feeding) after birth. Based on the mothers' choices it appears as if there are various factors that influence the mothers' choices of feeding for their infants.

Purpose: The purpose of this study was to describe the factors influencing the mothers' choices of infant feeding; breastfeeding, formula feeding or mixed feeding.

Methods: A quantitative descriptive design was used. Data was collected with a semi-structured questionnaire to describe factors influencing mothers' choices of infant feeding (breastfeeding, formula feeding or mixed feeding) during the first few days after birth. The population was mothers who delivered in the private hospital and were admitted in the post-natal ward. Non-probability convenience sampling was used to include 300 respondents within the first three days of their delivery, as they had already chosen their feeding methods and it was prior to discharge irrespective if they had a normal delivery or delivered by cesarean section, or if their infant was healthy or admitted in the neonatal intensive care unit. The data was collected over a period of 4 months, was analysed and reported using descriptive statistics to describe factors influencing choice of infant feeding in frequency, percentages and means.

Results: The majority (65.67%) of the respondents chose breastfeeding and a major source of information that influenced their decision to breastfeed was family and friends. Furthermore 14.67% chose formula feeding based on information in pictures and information in doctors' rooms, and 27.27% mother chose formula feeding based on themselves having a medical condition. Mixed feeding respondents represented 16% of the responses, with their major source of information being family and friends or the perception of having insufficient milk supply. Conclusion Although the majority of respondents chose breastfeeding, many more babies should be breastfed, as factors influencing the mothers' decision not to breastfeed are mostly unscientific. Implications The results of the study were utilized for strategies to improve the choice of infant feeding and to address the challenges or reasons why formula or mixed feeding were chosen. The emphasis shifted to education to healthcare providers as well as parents to ultimately enhance breastfeeding of infants in the neonatal period and beyond.