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Helpful and challenging aspects of breastfeeding in public for women living in Australia, Ireland and Sweden : a cross-sectional study

Hauck, Yvonne L ; Kuliukas, Lesley ; Gallagher, Louise ; Brady, Vivienne ; Dykes, Charlotta and Rubertsson, Christine LU (2020) In International Breastfeeding Journal 15(1). p.38-38
Abstract

BACKGROUND: Breastfeeding in public continues to be contentious with qualitative evidence confirming that women face many challenges. It is therefore important to gain understanding of not only the challenges but also what women perceive is helpful to breastfeed in public.

METHODS: A cross-sectional study was conducted with women living in Australia, Ireland or Sweden currently breastfeeding or having breastfed within the previous 2 years. Our objective was to explore and compare what women do when faced with having to breastfeed in the presence of someone they are uncomfortable with and what women think is helpful and challenging when considering whether to breastfeed in public. Data were collected in 2018 from an online survey... (More)

BACKGROUND: Breastfeeding in public continues to be contentious with qualitative evidence confirming that women face many challenges. It is therefore important to gain understanding of not only the challenges but also what women perceive is helpful to breastfeed in public.

METHODS: A cross-sectional study was conducted with women living in Australia, Ireland or Sweden currently breastfeeding or having breastfed within the previous 2 years. Our objective was to explore and compare what women do when faced with having to breastfeed in the presence of someone they are uncomfortable with and what women think is helpful and challenging when considering whether to breastfeed in public. Data were collected in 2018 from an online survey over a 4 week period in each country. Content analysis revealed data similarity and theme names and definitions were negotiated until consensus was reached. How often each theme was cited was counted to report frequencies. Helpful and challenging aspects were also ranked by women to allow international comparison.

RESULTS: Ten themes emerged around women facing someone they were uncomfortable to breastfeed in the presence of with the most frequently cited being: 'made the effort to be discreet'; 'moved to a private location'; 'turned away' and 'just got on with breastfeeding'. Nine themes captured challenges to breastfeed in public with the following ranked in the top five across countries: 'unwanted attention'; 'no comfortable place to sit'; 'environment not suitable'; 'awkward audience' and 'not wearing appropriate clothing'. Nine themes revealed what was helpful to breastfeed in public with the top five: 'supportive network'; 'quiet private suitable environment'; 'comfortable seating'; 'understanding and acceptance of others' and 'seeing other mothers' breastfeed'.

CONCLUSIONS: When breastfeeding in public women are challenged by shared concerns around unwanted attention, coping with an awkward audience and unsuitable environments. Women want to feel comfortable when breastfeeding in a public space. How women respond to situations where they are uncomfortable is counterproductive to what they share would be helpful, namely seeing other mothers breastfeed. Themes reveal issues beyond the control of the individual and highlight how the support required by breastfeeding women is a public health responsibility.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International Breastfeeding Journal
volume
15
issue
1
pages
38 - 38
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85084559054
  • pmid:32398087
ISSN
1746-4358
DOI
10.1186/s13006-020-00281-0
language
English
LU publication?
yes
id
397f305a-fec2-4008-a940-7e48a200f0ff
date added to LUP
2020-05-19 10:40:11
date last changed
2024-05-30 15:43:49
@article{397f305a-fec2-4008-a940-7e48a200f0ff,
  abstract     = {{<p>BACKGROUND: Breastfeeding in public continues to be contentious with qualitative evidence confirming that women face many challenges. It is therefore important to gain understanding of not only the challenges but also what women perceive is helpful to breastfeed in public.</p><p>METHODS: A cross-sectional study was conducted with women living in Australia, Ireland or Sweden currently breastfeeding or having breastfed within the previous 2 years. Our objective was to explore and compare what women do when faced with having to breastfeed in the presence of someone they are uncomfortable with and what women think is helpful and challenging when considering whether to breastfeed in public. Data were collected in 2018 from an online survey over a 4 week period in each country. Content analysis revealed data similarity and theme names and definitions were negotiated until consensus was reached. How often each theme was cited was counted to report frequencies. Helpful and challenging aspects were also ranked by women to allow international comparison.</p><p>RESULTS: Ten themes emerged around women facing someone they were uncomfortable to breastfeed in the presence of with the most frequently cited being: 'made the effort to be discreet'; 'moved to a private location'; 'turned away' and 'just got on with breastfeeding'. Nine themes captured challenges to breastfeed in public with the following ranked in the top five across countries: 'unwanted attention'; 'no comfortable place to sit'; 'environment not suitable'; 'awkward audience' and 'not wearing appropriate clothing'. Nine themes revealed what was helpful to breastfeed in public with the top five: 'supportive network'; 'quiet private suitable environment'; 'comfortable seating'; 'understanding and acceptance of others' and 'seeing other mothers' breastfeed'.</p><p>CONCLUSIONS: When breastfeeding in public women are challenged by shared concerns around unwanted attention, coping with an awkward audience and unsuitable environments. Women want to feel comfortable when breastfeeding in a public space. How women respond to situations where they are uncomfortable is counterproductive to what they share would be helpful, namely seeing other mothers breastfeed. Themes reveal issues beyond the control of the individual and highlight how the support required by breastfeeding women is a public health responsibility.</p>}},
  author       = {{Hauck, Yvonne L and Kuliukas, Lesley and Gallagher, Louise and Brady, Vivienne and Dykes, Charlotta and Rubertsson, Christine}},
  issn         = {{1746-4358}},
  language     = {{eng}},
  month        = {{05}},
  number       = {{1}},
  pages        = {{38--38}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{International Breastfeeding Journal}},
  title        = {{Helpful and challenging aspects of breastfeeding in public for women living in Australia, Ireland and Sweden : a cross-sectional study}},
  url          = {{http://dx.doi.org/10.1186/s13006-020-00281-0}},
  doi          = {{10.1186/s13006-020-00281-0}},
  volume       = {{15}},
  year         = {{2020}},
}