ArticleInternational journal of environmental research and public health2015
Why do mothers of young infants choose to formula feed in China? Perceptions of mothers and hospital staff.
Article in International journal of environmental research and public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Challenges, experiences, and potential supports for East and Southeast Asian mothers in the workforce: a systematic review.BMC women's health · 2024Pooled it
- Efficacy and safety of acupuncture for postpartum hypogalactia: A systematic review and meta-analysis of randomized controlled trials.PloS one · 2024Pooled it
- Effectiveness of WeChat for Improving Exclusive Breastfeeding in Huzhu County China: Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
- Reasons for formula feeding among rural Bangladeshi mothers: A qualitative exploration.PloS one · 2019Trial
- Evaluation of Mineral Content in Preterm Human Milk and Infant Formulas in Qatar: Assessing Compliance With Dietary Recommendations and Label Accuracy.Food science & nutrition · 2025Article
- Exploring the social representations of breastfeeding among mothers and grandmothers in Uruguay using word association.International breastfeeding journal · 2025Article
- Socioeconomic inequality in undernutrition among late female adolescent in sub-Saharan African countries: a decomposition analysis.BMC public health · 2025Article
- Breastfeeding in Turkey: practices, barriers, and cultural dynamics for global insights.Frontiers in pediatrics · 2025Article
- Decadal trends in the exclusive breastfeeding practices among working Indian mothers: a multi-level analysis.International breastfeeding journal · 2024Article
- Challenges experienced by induced lactation women in Malaysia: An exploratory qualitative study.PloS one · 2024Article
- Breastfeeding needs of mothers of preterm infants in China: a qualitative study informed by the behaviour change wheel.International breastfeeding journal · 2023Article
- Exploring the reasons why mothers do not breastfeed, to inform and enable better support.Frontiers in global women's health · 2023Article
- Social predictors of breastfeeding and the impact of interventions on breastfeeding of preterm infants: A longitudinal study.European journal of midwifery · 2023Article
- Persistent Pregnancy-Related Anxiety Reduces Breastfeeding Exclusiveness and Duration: A Prospective Cohort Study.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2022Article
- A mixed-methods study on the association of six-month predominant breastfeeding with socioecological factors and COVID-19 among experienced breastfeeding women in Hong Kong.International breastfeeding journal · 2022Article
- Why do first-time mothers not intend to breastfeed? --A qualitative exploratory study on the decision-making of non-initiation in Jingzhou, China.BMC pregnancy and childbirth · 2022Article
- Breastfeeding Practices in the United Arab Emirates: Prenatal Intentions and Postnatal Outcomes.Nutrients · 2022Article
- Factors influencing breastfeeding practices in China: A meta-aggregation of qualitative studies.Maternal & child nutrition · 2021Review
- Examining working mothers' experience of exclusive breastfeeding in Ghana.International breastfeeding journal · 2020Article
- Hidden Realities of Infant Feeding: Systematic Review of Qualitative Findings from Parents.Behavioral sciences (Basel, Switzerland) · 2020Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In China the exclusive breastfeeding rate remains low and infant formula is widely used. This study aimed to elicit and compare mothers' and hospital staff perceptions of the reasons that shaped mothers' decision to formula feed. In-depth interviews with 50 mothers, and four focus group discussions with 33 hospital staff, were conducted in Hangzhou and Shenzhen in November 2014. Responses given by the mothers and hospital staff showed a number of commonalities. The perception of "insufficient breast milk" was cited by the majority of women (n = 37, 74%) as the reason for formula feeding. Mothers' confidence in breastfeeding appears to be further reduced by maternal mothers or mothers-in-law's and "confinement ladies" misconceptions about infant feeding. Inadequate breastfeeding facilities and limited flexibility at their workplace was another common reason given for switching to formula feeding. A substantial proportion of mothers (n = 27, 54%) lacked an understanding of the health benefits of breastfeeding. Antenatal education on breastfeeding benefits for expectant mothers and their families is recommended. Moreover, mothers should be provided with breastfeeding support while in hospital and be encouraged to seek professional assistance to deal with breastfeeding problems after discharge. Employers should also make work environments more breastfeeding-friendly.
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