Evidence map›Paper›PMID 27896940›Full record

ArticleMaternal & child nutrition2017

Empowering women to breastfeed: Does the Baby Friendly Initiative make a difference?

Danielle Groleau, Katherine W Pizarro, Luisa Molino, Katherine Gray-Donald, Sonia Semenic

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Maternal & child nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Danielle GroleauDivision of Social and Transcultural Psychiatry, McGill University, 1033 Avenue des Pins, Montréal, Québec, Canada.
Katherine W PizarroDivision of Social and Transcultural Psychiatry, McGill University, 1033 Avenue des Pins, Montréal, Québec, Canada.
Luisa MolinoSimone de Beauvoir Institute, Concordia University, 2170 Rue Bishop, Montréal, Québec, Canada.
Katherine Gray-DonaldSchool of Dietetics and Human Nutrition, McGill University, 21111 Rue Lakeshore, Ste-Anne-de-Bellevue, Québec, Canada.
Sonia SemenicIngram School of Nursing, McGill University, 3506 Rue University, Montréal, Québec, Canada.
Jewish General Hospital · CAMcGill University · CAInstituto de Liderazgo Simone de Beauvoir · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Baby-Friendly Hospital Initiative (BFI) is currently presented worldwide as the gold standard model of care for promoting and supporting breastfeeding. However, there is a lack of understanding about the ways in which health services, including the BFI, address the cultural change from a disembodied practice (formula feeding) to an embodied one (breastfeeding) in contexts where formula feeding is the norm. We used a qualitative case study methodology to compare the embodied experience of breastfeeding and the maternal experience of breastfeeding promotion and support services between mothers receiving care from institutions with low and high levels of BFI implementation in Québec, Canada. A total of 11 focus groups were conducted with mothers from six institutions-three with high and three with low levels of BFI implementation. We found the flexible approach to breastfeeding duration, characteristic of BFI services in our study, helped to avoid maternal guilt and shame; the shift to focusing on potential barriers and strategies for overcoming them empowered women to negotiate changes in infant feeding with others and self by addressing the embodied experience of a practice that may not feel natural at the beginning. Findings have implications for the concept of habitus and the construction of the breastfeeding body; we suggest that habitus can change if agents are provided with discursive tools to negotiate this embodied change. Implications for BFI services include the need to implement the 10 steps in a flexible, family-centred way that focuses on empowering women rather than simply reaching outcomes.

Indexed as

Health PromotionBreast FeedingCultureEvaluation Studies as TopicFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHumansInfantMothersQuebecSocial SupportBaby-friendly Hospital Initiativebreastfeedingempowermentevaluationhabitusmaternal experience

Identifiers

PMID27896940
PMCPMC6865901
OpenAlexW2558491407

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.