Evidence map›Paper›PMID 32773000›Full record

ArticlePublic health nutrition2021

Maternal perspectives on infant feeding practices in Soweto, South Africa.

Stephanie V Wrottesley, Alessandra Prioreschi, Wiedaad Slemming, Emmanuel Cohen, Cindy-Lee Dennis, Shane A Norris

Abstract read
In one paragraph

Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  6. Observational
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  14. The male breadwinner nuclear family is not the 'traditional' human family, and promotion of this myth may have adverse health consequences.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2021
    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

6 authors.

Stephanie V WrottesleySouth African Medical Research Council (SAMRC)/Wits Developmental Pathways for Health Research Unit (DPHRU), Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2193, South Africa.
Alessandra PrioreschiSouth African Medical Research Council (SAMRC)/Wits Developmental Pathways for Health Research Unit (DPHRU), Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2193, South Africa.
Wiedaad SlemmingDivision of Community Paediatrics, Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Emmanuel CohenSouth African Medical Research Council (SAMRC)/Wits Developmental Pathways for Health Research Unit (DPHRU), Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2193, South Africa.ORCID 0000-0001-5643-1473
Cindy-Lee DennisLawrence S Bloomberg Faculty of Nursing, Li Ka Shing Knowledge Institute, St. Michael's Hospital, University of Toronto, Toronto, Canada.
Shane A NorrisSouth African Medical Research Council (SAMRC)/Wits Developmental Pathways for Health Research Unit (DPHRU), Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2193, South Africa.

Funding

CIHR
6 · The paper itself

Abstract

objectiveTo (i) describe the infant feeding practices of South African women living in Soweto and (ii) understand from the mothers' perspective what influences feeding practices.

designSemi-structured focus group discussions (FGD) and in-depth interviews (IDI) were conducted, and data were analysed using thematic analysis.

settingSoweto, South Africa.

participantsNineteen mothers were stratified into three FGD according to their baby's age as follows: 0-6-month-olds, 7-14-month-olds and 15-24-month-olds. Four mothers from each FGD then attended an IDI.

resultsAlthough mothers understood that breast-feeding was beneficial, they reported short durations of exclusive breast-feeding. The diversity and quality of weaning foods were low, and 'junk' food items were commonly given. Infants were fed using bottles or spoons and feeding commonly occurred separately to family meal times. Feeding practices were influenced by mothers' beliefs that what babies eat is important for their health and that an unwillingness to eat is a sign of ill health. As such, mothers often force-fed their babies. In addition, mothers believed that feeding solid food to babies before 6 months of age was necessary. Family matriarchs were highly influential to mothers' feeding practices; however, their advice often contradicted that of health professionals.

conclusionsIn South Africa, interventions aimed at establishing healthier appetites and eating behaviours in early life should focus on: (i) fostering maternal self-efficacy around exclusive breast-feeding; (ii) challenging mixed feeding practices and encouraging more responsive feeding approaches and (iii) engaging family members to promote supportive household and community structures around infant feeding.

Indexed as

Breast FeedingHealth Knowledge, Attitudes, PracticeFeeding BehaviorFemaleHumansInfantMothersSouth AfricaInfant feedingQualitativeSouth Africa

Identifiers

PMID32773000
PMCPMC10195334

What OpenQuestion holds

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Registered trials

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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.