ArticleInternational breastfeeding journal2023
Breastfeeding needs of mothers of preterm infants in China: a qualitative study informed by the behaviour change wheel.
Article in International breastfeeding journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Decoding the HMO‒microbiome axis: bridging maternal milk to infant health outcomes.Gut microbes · 2026Review
- Breastfeeding support experiences of mothers of preterm infants in China: a qualitative study.BMC pregnancy and childbirth · 2026Article
- Postpartum Health in Mothers of Preterm Infants in the NICU: Needs, Service Utilization, and Care Gaps-A Systematic Review.Healthcare (Basel, Switzerland) · 2026Review
- Knowledge, attitude, and practice toward delayed onset of lactogenesis among postpartum women experiencing mother-infant separation: a multi-center cross-sectional study.International breastfeeding journal · 2025Article
- Factors influencing the provision of human milk feeding support for preterm infants in Neonatal Intensive Care Units in China: a qualitative study of neonatal nurses' perspectives.International breastfeeding journal · 2025Article
- The struggles of breastfeeding mothers of preterm infants: a qualitative study.BMC pregnancy and childbirth · 2025Article
- Analysis of risk factors and establishment of predictive models for neonatal necrotizing enterocolitis: a retrospective study.Italian journal of pediatrics · 2025Article
- Nurses' perspectives on implementing sleep protection for premature infants in the neonatal intensive care unit: a qualitative study.BMC health services research · 2025Article
- Facilitators and barriers to parental involvement in neonatal pain management in the NICU: a scoping review.BMJ open · 2025Article
- Article
- Barriers and Facilitators to Adherence to Exercise-Based Cardiac Rehabilitation Among Coronary Artery Disease Patients: A Scoping Review.Journal of multidisciplinary healthcare · 2025Review
- Therapeutic potential of human breast milk-derived exosomes in necrotizing enterocolitis.Molecular medicine (Cambridge, Mass.) · 2024Review
- Experiences of Indonesian nurses in improving preterm oral feeding readiness in special care units: A qualitative descriptive study.Belitung nursing journal · 2023Article
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9 authors.
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Abstract
backgroundAlthough breastfeeding is strongly recommended, the breastfeeding rate of preterm infants in China remains significantly low. In addition to the global structural challenges to breastfeeding and the physiological immaturity of preterm infants, Chinese mothers of preterm infants face unique challenges of maternal-infant separation after birth. Moreover, little is known about Chinese mothers' specific needs in coping with the difficulties posed by these challenges. This study utilized the Behaviour Change Wheel to investigate the breastfeeding needs of Chinese preterm mothers that may facilitate its practice in the future.
methodA qualitative descriptive design was implemented in Wuhan in 2022. Based on purposeful sampling, 13 preterm mothers were recruited from a NICU in a Grade III Class A hospital in Wuhan, China. Face-to-face semi-structured interviews were conducted to collect data using the interview guide developed by the Theoretical Domains Framework. Theoretical Thematic Analysis was used to review the data in 6 steps to identify themes.
resultsFive major themes emerged: (1) capability: ability to interpret infants' cues and identify problems, and need for breastfeeding knowledge and skills training; (2) physical opportunity: cleanliness and quietness in household environment, private lactation spaces and breastfeeding tools in workplaces and hospitals; (3) social opportunity: family support, peer support, and authoritative support from healthcare providers; (4) reflective motivation: information on health impacts of breastfeeding; (5) automatic motivation: maternal-infant bonding, free of aversive stimulus.
conclusionPreterm mothers' needs to enable breastfeeding were diverse, including increasing their capability, physical and social opportunities, and reflective and automatic motivation. People, resources and environments associated with these needs should be engaged together to stablish a conducive structural environment for breastfeeding. The policy change for "zero separation" and implementation of kangaroo care should also be implemented in Chinese neonatal intensive care units. Future studies are needed to design effective interventions according to mothers' specific needs.
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