Evidence map›Paper›PMID 38982529›Full record

ArticleInternational breastfeeding journal2024

Investigating factors influencing decision-making around use of breastmilk substitutes by health care professionals: a qualitative study.

Maisha Islam, Dourra Assani, Serine Ramlawi, Malia Sq Murphy, Kameela Miriam Alibhai, Ruth Rennicks White, Alysha Lj Dingwall-Harvey, Sandra I Dunn, Darine El-Chaâr

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Article in International breastfeeding journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

9 authors.

Maisha IslamSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada.
Dourra AssaniFaculty of Medicine, University of Ottawa, Ottawa, Canada.
Serine RamlawiClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
Malia Sq MurphyClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
Kameela Miriam AlibhaiFaculty of Medicine, University of Ottawa, Ottawa, Canada.
Ruth Rennicks WhiteClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
Alysha Lj Dingwall-HarveyClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
Sandra I DunnClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
Darine El-ChaârSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada. delchaar@toh.ca.

Funding

CIHR Canadian Preterm Birth Network Fund PBN - 150642
6 · The paper itself

Abstract

backgroundBreastfeeding is recognized as the gold standard of infant feeding and nutrition. The World Health Organization recommends exclusive breastfeeding (EBF) of infants for the first 6 months of life. A variety of factors may impact breastfeeding practices in-hospital which may continue after hospital discharge, such as the use of breastmilk substitutes (BMS). The Baby-Friendly Initiative (BFI), which aims to promote and support breastfeeding practices, established a target rate of 75% for EBF from birth to hospital discharge. Currently, this target is not being met at The Ottawa Hospital (TOH), indicating there is room for improvement in EBF rates. The purpose of this study is to explore health care professionals (HCP) decision-making around use of BMS and identify factors that drive the use of BMS with and without medical indications.

methodsIn this qualitative study, semi-structured interviews were conducted with HCPs within TOH from January to June 2022. All participants had experience in maternity or postpartum care and were probed on factors influencing use of BMS at this institution. Interview transcripts were coded using an inductive approach.

resultsA total of 18 HCPs were interviewed including physicians, midwives, lactation consultants, and registered nurses. Multilevel barriers influencing the use of BMS were categorized into patient, HCP, and institution-level factors. Subthemes that emerged ranged from parental preferences, training differences amongst HCPs, to budget and staffing issues. Over half of HCPs were prepared to answer questions on EBF and were familiar with the BFI. Although most were supportive of this institution receiving BFI designation, a few providers raised concerns of its impact on parents who would like to supplement.

conclusionsSeveral modifiable factors influencing decision-making for use of BMS were identified. These findings will be used to inform unit leads, help identify effective strategies to address modifiable barriers, and develop tailored breastfeeding supports to improve EBF rates.

Indexed as

Breast FeedingDecision MakingHealth PersonnelQualitative ResearchAdultAttitude of Health PersonnelFemaleHumansInfantInfant, NewbornInterviews as TopicMaleMilk SubstitutesBaby-Friendly initiativeBreastfeeding supportBreastmilk substitutesExclusive breastfeedingPostnatal careSupplementation rates

Identifiers

PMID38982529
PMCPMC11234533

What OpenQuestion holds

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LicenceCC BY
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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.