Helpful and challenging aspects of breastfeeding in public for women living in Australia, Ireland and Sweden: A cross-sectional study

Background: Breastfeeding in public continues to be contentious with qualitative evidence confirming that women face many challenges. It is therefore important to gain understanding of not only the challenges but also what women perceive is helpful to breastfeed in public. Methods: A cross-secti...

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Main Authors: Hauck, Yvonne, Kuliukas, Lesley, Gallagher, L., Brady, V., Dykes, C., Rubertsson, C.
Format: Journal Article
Language:English
Published: BMC 2020
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/81371
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author Hauck, Yvonne
Kuliukas, Lesley
Gallagher, L.
Brady, V.
Dykes, C.
Rubertsson, C.
author_facet Hauck, Yvonne
Kuliukas, Lesley
Gallagher, L.
Brady, V.
Dykes, C.
Rubertsson, C.
author_sort Hauck, Yvonne
building Curtin Institutional Repository
collection Online Access
description Background: Breastfeeding in public continues to be contentious with qualitative evidence confirming that women face many challenges. It is therefore important to gain understanding of not only the challenges but also what women perceive is helpful to breastfeed in public. Methods: A cross-sectional study was conducted with women living in Australia, Ireland or Sweden currently breastfeeding or having breastfed within the previous 2 years. Our objective was to explore and compare what women do when faced with having to breastfeed in the presence of someone they are uncomfortable with and what women think is helpful and challenging when considering whether to breastfeed in public. Data were collected in 2018 from an online survey over a 4 week period in each country. Content analysis revealed data similarity and theme names and definitions were negotiated until consensus was reached. How often each theme was cited was counted to report frequencies. Helpful and challenging aspects were also ranked by women to allow international comparison. Results: Ten themes emerged around women facing someone they were uncomfortable to breastfeed in the presence of with the most frequently cited being: 'made the effort to be discreet'; 'moved to a private location'; 'turned away' and 'just got on with breastfeeding'. Nine themes captured challenges to breastfeed in public with the following ranked in the top five across countries: 'unwanted attention'; 'no comfortable place to sit'; 'environment not suitable'; 'awkward audience' and 'not wearing appropriate clothing'. Nine themes revealed what was helpful to breastfeed in public with the top five: 'supportive network'; 'quiet private suitable environment'; 'comfortable seating'; 'understanding and acceptance of others' and 'seeing other mothers' breastfeed'. Conclusions: When breastfeeding in public women are challenged by shared concerns around unwanted attention, coping with an awkward audience and unsuitable environments. Women want to feel comfortable when breastfeeding in a public space. How women respond to situations where they are uncomfortable is counterproductive to what they share would be helpful, namely seeing other mothers breastfeed. Themes reveal issues beyond the control of the individual and highlight how the support required by breastfeeding women is a public health responsibility.
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spelling curtin-20.500.11937-813712021-01-07T07:46:47Z Helpful and challenging aspects of breastfeeding in public for women living in Australia, Ireland and Sweden: A cross-sectional study Hauck, Yvonne Kuliukas, Lesley Gallagher, L. Brady, V. Dykes, C. Rubertsson, C. Science & Technology Life Sciences & Biomedicine Obstetrics & Gynecology Pediatrics Breastfeeding in public Decision-making Mothers Experiences Background: Breastfeeding in public continues to be contentious with qualitative evidence confirming that women face many challenges. It is therefore important to gain understanding of not only the challenges but also what women perceive is helpful to breastfeed in public. Methods: A cross-sectional study was conducted with women living in Australia, Ireland or Sweden currently breastfeeding or having breastfed within the previous 2 years. Our objective was to explore and compare what women do when faced with having to breastfeed in the presence of someone they are uncomfortable with and what women think is helpful and challenging when considering whether to breastfeed in public. Data were collected in 2018 from an online survey over a 4 week period in each country. Content analysis revealed data similarity and theme names and definitions were negotiated until consensus was reached. How often each theme was cited was counted to report frequencies. Helpful and challenging aspects were also ranked by women to allow international comparison. Results: Ten themes emerged around women facing someone they were uncomfortable to breastfeed in the presence of with the most frequently cited being: 'made the effort to be discreet'; 'moved to a private location'; 'turned away' and 'just got on with breastfeeding'. Nine themes captured challenges to breastfeed in public with the following ranked in the top five across countries: 'unwanted attention'; 'no comfortable place to sit'; 'environment not suitable'; 'awkward audience' and 'not wearing appropriate clothing'. Nine themes revealed what was helpful to breastfeed in public with the top five: 'supportive network'; 'quiet private suitable environment'; 'comfortable seating'; 'understanding and acceptance of others' and 'seeing other mothers' breastfeed'. Conclusions: When breastfeeding in public women are challenged by shared concerns around unwanted attention, coping with an awkward audience and unsuitable environments. Women want to feel comfortable when breastfeeding in a public space. How women respond to situations where they are uncomfortable is counterproductive to what they share would be helpful, namely seeing other mothers breastfeed. Themes reveal issues beyond the control of the individual and highlight how the support required by breastfeeding women is a public health responsibility. 2020 Journal Article http://hdl.handle.net/20.500.11937/81371 10.1186/s13006-020-00281-0 English http://creativecommons.org/licenses/by/4.0/ BMC fulltext
spellingShingle Science & Technology
Life Sciences & Biomedicine
Obstetrics & Gynecology
Pediatrics
Breastfeeding in public
Decision-making
Mothers
Experiences
Hauck, Yvonne
Kuliukas, Lesley
Gallagher, L.
Brady, V.
Dykes, C.
Rubertsson, C.
Helpful and challenging aspects of breastfeeding in public for women living in Australia, Ireland and Sweden: A cross-sectional study
title Helpful and challenging aspects of breastfeeding in public for women living in Australia, Ireland and Sweden: A cross-sectional study
title_full Helpful and challenging aspects of breastfeeding in public for women living in Australia, Ireland and Sweden: A cross-sectional study
title_fullStr Helpful and challenging aspects of breastfeeding in public for women living in Australia, Ireland and Sweden: A cross-sectional study
title_full_unstemmed Helpful and challenging aspects of breastfeeding in public for women living in Australia, Ireland and Sweden: A cross-sectional study
title_short Helpful and challenging aspects of breastfeeding in public for women living in Australia, Ireland and Sweden: A cross-sectional study
title_sort helpful and challenging aspects of breastfeeding in public for women living in australia, ireland and sweden: a cross-sectional study
topic Science & Technology
Life Sciences & Biomedicine
Obstetrics & Gynecology
Pediatrics
Breastfeeding in public
Decision-making
Mothers
Experiences
url http://hdl.handle.net/20.500.11937/81371