Document Detail


Complex decisions: theorizing women's infant feeding decisions in the first 6 weeks after birth.
MedLine Citation:
PMID:  20423420     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: This paper is a report of a grounded theory study of woman's infant feeding experiences and decisions in the first 6 weeks after birth. BACKGROUND: Breastfeeding is considered the optimum method of infant feeding. Studies have identified numerous factors associated with infant feeding decisions. What remains unexplored are the mechanisms by which socio-demographic, biomedical and psychosocial factors influence infant feeding decisions. Research highlights the need for further investigation of the experiences and decision-making processes of both breastfeeding and formula-feeding women. METHOD: A constructionist grounded theory approach to data collection and analysis was used. Data for this study were collected and analysed between 2003 and 2004. Further data, collected in a previous study in 2000, were theoretically sampled and analysed in 2005. In-depth interviews with 37 women from various socio-demographic areas in New South Wales, Australia provided data. FINDINGS: The core category was 'deconstructing best'. 'Deconstructing best' was the infant feeding decision-making process in the first 6 weeks after birth. The process of 'deconstructing best' involved seven phases: planning, expecting, realizing, questioning, getting on with it, defending and qualifying. Four main categories -'it's really best to breastfeed', 'it's the unknown', 'it's not the only thing going on', and 'everybody's best is different'- comprised the context within which deconstructing best occurred. CONCLUSION: Woman's infant feeding decisions cannot be viewed in isolation from other post-natal experiences and needs. Infant feeding decisions will only be understood and appropriately supported when they are seen in relation to the circumstances of a woman's life, her immediate sociocultural context and individual experience.
Authors:
Athena Sheehan; Virginia Schmied; Lesley Barclay
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of advanced nursing     Volume:  66     ISSN:  1365-2648     ISO Abbreviation:  J Adv Nurs     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-04-28     Completed Date:  2010-08-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7609811     Medline TA:  J Adv Nurs     Country:  England    
Other Details:
Languages:  eng     Pagination:  371-80     Citation Subset:  IM; N    
Affiliation:
Avondale College, Faculty of Nursing and Health, New South Wales, Australia. athena.sheehan@sah.org.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Bottle Feeding / psychology*
Breast Feeding / psychology*
Decision Making*
Female
Humans
Infant
Infant, Newborn
Middle Aged
Models, Psychological
Mothers / psychology*
Questionnaires
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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