Understanding infant feeding practices of new mothers: findings from the Healthy Beginnings Trial

Abstract

Objective: This study aimed to explore the experiences of infant feeding of first-time mothers and identify the barriers and facilitators in relation to healthy infant feeding practices. Design: As part of the Healthy Beginnings Trial, descriptive analyses were conducted using data extracted from both baseline and six month surveys. Twenty five face-to-face in-depth interviews were conducted at 12 months postpartum by two trained research nurses with a series of semi structured questions to explore mother’s infant feeding experience. Setting: The study was conducted in southwest Sydney, the most socially and economically disadvantaged area of metropolitan Sydney, New South Wales in 2007-2010. Main outcome measures: To understand mothers’ experiences of infant feeding and identify the barriers and facilitators in relation to healthy infant feeding practices. Results: A total of 561 mothers completed both baseline and six month surveys. Of these, 25 agreed to participate in a faceto-face in-depth interview at 12 months postpartum. A high proportion (96%) of mothers initiated breastfeeding, only 38% continued breastfeeding at 6 months postpartum due to numerous barriers. The main barriers for breastfeeding were milk supply and unsettled baby, latching baby to the breast and pain. The main barrier for appropriate timing of introduction of solid food was confusion about the recommended guidelines. Hospital support was regarded as the main facilitator for healthy infant feeding practices. Conclusions: A significant proportion of mothers did not meet the WHO recommended guidelines for breastfeeding. The first week of life was the most critical time for first time mothers to establish and consolidate breastfeeding. Education around appropriate timing of introduction of solids for both mothers and health professionals would be beneficial in ensuring consistency and adherence to the guidelines.