‘IT WAS NEVER AN OPTION NOT TO BREASTFEED’: EXPLORING BREASTFEEDING EXPERIENCES AND INTENTIONS OF MULTIGRAVIDAE IN SOUTHERN NIGERIA.
Abstract
Exclusive breastfeeding rates are generally modest despite its benefits and pertinence in countries with high childhood morbidity and mortality. In order to understand the complexities of successfully promoting breastfeeding, qualitative research using postmodern research methodologies such as ethnography, grounded theory and interpretative phenomenological analysis, as well as feminist analysis have been employed to explore the experience of breastfeeding by the active participants of breastfeeding-mothers. However, there is a dearth of such studies in developing countries like Nigeria. This study explores accounts of breastfeeding provided by nine pregnant Nigerian women (28-33 years) who had previously breastfed. Participants wereinterviewed, and data were analysed using interpretative phenomenological analysis. Analyses indicated three emergent themes which highlighted women’s experiences of breastfeeding as complex and shaped by proximal and distal influences. Accounts of pain, psychological distress and worries over ‘breast addiction’ were juxtaposed with pride in perceptions of good mothering, connectedness and upholding cultural heritage. Women’s feeding choices were scrutinised and/or stigmatised by family and community members. In the context of feminist ‘‘lens’’, major implication is the potential penalisation for not breastfeeding and hence, a contravention of the right of choice of infant feeding.There is therefore, the need for the incorporation of the right to choose infant feeding methods in breastfeeding campaigns; support for breastfeeding, particularly the inclusion of support for discontinuation; and similar research to explore specific aspects and perspectives on breastfeeding such as those of spouses, to further provide insights that may be useful for the improvement, adaptation and/or development of interventions.ÂReferences
Abasiattai, A., Etukumana, E., Nyong, E., & Eyo, U. (2014).Knowledge and practice of exclusive breastfeeding among antenatal attendees in Uyo, Southern Nigeria.Gaziantep Medical Journal, 20, 130-135.
Adelaja, A. (2010). Breastfeeding rates drop in Nigeria. Health Newborn Network.Available at: http://www.healthynewbornnetwork.org/press-release/breastfeeding-rates-drop-nigeria (Accessed 22 December, 2014).
Agho, K.E., Dibley, M.J., Odiase, J.I. &Ogbonmwan, S.M. (2011). Determinants of exclusive breastfeeding in Nigeria. Pregnancy and Childbirth11(2). Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3025918/pdf/1471-2393-11-2.pdf (Accessed 02 September, 2016).
Agunbiade, O.M., & Ogunleye, O.P. (2012). Constraints to exclusive breastfeeding practice among breastfeeding mothers in Southwest Nigeria: Implications for scaling up. International Breastfeeding Journal, 7, 5.
Afoakwah, G., Smyth, R., & Lavender, T. (2013). Women’s experiences of breastfeeding: A narrative review of qualitative studies. African Journal of Midwifery and Women's Health, 7(2), 71-77.
Alade, O., Ayoade, T., Oshiname, F., & Arulogun, O. (2013).Exclusive breastfeeding and related antecedent factors among lactating mothers in a rural community in Southwest Nigeria.International Journal of Nursing and Midwifery 5, 132-138.
Aniebue, P.N., Aniebue, U.U., & Adimora, G.N. (2010).Knowledge and beliefs about exclusive breastfeeding among rural Nigerian men in Enugu, Southeast Nigeria.Breastfeeding Medicine, 5(4), 169-171.
Badejo, A. F., Majekodunmi, A. O., Kingsley, P., Smith, J., & Welburn, S. C. (2017). The impact of self-help groups on pastoral women’s empowerment and agency: A study in Nigeria. Pastoralism, 7(1), 28.
Berridge, K., McFadden, K., Abayomi, J.,& Topping, J. (2005). Views of breastfeeding difficulties among drop-in-clinic attendees. Maternal and Child Nutrition,1, 250-262.
Bottorff, J. L. (1990). Persistence in breastfeeding: A phenomenological investigation. Journal of Advanced Nursing, 15, 201-209.
Brocki, J. M., & Wearden, A. J. (2006). A critical evaluation of the use of interpretative phenomenological analysis (IPA) in health psychology. Psychology and Health, 21(1), 87-108.
Carter, P. (1995). Feminism, breasts and breastfeeding. Basingstoke: Macmillian Press.
Cassidy, E., Reynolds, F., Naylor, S., & De Souza, L. (2011). Using interpretative phenomenological analysis to inform physiotherapy practice: An introduction with reference to the lived experience of cerebellar ataxia. Physiotherapy Theory and Practice, 27(4), 263-277.
Cattaneo, A., Ronfani, L., Burmaz, T., Quintero-Romero, S., Macaluso, A., & Di Mario, S. (2006). Infant feeding and cost of health care: a cohort study. Acta Paediatrica 95, 540–546.
Coetzee, B., Tomlinson, M., Osawe, S., Kagee, A., & INFANT Study Team. (2017). Barriers to and Facilitators of Adherence to Exclusive Breastfeeding Practices Among HIV Infected and Non-Infected Women in Jos, Nigeria.Maternal and Child Health Journal, 21(4), 953-960.
Cohen, R. and Mrtek, M.B., Mrtek, R.G. (1995). Comparison of Maternal Absenteeism and Illness Rates Among Breastfeeding and Formula Feeding Women in Two Corporations. American Medical Journal of Health Promotion, 10(2), 148.
Davies-Adetugbo, A. (1997). Sociocultural factors and the promotion of exclusive breastfeeding in rural Yoruba Communities of Osun State. Social Science and Medicine,45,113-125.
de Jager, E., Skouteris, H., Broadbent, J., Amir, L., & Mellor, K. (2013). Psychosocial correlates of exclusive breastfeeding: a systematic review. Midwifery, 29(5), 506-518.
Dike, P. (2013). Birth practices of Nigerian women: A literature review. African Journal of Midwifery & Women's Health, 7(1). 39-48
Dudgeon, M., & Inhorn, M. (2004). Men’s influences on women’s reproductive health: Medical anthropological perspectives. Social Science & Medicine,59(7), 1379-1395.
Fagbamigbe, A., & Idemudia, E. (2016).Wealth and antenatal care utilization in Nigeria.Healthcare for Women International On-line publication. DOI: http://dx.doi.org/10.1080/07399332.2016.1225743
Forster, D.A., & McLachlan, H.L. (2010). Women’s views and experiences of breastfeeding: Positive, negative or just good for the baby? Midwifery, 26, 116-125.
Hauck, Y.L., & Irurita, V.F. (2003). Incompatible expectations: The dilemma of breastfeeding mothers. Health Care for Women International, 24(1), 62-78.
Hoddinott, P., & Pill, R. (2000). A qualitative study of women’s views about how health professionals communicate about infant feeding. Health Expectations, 3, 224-233.
Kramer, M., & Kakuma, R. (2002). The optimal duration of exclusive breastfeeding. Cochrane Database of Systematic Reviews 1, CD003517, http://dx.doi.org/ 10.1002/14651858.CD003517
Kinanee, J. & Ezekiel-Hart, J. (2009). Men as partners in maternal health: Implications for reproductive health counselling in Rivers State, Nigeria. Journal of Psychology and Counselling,1 (3), 39-44.
Kukla, R. (2006). Ethics and ideology in breastfeeding advocacy campaigns. Hypatia, 21, 157-180.
Langdridge, D. (2007). Phenomenological Psychology: Theory, Research and Method. Harlow, Pearson Prentice Hall.
Larsen, J.S., Hall, E.O.C., &Aargard, H. (2008). Shattered expectations: When mothers’ confidence in breastfeeding is undermined – A metasynthesis. Scandinivian Journal of Caring Sciences, 22(4), 653-661.
Leeming, D, Williamson, I, Lyttle, S and Johnson S (2013) socially sensitive lactation: Exploring the social context of breastfeeding. Psychology and Health 28, 450-468.
Levy, J., Webb, A., & Sellen, D. (2010). "On our own, we can't manage": Experiences with infant feeding recommendations among Malawian mothers living with HIV. International Breastfeeding Journal, 5(1), 15. Available at: http://www.internationalbreastfeedingjournal.com/content/5/1/15 (Accessed February 22, 2015).
Makama, G. A. (2013). Patriarchy and gender inequality in Nigeria: the way forward. European Scientific Journal, ESJ, 9(17) 115-144
Makinde T (2004) Motherhood as a source of empowerment of women inYoruba culture.Journal of African
Studies 13(2): 164–74
Marshall, J. L., Godfrey, M., & Renfrew, M.J. (2007). Being a ‘good mother’: Managing breastfeeding and merging identities. Social Science and Medicine, 65, 2147-2159.
McCarter-Spaulding, D. (2008). Is breastfeeding fair? Tensions in feminist perspectives on breastfeeding and the family. Journal of Human Lactation, 24, 206-212.
Nelson, A.M. (2006). A metasynthesis of qualitative breastfeeding studies. Journal of Midwifery andWomen’s Health, 51(2), e13-20.
Nigeria Demographic and Health Survey (NDHS) (2013). Abuja, Nigeria: National Population Commission (NPC).
Nigeria Demographic and Health Survey (NDHS) (2008). Abuja, Nigeria: National Population Commission (NPC).
Oche, M.O., Umar, A.S. & Ahmed, H. (2011).Knowledge and practice of exclusive breastfeeding in Kware, Nigeria.African Health Sciences, 11(3), 518-522.
Odom, E.C., Li, R., Scanlon, K. S., Perrine, C. G., & Grummer-Strawn, L. (2013).Reasons for earlier than desired cessation of breastfeeding.Pediatrics, 131(3), e726-e732.
Ogbo.F., Agho, N., & Page, A. (2015). Determinants of suboptimal breastfeeding
practices in Nigeria: Evidence from the 2008 demographic and health survey. BMC Public Health, 15, 259.
Ojofeitimi, C.O., Elegbe, I.A., &Afolabi, O.A. (1986). Use of powdered formula and incidence of underweight among enfants of educated and uneducated mothers in Ile-Ife, Nigeria. Journal of Pediatric Gastroenterol Nutrition,5, 236-241.
Olaore, A. Y., & Drolet, J. (2017).Indigenous Knowledge, Beliefs, and Cultural Practices for Children and Families in Nigeria.Journal of Ethnic & Cultural Diversity in Social Work, 26(3), 254-270.
Onayade, A.A., Ijadunola, K.T., Obiajunwa, P.O., Aina, O.I., & Thairu, L.N. (2006). Acceptability, feasibility and affordability of infant feeding options for HIV-infected women: A qualitative study in South-west, Nigeria. Maternal and Child Nutrition, 2(3), 135-144.
Osborn, M.,& Smith, J.A. (1998). The personal experience of chronic benign lower back pain: An interpretative phenomenological analysis. British Journal of Health Psychology, 3, 65-83.
Reid, K., Flowers, P., & Larkin, M. (2005). Interpretative phenomenological analysis: An overview and methodological review. The Psychologist, 18, 20-23.
Schmied, V., & Barclay, L. (1999). Connection and pleasure, disruption and distress: Women’s experience of breastfeeding. Journal of Human Lactation, 15(4), 325-334.
Schmied, V., Beake, S., Sheehan, A., McCourt, C., & Dykes, F. (2011). Women’s perceptions and experiences of breastfeeding support: a metasynthesis. Birth, 38, 49-60.
Scott J. A., & Mostyn, T. (2003).Women’s experiences of breastfeeding in a bottle-feeding culture.Journal of Human Lactation, 19, 270-277.
Smith, J.A., Flowers, P., & Larkin, M. (2009). Interpretative Phenomenological Analysis: Theory, Method and Research, Los Angeles, USA: Sage Publications.
Spencer, R. L. (2008). Research methodologies to investigate the experience of breastfeeding: A discussion paper. International Journal of Nursing studies, 45(12), 1823-1830.
Spitzmueller, C., Wang, Z., Zhang, J., Thomas, C. L., Fisher, G.G., Matthews, R. A., and Strathearn, L. (2015). Got milk? Workplace factors related to breastfeeding among working mothers. Journal of Organisational behaviour,DOI: 10.1002.
Stearns, C. A. (1999). Breastfeeding and the good maternal body. Gender and Society,13(3),308-325.
Ukegbu, A.U., Ukegbu, P.O., Onyeonoro, U.U., & Ubajaka, C.F. (2011).Determinants of breastfeeding patterns among mothers in Anambra State, Nigeria.South African Journal of Child Health, 5(4), 112-116.
Van Esterik, P. (1999). Right to food; right to feed; right to be fed. The intersection of women’s right and the right to food. Agriculture and Human Values, 16, 225-232.
Williamson, I., Leeming D., Lyttle, S. & Johson, S. (2011). ‘It should be the most natural thing in the world’: exploring first-time mothers’ breastfeeding difficulties in the UK using audio-diaries and interviews. Maternal and Child Nutrition, 8(4),434-447.
Williamson, I., & Sacranie, S. (2012). Nourishing body and spirit: Exploring British Muslim mothers constructions and experiences of breastfeeding. Diversity & Equality in Health and Care, 9, 113-123.
Willig, C. (2013). Introducing qualitative research in psychology (3rd ed.). Maidenhead, England:McGraw Hill and the Open University Press.
World Health Organisation (WHO), (2015).World Breastfeeding Week. Retrieved from
http://www.who.int/maternal_child_adolescent/news_events/events/2015/world-
Breastfeeding-week/en/).
World Health Organisation (WHO), (2001).The Optimal Duration of Breastfeeding: Report of an
Expert Consultation. Geneva, Switzerland: World Health Organisation.
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