Success of Exclusive Breastfeeding for at Least the First 6 Months: A Case Study of Nakhon Pathom Province
Main Article Content
Abstract
This qualitative research aimed to study the experience of exclusive breastfeeding for the first 6 months after birth. Key informants were mothers who breastfed for 6 months or more but not more than 1 year and residing in sub-districts in Mueang Nakhon Pathom District, Nakhon Pathom Province. The data were collected by selecting the specific data group, from 38 mothers who delivered from Nakhon Pathom Hospital. The instrument used for data collection was a semi-structured interview form. Accuracy of the triangular data was checked by reviewing the triangulation and analyze them using thematic analysis.
The result showed that the respondents were postpartum mothers with the average age of 26.9 years old. The major factors which influenced the experience of successful exclusive breastfeeding for at least 6 months consisted of three issues: 1) self-motivation for breastfeeding. By recognizing the benefits of breast milk which is economical in raising a child and the values of breastfeeding. 2) Successful breastfeeding included assistance from individuals, family, close-friends and support from medical personnel. 3) Mother’s own efforts and willingness to identify remedies to maternal health problems and comfort of working mothers in doing breast pump at workplace on her own time and convenience, family lacking an understanding on the importance of breastfeeding. Therefore, it is recommended for them on learning to find ways and practices to support the mother and have the determination in encouraging the mother to continuously breastfeed, medical personnel should also proactively search for mothers who have problems with breastfeeding and help to find approaches to problems. It is also recommended that Thai children are only to receive breast milk only for as long as possible with the purpose of significantly enhancing the basic healthcare for physical and mental development of children to be qualified population in the future.
Article Details
References
Jirapaet K. Breastfeeding. importance of human resource development. In: Vongmongkol N, editor. Manual breastfeeding training guide. Bangkok: War Veterans Organization Office of Printing Mill; 2010. (in Thai)
Vichitsukon K, Sangperm P, Watthayu N, Ruangiratain S, Payakkaraung S. Breastfeeding. Bangkok: Pre-one; 2012. (in Thai)
Loompikanon P. President’s message of the Royal Thai College of Obstetrics and Gynecologists. In: Puapornpong P, Ieamjirakul K, Choomtoo S, Damroongwongsiri A, editors. Clinical practice of breastfeeding. Bangkok: Beyond enterprise; 2016. (in Thai)
National Statistical Office of Thailand. Final report Thailand survey situation children and women in Thailand 2015-2016 [revised edition 1 July 2017] [Internet]. 2017 [cited 2019 Oct 23]. Available from: http://www.ratchakicha.soc.go.th/ DATA/PDF/2560/A/072/1.PDF (in Thai)
Payakkaraung S. Hot issue and challenge in breastfeeding. In: Vichitsukon K, editor. Join forces, Create Breastfeeding Job Development Conference; 2019 Nov 6-8. Bangkok: 2019. (in Thai)
Choosri O. Family love bond tambon project fiscal year 2017 [Internet]. 2017 [cited 2017 Oct 22]. Available from: http://localfund.happynetwork.org/paper/10247 (in Thai)
Suebsai P. Sustainable development breastfeeding corner in work place [Internet]. 2017 [cited 2017 Oct 23]. Available from: https://library.thaibf.com/handle/023548404.11/350
Tawornwattana S. Breaking the barrier: breastfeeding at the beginning. Sustaining Breastfeeding Together; 6th Nation Breastfeeding Conference; Bangkok. Nonthaburi: PNS creation; 2017. p. 59-63. (in Thai)
Ministry of Public Health. Action Follow Code of Marketing of Breastmilk Substitutes 2018 31st July 2018 at NPH [Press release]. Nonthaburi: Ministry of Public Health; 2018. (in Thai)
World Health Organization. Infant and young child feeding: fact sheet update July 2017 [Internet]. 2017 [cited 2020 Mar 15]. Available from: http://www/who.int/mediacentre/factsheets/fs342/en/http://www/who.int/%20mediacentre/%20factSheets/fs342/en/
Nakorn Prathom Hospital. Obstetric statistic PCT 2013-2018. exclusive breastfeeding 6 months from NPH. Nakorn Prathom: Nakorn Prathom Hospital. (in Thai)
Chin L, Amir LH. Survey of patient satisfaction with the breastfeeding education and support services of the Royal Women’s Hospital, Melbourne. BMC Health Services Research 2008;8:83.
Miles MB, Huberman AM. Qualitative data analysis: an expanded sourcebook. Thousand Oaks (CA): SAGE Publications; 1994.
Cohen L, Manion L. Research method in education. 4th ed. New York: Routledge; 1994.
Charlick SJ, Fielder A, Pincombe J, McKellar L. Determined to breastfeed: a case study of exclusive breastfeeding using interpretative phenomenological analysis. Women and Birth 2017;30(4):325-31.
Ben Natan M, Wiener A, Ben Haim Y. Womens intention to exclusively breast feed: the Israeli perspective. Midwifery 2016;34:173-7.
Pender NJ, Murdaugh CL, and Parson MA. Health promotion in nursing practice. 4th ed. Upper Saddle River (NJ): Prentice Hall; 2002.
Apartsakun P. Value of breastfeeding in Thai mothers: nursing roles. Journal of The Royal Thai Army Nurses 2018;19 Suppl 2:53-61. (in Thai)
Apartsakun P. Value of breastfeeding in Thai mothers: nursing roles. Journal of The Royal Thai Army Nurses 2018;19 Suppl 2:53-61. (in Thai)
Cohen S, Gottlieb BH, Underwood LG. Social relationships and health. In Cohen S, Underwood LG, Gottlieb BH, editors. Social support measurement and intervention: a guide for health and social scientists. New York: Oxford University Press; 2000. p. 3-25.
Chanapai S, Sinsuksai N, Thananowan N, Phahuwatanakorn W. Knowledge, attitude, self- efficacy, spousal and nurse support predicting 6-weeks exclusive breastfeeding. Nursing Science Journal of Thailand 2014;32(1):51-60. (in Thai)
Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies in to health 21st century. Health Promotion International 2000;15(3).