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Views and experience of breastfeeding in public: A qualitative systematic review

Aimee Grant Orcid Logo, Bethan Pell, Lauren Copeland Orcid Logo, Amy Brown Orcid Logo, Becky Ellis, Delyth Morris, Denitza Williams, Rhiannon Phillips

Maternal & Child Nutrition, Volume: 18, Issue: 4

Swansea University Authors: Aimee Grant Orcid Logo, Amy Brown Orcid Logo, Becky Ellis

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DOI (Published version): 10.1111/mcn.13407

Abstract

Breastfeeding rates in many Global North countries are low. Qualitative researchhighlights that breastfeeding in public is a particular challenge, despite mothers oftenhaving the legal right to do so. To identify barriers and facilitators, we systematicallysearched the qualitative research from Orga...

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Published in: Maternal & Child Nutrition
ISSN: 1740-8695 1740-8709
Published: Wiley 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa60442
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spelling 2022-12-22T09:36:51.3418381 v2 60442 2022-07-11 Views and experience of breastfeeding in public: A qualitative systematic review 6a1ce3bc54c692c804e858b70d2e4bd2 0000-0001-7205-5869 Aimee Grant Aimee Grant true false 37aea6965461cb0510473d109411a0c3 0000-0002-0438-0157 Amy Brown Amy Brown true false 8ea1fbb848d05d2f0262c6d03cfc9698 Becky Ellis Becky Ellis true false 2022-07-11 PHAC Breastfeeding rates in many Global North countries are low. Qualitative researchhighlights that breastfeeding in public is a particular challenge, despite mothers oftenhaving the legal right to do so. To identify barriers and facilitators, we systematicallysearched the qualitative research from Organisation for Economic Co‐operation andDevelopment countries relating to breastfeeding in public spaces from 2007 to 2021.Data were analysed using the Thematic Synthesis technique. The review was registeredwith PROSPERO (registration number: CRD42017081504). Database searching identified3570 unique records. In total, 74 papers, theses, or book chapters, relating to 71 studies,were included, accounting for over 17,000 mothers. Overall, data quality was high. Ouranalysis identified that five core factors influenced mothers’ thought processes and theirbreastfeeding in public behaviour: legal system; structural (in)equality; knowledge; beliefs andthe social environment. Macro‐level factors relating to legislation and inequality urgentlyrequire redress if breastfeeding rates are to be increased. Widespread culture change isalso required to enhance knowledge, change hostile beliefs and thus the socialenvironment in which mother/infant dyads exist. In particular, the sexualisation ofbreasts, disgust narratives and lack of exposure among observers to baby‐led infantfeeding patterns resulted in beliefs which created a stigmatising environment. In thiscontext, many mothers felt unable to breastfeed in public; those who breastfed outsidethe home were usually highly self‐aware, attempting to reduce their exposure to conflict.Evidence‐based theoretically informed interventions to remove barriers to breastfeedingin public are urgently required. Journal Article Maternal & Child Nutrition 18 4 Wiley 1740-8695 1740-8709 breastfeeding; breastfeeding in public; infant feeding; sexualisation of breasts; shaming; stigma 1 10 2022 2022-10-01 10.1111/mcn.13407 http://dx.doi.org/10.1111/mcn.13407 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University External research funder(s) paid the OA fee (includes OA grants disbursed by the Library) Wellcome Trust 105613/Z/14/Z 2022-12-22T09:36:51.3418381 2022-07-11T13:02:12.2848015 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Aimee Grant 0000-0001-7205-5869 1 Bethan Pell 2 Lauren Copeland 0000-0003-0387-9607 3 Amy Brown 0000-0002-0438-0157 4 Becky Ellis 5 Delyth Morris 6 Denitza Williams 7 Rhiannon Phillips 8 60442__24819__1c8dcca0de4942af87eb891375655600.pdf 60442_VoR.pdf 2022-08-03T12:10:45.5999031 Output 4137361 application/pdf Version of Record true © 2022 The Authors. This is an open access article under the terms of the Creative Commons Attribution License true eng http://creativecommons.org/licenses/by/4.0/
title Views and experience of breastfeeding in public: A qualitative systematic review
spellingShingle Views and experience of breastfeeding in public: A qualitative systematic review
Aimee Grant
Amy Brown
Becky Ellis
title_short Views and experience of breastfeeding in public: A qualitative systematic review
title_full Views and experience of breastfeeding in public: A qualitative systematic review
title_fullStr Views and experience of breastfeeding in public: A qualitative systematic review
title_full_unstemmed Views and experience of breastfeeding in public: A qualitative systematic review
title_sort Views and experience of breastfeeding in public: A qualitative systematic review
author_id_str_mv 6a1ce3bc54c692c804e858b70d2e4bd2
37aea6965461cb0510473d109411a0c3
8ea1fbb848d05d2f0262c6d03cfc9698
author_id_fullname_str_mv 6a1ce3bc54c692c804e858b70d2e4bd2_***_Aimee Grant
37aea6965461cb0510473d109411a0c3_***_Amy Brown
8ea1fbb848d05d2f0262c6d03cfc9698_***_Becky Ellis
author Aimee Grant
Amy Brown
Becky Ellis
author2 Aimee Grant
Bethan Pell
Lauren Copeland
Amy Brown
Becky Ellis
Delyth Morris
Denitza Williams
Rhiannon Phillips
format Journal article
container_title Maternal & Child Nutrition
container_volume 18
container_issue 4
publishDate 2022
institution Swansea University
issn 1740-8695
1740-8709
doi_str_mv 10.1111/mcn.13407
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
url http://dx.doi.org/10.1111/mcn.13407
document_store_str 1
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description Breastfeeding rates in many Global North countries are low. Qualitative researchhighlights that breastfeeding in public is a particular challenge, despite mothers oftenhaving the legal right to do so. To identify barriers and facilitators, we systematicallysearched the qualitative research from Organisation for Economic Co‐operation andDevelopment countries relating to breastfeeding in public spaces from 2007 to 2021.Data were analysed using the Thematic Synthesis technique. The review was registeredwith PROSPERO (registration number: CRD42017081504). Database searching identified3570 unique records. In total, 74 papers, theses, or book chapters, relating to 71 studies,were included, accounting for over 17,000 mothers. Overall, data quality was high. Ouranalysis identified that five core factors influenced mothers’ thought processes and theirbreastfeeding in public behaviour: legal system; structural (in)equality; knowledge; beliefs andthe social environment. Macro‐level factors relating to legislation and inequality urgentlyrequire redress if breastfeeding rates are to be increased. Widespread culture change isalso required to enhance knowledge, change hostile beliefs and thus the socialenvironment in which mother/infant dyads exist. In particular, the sexualisation ofbreasts, disgust narratives and lack of exposure among observers to baby‐led infantfeeding patterns resulted in beliefs which created a stigmatising environment. In thiscontext, many mothers felt unable to breastfeed in public; those who breastfed outsidethe home were usually highly self‐aware, attempting to reduce their exposure to conflict.Evidence‐based theoretically informed interventions to remove barriers to breastfeedingin public are urgently required.
published_date 2022-10-01T04:18:33Z
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