Breastfeeding sick children in hospital: Exploring the experiences of mothers in UK paediatric wards

HOOKWAY, LYNDSEY; Brown, Amy; Grant, Aimee

doi:10.1111/mcn.13489

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Breastfeeding sick children in hospital: Exploring the experiences of mothers in UK paediatric wards

LYNDSEY HOOKWAY, Amy Brown

, Aimee Grant

Maternal and Child Nutrition, Volume: 19, Issue: 2

Swansea University Authors: LYNDSEY HOOKWAY, Amy Brown , Aimee Grant

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DOI (Published version): 10.1111/mcn.13489

Abstract

There is a paucity of literature exploring the challenges of breastfeeding sick children in hospital. Previous research has focused on single conditions and hospitals which limits understanding of the challenges in this population. Although evidence suggests that current lactation training in paedia...

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Published in:	Maternal and Child Nutrition
ISSN:	1740-8695 1740-8709
Published:	Wiley 2023
Online Access:	Check full text
URI:	https://cronfa.swan.ac.uk/Record/cronfa62725
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first_indexed	2023-02-23T14:15:57Z
last_indexed	2023-03-09T04:17:19Z
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Previous research has focused on single conditions and hospitals which limits understanding of the challenges in this population. Although evidence suggests that current lactation training in paediatrics is often inadequate, it is unclear where the specific training gaps are. This qualitative interview study of UK mothers aimed to explore the challenges of breastfeeding sick infants and children on a paediatric ward or paediatric intensive care unit. From 504 eligible respondents, a sample of 30 mothers of children aged 2–36 months with various conditions and demographic backgrounds was purposively chosen, and a reflexive thematic analysis undertaken. The study identified previously unreported impacts such as complex fluid needs, iatrogenic withdrawal, neurological irritability and changes to breastfeeding behaviour. Mothers described breastfeeding as emotionally and immunologically meaningful. There were many complex psychological challenges such as guilt, disempowerment, and trauma. 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spelling	v2 62725 2023-02-23 Breastfeeding sick children in hospital: Exploring the experiences of mothers in UK paediatric wards 5b6a46f227828ab6507622903e48f98f LYNDSEY HOOKWAY LYNDSEY HOOKWAY true false 37aea6965461cb0510473d109411a0c3 0000-0002-0438-0157 Amy Brown Amy Brown true false 6a1ce3bc54c692c804e858b70d2e4bd2 0000-0001-7205-5869 Aimee Grant Aimee Grant true false 2023-02-23 There is a paucity of literature exploring the challenges of breastfeeding sick children in hospital. Previous research has focused on single conditions and hospitals which limits understanding of the challenges in this population. Although evidence suggests that current lactation training in paediatrics is often inadequate, it is unclear where the specific training gaps are. This qualitative interview study of UK mothers aimed to explore the challenges of breastfeeding sick infants and children on a paediatric ward or paediatric intensive care unit. From 504 eligible respondents, a sample of 30 mothers of children aged 2–36 months with various conditions and demographic backgrounds was purposively chosen, and a reflexive thematic analysis undertaken. The study identified previously unreported impacts such as complex fluid needs, iatrogenic withdrawal, neurological irritability and changes to breastfeeding behaviour. Mothers described breastfeeding as emotionally and immunologically meaningful. There were many complex psychological challenges such as guilt, disempowerment, and trauma. Wider struggles such as staff resistance to bedsharing, inaccurate breastfeeding information, lack of food and inadequate breast pump provision made breastfeeding more challenging. There are numerous challenges related to breastfeeding and responsively parenting sick children in paediatrics, and these also impacted maternal mental health. Staff skill and knowledge gaps were widespread, and the clinical environment was not always conducive to supporting breastfeeding. This study highlights strengths in clinical care and provides insight into what measures are perceived as supportive by mothers. It also highlights areas for improvement, which may inform more nuanced paediatric breastfeeding standards and training. Journal Article Maternal and Child Nutrition 19 2 Wiley 1740-8695 1740-8709 Baby Friendly Initiative; breastfeeding; medical complexity; paediatrics; PICU; qualitative methods 1 4 2023 2023-04-01 10.1111/mcn.13489 http://dx.doi.org/10.1111/mcn.13489 COLLEGE NANME COLLEGE CODE Swansea University SU Library paid the OA fee (TA Institutional Deal) Swansea University. 2024-02-01T15:26:01.2932375 2023-02-23T14:14:32.6709258 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health LYNDSEY HOOKWAY 1 Amy Brown 0000-0002-0438-0157 2 Aimee Grant 0000-0001-7205-5869 3 62725__26777__d3a298e547cd46f28550840198625c04.pdf 62725_VoR.pdf 2023-03-08T15:56:59.2277551 Output 2043843 application/pdf Version of Record true © 2023 The Authors. Distributed under the terms of a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). true eng http://creativecommons.org/licenses/by-nc-nd/4.0/
title	Breastfeeding sick children in hospital: Exploring the experiences of mothers in UK paediatric wards
spellingShingle	Breastfeeding sick children in hospital: Exploring the experiences of mothers in UK paediatric wards LYNDSEY HOOKWAY Amy Brown Aimee Grant
title_short	Breastfeeding sick children in hospital: Exploring the experiences of mothers in UK paediatric wards
title_full	Breastfeeding sick children in hospital: Exploring the experiences of mothers in UK paediatric wards
title_fullStr	Breastfeeding sick children in hospital: Exploring the experiences of mothers in UK paediatric wards
title_full_unstemmed	Breastfeeding sick children in hospital: Exploring the experiences of mothers in UK paediatric wards
title_sort	Breastfeeding sick children in hospital: Exploring the experiences of mothers in UK paediatric wards
author_id_str_mv	5b6a46f227828ab6507622903e48f98f 37aea6965461cb0510473d109411a0c3 6a1ce3bc54c692c804e858b70d2e4bd2
author_id_fullname_str_mv	5b6a46f227828ab6507622903e48f98f_*_LYNDSEY HOOKWAY 37aea6965461cb0510473d109411a0c3__Amy Brown 6a1ce3bc54c692c804e858b70d2e4bd2_**_Aimee Grant
author	LYNDSEY HOOKWAY Amy Brown Aimee Grant
author2	LYNDSEY HOOKWAY Amy Brown Aimee Grant
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container_title	Maternal and Child Nutrition
container_volume	19
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publishDate	2023
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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.13489
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description	There is a paucity of literature exploring the challenges of breastfeeding sick children in hospital. Previous research has focused on single conditions and hospitals which limits understanding of the challenges in this population. Although evidence suggests that current lactation training in paediatrics is often inadequate, it is unclear where the specific training gaps are. This qualitative interview study of UK mothers aimed to explore the challenges of breastfeeding sick infants and children on a paediatric ward or paediatric intensive care unit. From 504 eligible respondents, a sample of 30 mothers of children aged 2–36 months with various conditions and demographic backgrounds was purposively chosen, and a reflexive thematic analysis undertaken. The study identified previously unreported impacts such as complex fluid needs, iatrogenic withdrawal, neurological irritability and changes to breastfeeding behaviour. Mothers described breastfeeding as emotionally and immunologically meaningful. There were many complex psychological challenges such as guilt, disempowerment, and trauma. Wider struggles such as staff resistance to bedsharing, inaccurate breastfeeding information, lack of food and inadequate breast pump provision made breastfeeding more challenging. There are numerous challenges related to breastfeeding and responsively parenting sick children in paediatrics, and these also impacted maternal mental health. Staff skill and knowledge gaps were widespread, and the clinical environment was not always conducive to supporting breastfeeding. This study highlights strengths in clinical care and provides insight into what measures are perceived as supportive by mothers. It also highlights areas for improvement, which may inform more nuanced paediatric breastfeeding standards and training.
published_date	2023-04-01T15:26:01Z
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Breastfeeding sick children in hospital: Exploring the experiences of mothers in UK paediatric wards

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