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Breastfeeding initiation, duration, and experiences of mothers of late preterm twins : a mixed-methods study

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dc.contributor Landspitali - The National University Hospital of Iceland
dc.contributor.author Jónsdóttir, Rakel Björg
dc.contributor.author Flacking, Renée
dc.contributor.author Jónsdóttir, Helga
dc.date.accessioned 2022-09-27T01:02:35Z
dc.date.available 2022-09-27T01:02:35Z
dc.date.issued 2022-09-08
dc.identifier.citation Jónsdóttir , R B , Flacking , R & Jónsdóttir , H 2022 , ' Breastfeeding initiation, duration, and experiences of mothers of late preterm twins : a mixed-methods study ' , International Breastfeeding Journal , vol. 17 , no. 1 , 68 , pp. 68 . https://doi.org/10.1186/s13006-022-00507-3
dc.identifier.issn 1746-4358
dc.identifier.other PURE: 60188051
dc.identifier.other PURE UUID: 63947a37-76b4-4550-82f4-6ec1a75da96d
dc.identifier.other Scopus: 85137547147
dc.identifier.other WOS: 000852391000001
dc.identifier.other unpaywall: 10.1186/s13006-022-00507-3
dc.identifier.uri https://hdl.handle.net/20.500.11815/3482
dc.description Funding Information: The study received financial support from Landspitali University Hospital Science Fund (A-2014-078 and A-2015-069) and The Icelandic Nurses Association Science Fund (31878 and 41180). Publisher Copyright: © 2022, The Author(s). © 2022. The Author(s).
dc.description.abstract BACKGROUND: Twins and late preterm (LPT) infants are at an increased risk of being breastfed to a lesser extent than term singletons. This study aimed to describe the initiation and duration of any and exclusive breastfeeding at the breast for mothers of LPT twins and term twins during the first 4 months and to explore the breastfeeding experiences of mothers of LPT twins. METHODS: A sequential two-sample quantitative-qualitative explanatory mixed-methods design was used. The quantitative data were derived from a longitudinal cohort study in which 22 mothers of LPT twins and 41 mothers of term twins answered questionnaires at one and four months after birth (2015-2017). The qualitative data were obtained from semi-structured interviews with 14 mothers of LPT twins (2020-2021), based on results from the quantitative study and literature. Analysis included descriptive statistics of quantitative data and deductive content analysis of the qualitative data, followed by condensation and synthesis. RESULTS: All mothers of LPT twins (100%) and most mothers of term twins (96%) initiated breastfeeding. There was no difference in any breastfeeding during the first week at home (98% versus 95%) and at 1 month (88% versus 85%). However, at 4 months, the difference was significant (44% versus 75%). The qualitative data highlighted that mothers of LPT twins experienced breastfeeding as complex and strenuous. Key factors influencing mothers' experiences and decisions were their infants' immature breastfeeding behaviors requiring them to express breast milk alongside breastfeeding, the burden of following task-oriented feeding regimes, and the lack of guidance from healthcare professionals. As a result, mothers started to question the worth of their breastfeeding efforts, leading to changes in breastfeeding management with diverse results. Support from fathers and grandparents positively influenced sustained breastfeeding. CONCLUSIONS: Mothers of LPT twins want to breastfeed, but they face many challenges in breastfeeding during the first month, leading to more LPT twins' mothers than term twins' mothers ceasing breastfeeding during the following months. To promote and safeguard breastfeeding in this vulnerable group, care must be differentiated from routine term infant services, and healthcare professionals need to receive proper education and training.
dc.format.extent 1
dc.format.extent 68
dc.language.iso en
dc.relation.ispartofseries International Breastfeeding Journal; 17(1)
dc.rights info:eu-repo/semantics/openAccess
dc.subject Hjúkrun langveikra fullorðinna
dc.subject Barnahjúkrun
dc.subject Breastfeeding
dc.subject Late preterm
dc.subject Mixed-methods
dc.subject Twins
dc.subject Premature Birth
dc.subject Mothers/education
dc.subject Humans
dc.subject Breast Feeding
dc.subject Infant
dc.subject Female
dc.subject Longitudinal Studies
dc.subject Infant, Newborn
dc.subject Milk, Human
dc.subject Obstetrics and Gynecology
dc.subject Pediatrics, Perinatology and Child Health
dc.title Breastfeeding initiation, duration, and experiences of mothers of late preterm twins : a mixed-methods study
dc.type /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article
dc.description.version Peer reviewed
dc.identifier.pmid 36076279
dc.identifier.doi https://doi.org/10.1186/s13006-022-00507-3
dc.relation.url http://www.scopus.com/inward/record.url?scp=85137547147&partnerID=8YFLogxK
dc.contributor.department Faculty of Nursing and Midwifery
dc.contributor.department Women's and Childrens's Services
dc.contributor.department Office of Division of Clinical Services I
dc.contributor.school Health Sciences

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