Abstract:
AIM:This paper is a report of a grounded theory study of woman's infant feeding experiences and decisions in the first 6 weeks after birth. BACKGROUND:Breastfeeding is considered the optimum method of infant feeding. Studies have identified numerous factors associated with infant feeding decisions. What remains unexplored are the mechanisms by which socio-demographic, biomedical and psychosocial factors influence infant feeding decisions. Research highlights the need for further investigation of the experiences and decision-making processes of both breastfeeding and formula-feeding women. METHOD:A constructionist grounded theory approach to data collection and analysis was used. Data for this study were collected and analysed between 2003 and 2004. Further data, collected in a previous study in 2000, were theoretically sampled and analysed in 2005. In-depth interviews with 37 women from various socio-demographic areas in New South Wales, Australia provided data. FINDINGS:The core category was 'deconstructing best'. 'Deconstructing best' was the infant feeding decision-making process in the first 6 weeks after birth. The process of 'deconstructing best' involved seven phases: planning, expecting, realizing, questioning, getting on with it, defending and qualifying. Four main categories -'it's really best to breastfeed', 'it's the unknown', 'it's not the only thing going on', and 'everybody's best is different'- comprised the context within which deconstructing best occurred. CONCLUSION:Woman's infant feeding decisions cannot be viewed in isolation from other post-natal experiences and needs. Infant feeding decisions will only be understood and appropriately supported when they are seen in relation to the circumstances of a woman's life, her immediate sociocultural context and individual experience.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Sheehan A,Schmied V,Barclay Ldoi
10.1111/j.1365-2648.2009.05194.xsubject
Has Abstractpub_date
2010-02-01 00:00:00pages
371-80issue
2eissn
0309-2402issn
1365-2648pii
JAN5194journal_volume
66pub_type
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journal_title:Journal of advanced nursing
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