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Exclusive breastfeeding among working mothers in Kenya: Perspectives from women, families and employers.
Ickes, Scott B; Sanders, Hannah; Denno, Donna M; Myhre, Jennifer A; Kinyua, Joyceline; Singa, Benson; Lemein, Hellen Sankaine; Iannotti, Lora L; Farquhar, Carey; Walson, Judd L; Nduati, Ruth.
Afiliación
  • Ickes SB; Department of Applied Health Science, Wheaton College, Wheaton, Illinois, USA.
  • Sanders H; Department of Health Services, University of Washington, Seattle, Washington, USA.
  • Denno DM; Department of Global Health, University of Washington, Seattle, Washington, USA.
  • Myhre JA; Kenya Medical Research Institute, Nairobi, Kenya.
  • Kinyua J; Department of Applied Health Science, Wheaton College, Wheaton, Illinois, USA.
  • Singa B; Department of Health Services, University of Washington, Seattle, Washington, USA.
  • Lemein HS; Department of Global Health, University of Washington, Seattle, Washington, USA.
  • Iannotti LL; Department of Pediatrics, University of Washington, Seattle, Washington, USA.
  • Farquhar C; Childhood Acute Illnesses Network (CHAIN), Nairobi, Kenya.
  • Walson JL; Naivasha Sub-County Referral Hospital, Serge East Africa, Naivasha, Kenya.
  • Nduati R; Kenya Medical Research Institute, Nairobi, Kenya.
Matern Child Nutr ; 17(4): e13194, 2021 10.
Article en En | MEDLINE | ID: mdl-33949782
Exclusive breastfeeding (EBF) for the first 6 months of life improves survival, growth and development. In Kenya, recent legislation and policies advocate for maternity leave and workplace support for breastfeeding and breast milk expression. We conducted a qualitative study to describe factors influencing EBF for 6 months among mothers employed in commercial agriculture and tourism. We interviewed employed mothers (n = 42), alternate caregivers and employed mothers' husbands (n = 20), healthcare providers (n = 21), daycare directors (n = 22) and commercial flower farm and hotel managers (n = 16) in Naivasha, Kenya. Despite recognizing the recommended duration for EBF, employed mothers describe the early cessation of EBF in preparation for their return to work. Managers reported supporting mothers through flexible work hours and duties. Yet, few workplaces have lactation spaces, and most considered adjusting schedules more feasible than breastfeeding during work. Managers and healthcare providers believed milk expression could prolong EBF but thought mothers lack experience with pumping. The most frequently suggested interventions for improving EBF duration were to expand schedule flexibility (100% of groups), provide on-site daycare (80% of groups) and workplace lactation rooms (60% of groups), improve milk expression education and increase maternity leave length (60% of groups). Returning to work corresponds with numerous challenges including lack of proximate or on-site childcare and low support for and experience with milk expression. These factors currently make EBF for 6 months unattainable for most mothers in these industries. Interventions and supports to improve breastfeeding upon return to work are recommended to strengthen employed mothers' opportunity for EBF.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Mujeres Trabajadoras / Extracción de Leche Materna Tipo de estudio: Qualitative_research Aspecto: Equity_inequality Límite: Female / Humans / Infant / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Matern Child Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / PERINATOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Mujeres Trabajadoras / Extracción de Leche Materna Tipo de estudio: Qualitative_research Aspecto: Equity_inequality Límite: Female / Humans / Infant / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Matern Child Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / PERINATOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido