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Easier, but not easy: Testing a grounded theory of breastfeeding experiences among women with larger birthweight infants

Davie, P, Bick, D, Silverio, SA and Chilcot, J (2021) Easier, but not easy: Testing a grounded theory of breastfeeding experiences among women with larger birthweight infants. Psychology and Health. ISSN 0887-0446

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Abstract

Objective: Grounded Theory has previously been used to explore breastfeeding practices amongst average birthweight infants and these working hypotheses can be ‘tested’ in new contexts. A pre-existing Grounded Theory was applied to the context of women who gave birth to larger birthweight infants (≥4,000 g) to understand whether perceptions and practices of infant feeding were distinct. Design: A nested qualitative study analysed data from N = 10 women with a larger birthweight infant (≥4,000 g). Face-to-face, semi-structured interviews were audio-recorded and transcribed verbatim. Grounded Theory methodology was used to analyse data. Results: A pre-existing Grounded Theory of breastfeeding experiences derived from women with average birthweight infants did not hold true among women with larger birthweight infants. An alternative Grounded Theory was therefore proposed comprised of three discrete themes: Infant Ability to Breastfeed; Attenuating Maternal Concerns; and Reality of Breastfeeding. Conclusions: Larger infant birthweight is potentially a protective factor against breastfeeding latch and lactation difficulties. It is associated with alleviating maternal concerns, helping to reduce disparities between expectations of breastfeeding and reality, but does not alleviate the demands breastfeeding places on women. Healthcare professionals help to attenuate women’s concerns, however the support needs for women with larger birthweight infants may not differ from existing care recommendations.

Item Type: Article
Uncontrolled Keywords: Breastfeeding; grounded theory; infant; macrosomic; support; women’s health; 1302 Curriculum and Pedagogy; 1701 Psychology; Clinical Psychology
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Psychology (from Sep 2019)
Publisher: Taylor & Francis
SWORD Depositor: A Symplectic
Date Deposited: 05 Dec 2022 16:19
Last Modified: 05 Dec 2022 16:19
DOI or ID number: 10.1080/08870446.2021.1956495
URI: https://researchonline.ljmu.ac.uk/id/eprint/18285
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