Barriers and Facilitators for Exclusive Breastfeeding in Women's Biopsychosocial Spheres According to Primary Care Midwives in Tenerife (Canary Islands, Spain)

• Published in: International journal of environmental research and public health 2021-04, Vol.18 (7), p.3819
• Main Authors: Llorente-Pulido, Seila, Custodio, Estefanía, López-Giménez, Maria Rosario, Sanz-Barbero, Belén, Otero-García, Laura
• Format: Article
• Language: English
• Subjects: Breast Feeding; Breastfeeding & lactation; Content analysis; Female; Health care; Humans; Islands; Midwifery; Mothers; Population; Pregnancy; Primary care; Primary Health Care; Professional ethics; Qualitative Research; Research methodology; Social networks; Social organization; Spain; Transcription; Womens health
• ISSN: 1660-4601; 1661-7827; 1660-4601
• DOI: 10.3390/ijerph18073819

(1) The objective of our study is to determine, from a primary care midwife's perspective, which biopsychosocial factors can favour or be detrimental to exclusive breast feeding. (2) The study was carried out in Tenerife (Canary Islands, Spain) and is based on qualitative methodology. Twenty in-depth interviews were carried out with midwives working in primary care centres in Tenerife, using a content analysis approach. The transcript data was then encoded following an inductive approach. (3) According to the perceptions of the primary care midwives who were interviewed, the barriers and facilitators that influence exclusive breastfeeding related to the biopsychosocial spheres of women are, at an individual level, the physical and emotional aspects during the postnatal period; at the relationship level, the presence or not of support from the close family and partner; at the community level, the environment and social networks the new mothers may have; and at the work level, characteristics of jobs and early return to work. (4) The findings of our research can help healthcare professionals to approach the promotion and encouragement of exclusive breast feeding at each of the levels studied, with the aim of increasing rates following recommendations issued by The World Health Organization.