Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/23351
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Breast pumps as an incentive for breastfeeding: a mixed methods study of acceptability
Authors: Crossland, Nicola
Thomson, Gill
Morgan, Heather
MacLennan, Graeme
Campbell, Marion
Dykes, Fiona
Hoddinott, Pat
Contact Email: p.m.hoddinott@stir.ac.uk
Keywords: Incentives
breastfeeding
breast milk expression
breast pump
acceptability
Issue Date: Oct-2016
Publisher: Wiley-Blackwell
Citation: Crossland N, Thomson G, Morgan H, MacLennan G, Campbell M, Dykes F & Hoddinott P (2016) Breast pumps as an incentive for breastfeeding: a mixed methods study of acceptability, Maternal and Child Nutrition, 12 (4), pp. 726-739.
Abstract: Increasing breastfeeding rates would improve maternal and child health, but multiple barriers to breastfeeding persist. Breast pump provision has been used as an incentive for breastfeeding, although effectiveness is unclear. Women's use of breast pumps is increasing and a high proportion of mothers express breastmilk. No research has yet reported women's and health professionals' perspectives on breast pumps as an incentive for breastfeeding. In the Benefits of Incentives for Breastfeeding and Smoking cessation in pregnancy (BIBS) study, mixed methods research explored women's and professionals' views of breast pumps as an incentive for breastfeeding. A survey of health professionals across Scotland and North West England measured agreement with ‘a breast pump costing around£40 provided for free on the NHS’ as an incentive strategy. Qualitative interviews and focus groups were conducted in two UK regions with a total of 68 participants (pregnant women, new mothers, and their significant others and health professionals) and thematic analysis undertaken. The survey of 497 health professionals found net agreement of 67.8% (337/497) with the breast pump incentive strategy, with no predictors of agreement shown by a multiple ordered logistic regression model. Qualitative research found interrelated themes of the ‘appeal and value of breast pumps’, ‘sharing the load’, ‘perceived benefits’, ‘perceived risks’ and issues related to ‘timing’. Qualitative participants expressed mixed views on the acceptability of breast pumps as an incentive for breastfeeding. Understanding the mechanisms of action for pump type, timing and additional support required for effectiveness is required to underpin trials of breast pump provision as an incentive for improving breastfeeding outcomes.
Type: Journal Article
URI: http://hdl.handle.net/1893/23351
DOI Link: http://dx.doi.org/10.1111/mcn.12346
Rights: © 2016 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Affiliation: University of Central Lancashire
University of Central Lancashire
University of Aberdeen
University of Aberdeen
University of Aberdeen
University of Central Lancashire
HS Research - Stirling

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