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Related Experiment Video

Updated: May 14, 2025

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Mixed Methods Studies on Breastfeeding: A Scoping Review.

Greyce Minarini1, Eliane Lima1, Karla Figueiredo2

  • 1Centro de Ciências da Saúde, Campus de Maruípe, Universidade Federal do Espírito Santo, Avenida Marechal Campos, 1.468, Vitória 29047-105, ES, Brazil.

Healthcare (Basel, Switzerland)
|April 12, 2025
PubMed
Summary
This summary is machine-generated.

Mixed methods research reveals key factors influencing breastfeeding decisions. Understanding barriers like emotional and social challenges, alongside facilitators such as prenatal education and strong support systems, is crucial for improving breastfeeding rates globally.

Keywords:
breastfeedingmaternal and child health centersmixed methodsreview

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Area of Science:

  • Public Health
  • Maternal and Child Health
  • Health Services Research

Background:

  • Breastfeeding decisions and duration are influenced by prenatal and postnatal health guidance and individual experiences.
  • A combination of quantitative and qualitative data is essential for a comprehensive understanding of breastfeeding practices.

Purpose of the Study:

  • To systematically map the scientific literature on the promotion, protection, and support of breastfeeding.
  • To identify studies utilizing mixed methods research in the field of breastfeeding support.

Main Methods:

  • A scoping review was conducted following JBI and PRISMA-ScR guidelines.
  • Searches were performed across seven major databases (Medline/PubMed, EMBASE, Cochrane, BVS, CINAHL, Web of Science, BDTD).
  • The review focused on studies employing mixed methods to investigate breastfeeding promotion, protection, and support.

Main Results:

  • Out of 3569 identified studies, 36 mixed methods studies were included, predominantly using an explanatory sequential approach.
  • Breastfeeding rates in the included studies were below global recommendations.
  • Identified barriers included biological, emotional, cultural, environmental, clinical, and social factors, alongside lack of support.
  • Facilitators comprised prenatal education, counseling, maternal intention, and support from family, employers, and healthcare professionals.

Conclusions:

  • Mixed methods research provides a comprehensive understanding of breastfeeding rates, barriers, and facilitators across diverse global contexts.
  • The findings underscore the importance of multifaceted interventions addressing individual, social, and environmental factors to enhance breastfeeding support.
  • Further research utilizing mixed methods is recommended for evaluating the effectiveness of breastfeeding interventions.