The online version of this article (https://doi.org/10.1186/s12884-017-1651-7) contains supplementary material, which is available to authorized users.
A cluster randomised controlled trial of a financial incentive for breastfeeding conducted in areas with low breastfeeding rates in the UK reported a statistically significant increase in breastfeeding at 6–8 weeks. In this paper we report an analysis of interviews with women eligible for the scheme, exploring their experiences and perceptions of the scheme and its impact on breastfeeding to support the interpretation of the results of the trial.
Semi-structured interviews were carried out with 35 women eligible for the scheme during the feasibility and trial stages. All interviews were recorded and verbatim transcripts analysed using a Framework Analysis approach.
Women reported that their decisions about infant feeding were influenced by the behaviours and beliefs of their family and friends, socio-cultural norms and by health and practical considerations.
They were generally positive about the scheme, and felt valued for the effort involved in breastfeeding. The vouchers were frequently described as a reward, a bonus and something to look forward to, and helping women keep going with their breastfeeding. They were often perceived as compensation for the difficulties women encountered during breastfeeding. The scheme was not thought to make a difference to mothers who were strongly against breastfeeding. However, women did believe the scheme would help normalise breastfeeding, influence those who were undecided and help women to keep going with breastfeeding and reach key milestones e.g. 6 weeks or 3 months.
The scheme was acceptable to women, who perceived it as rewarding and valuing them for breastfeeding. Women reported that the scheme could raise awareness of breastfeeding and encourage its normalisation. This provides a possible mechanism of action to explain the results of the trial.
World Health Organisation. Health topics: breastfeeding. 2017.
UK U. Preventing disease and saving resources: the potential contribution of increasing breastfeeding rates in the UK. UNICEF: UK; 2012.
NHS England. Statistical Release Breastfeeding Initiation & Breastfeeding Prevalence 6–8 weeks quarter 1 2015/16. 2017.
Thomson G, Dykes F, Hurley M, et al. Incentives as connectors: insights into a breastfeeding incentive intervention in a disadvantaged area of north-West England. BMC Pregnancy Childbirth. 2012; https://doi.org/10.1186/1471-2393-12-22.
Moran VH, Morgan H, Rothnie K, et al. Incentives to promote breastfeeding: A systematic review. Pediatrics 2015:peds. 2014–221.
Whitford H, Whelan B, van Cleemput P, et al. Encouraging breastfeeding: financial incentives. Practising Midwife. 2015;18(2):18–21. published Online First: 2015/09/04 PubMed
Relton C, Strong M, Thomas K, et al. Do conditional cash transfers improve 6-8 week breastfeeding prevalence? The NOurishing start for health (NOSH) trial, an area-based cluster randomised controlled trial in England. JAMA Pediatr. 2017; https://doi.org/10.1001/jamapediatrics.2017.4523.
Ritchie J, Lewis J. Qualitative Research Practice: A Guide for Social Science Students and Researchers 2003.
QSR International. NVivo 10 for windows. 2012.
Mays N, Pope C. Quality in Qualitative Health Research. In: Mays N, Pope C, editors. Qualitative Research in Health Care. 3rd ed. Oxford: Blackwell; 2006. p. 82–101. CrossRef
Ellen B. Breastfeeding bribes? What a grubby little idea. The Guardian 2013.
Donnelly L, Holehouse M. Mothers might not breastfeed after taking £200 NHS bribe, MP warns. The Telegraph 2017.
Fox R, McMullen S, Newburn M. UK women’s experiences of breastfeeding and additional breastfeeding support: a qualitative study of baby Café services. BMC Pregnancy Childbirth. 2015;15(147):1–12. https://doi.org/10.1186/s12884-015-0581-5.
Lamontagne C, Hamelin A-M, St-Pierre M. The breastfeeding experience of women with major difficulties who use the services of a breastfeeding clinic: a descriptive study. Int Breastfeed J 2008;3(17) https://doi.org/10.1186/1746-4358-3-17.
- Valuing breastfeeding: a qualitative study of women’s experiences of a financial incentive scheme for breastfeeding
Mary J. Renfrew
- BioMed Central
Neu im Fachgebiet Gynäkologie und Geburtshilfe
Meistgelesene Bücher aus dem Fachgebiet
e.Med Kampagnen-Visual, Mail Icon II