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

Author

Listed:
  • Seila Llorente-Pulido

    (Servicio Canario de Salud. Gerencia de Atención Primaria de Tenerife, Primary Health Care San Isidro, 38611 Tenerife (Canary Islands), Spain)

  • Estefanía Custodio

    (Joint Research Centre European Commission, 21027 Ispra, Italy
    National Centre for Tropical Medicine, Health Institute Carlos III, 28029 Madrid, Spain)

  • Maria Rosario López-Giménez

    (Preventive Medicine and Public Health and Microbiology Department, Universidad Autónoma of Madrid, 28029 Madrid, Spain)

  • Belén Sanz-Barbero

    (National School of Public Health. Health Institute Carlos III, 28029 Madrid, Spain
    CIBER Epidemiology and Public Health (CIBERESP-ISCIII), 28029 Madrid, Spain)

  • Laura Otero-García

    (CIBER Epidemiology and Public Health (CIBERESP-ISCIII), 28029 Madrid, Spain
    Nursing Department, Faculty of Medicine, Universidad Autónoma of Madrid, 28029 Madrid, Spain)

Abstract

(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.

Suggested Citation

  • Seila Llorente-Pulido & Estefanía Custodio & Maria Rosario López-Giménez & Belén Sanz-Barbero & Laura Otero-García, 2021. "Barriers and Facilitators for Exclusive Breastfeeding in Women’s Biopsychosocial Spheres According to Primary Care Midwives in Tenerife (Canary Islands, Spain)," IJERPH, MDPI, vol. 18(7), pages 1-22, April.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3819-:d:530824
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    References listed on IDEAS

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    1. Felix Akpojene Ogbo & Blessing J. Akombi & Kedir Y. Ahmed & Abdon G. Rwabilimbo & Akorede O. Ogbo & Noel E. Uwaibi & Osita K. Ezeh & Kingsley E. Agho & on behalf of the Global Maternal and Child Healt, 2020. "Breastfeeding in the Community—How Can Partners/Fathers Help? A Systematic Review," IJERPH, MDPI, vol. 17(2), pages 1-13, January.
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    Cited by:

    1. Seila Llorente-Pulido & Estefanía Custodio & María Rosario López-Giménez & Laura Otero-García, 2021. "Barriers and Facilitators for Exclusive Breastfeeding within the Health System and Public Policies from In-Depth Interviews to Primary Care Midwives in Tenerife (Canary Islands, Spain)," IJERPH, MDPI, vol. 19(1), pages 1-27, December.

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