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Int. J. Environ. Res. Public Health 2015, 12(5), 4520-4532;

Why Do Mothers of Young Infants Choose to Formula Feed in China? Perceptions of Mothers and Hospital Staff

Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310006, China
Department of Management Sciences, City University of Hong Kong, Hong Kong 999077, China
School of Public Health, Curtin University, Perth, WA 6845, Australia
Shenzhen Maternity and Child Healthcare Hospital, Shenzhen, Guangdong 518038, China
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 4 March 2015 / Revised: 16 April 2015 / Accepted: 17 April 2015 / Published: 24 April 2015
(This article belongs to the Special Issue Breastfeeding and Infant Health)
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In China the exclusive breastfeeding rate remains low and infant formula is widely used. This study aimed to elicit and compare mothers’ and hospital staff perceptions of the reasons that shaped mothers’ decision to formula feed. In-depth interviews with 50 mothers, and four focus group discussions with 33 hospital staff, were conducted in Hangzhou and Shenzhen in November 2014. Responses given by the mothers and hospital staff showed a number of commonalities. The perception of “insufficient breast milk” was cited by the majority of women (n = 37, 74%) as the reason for formula feeding. Mothers’ confidence in breastfeeding appears to be further reduced by maternal mothers or mothers-in-law’s and “confinement ladies” misconceptions about infant feeding. Inadequate breastfeeding facilities and limited flexibility at their workplace was another common reason given for switching to formula feeding. A substantial proportion of mothers (n = 27, 54%) lacked an understanding of the health benefits of breastfeeding. Antenatal education on breastfeeding benefits for expectant mothers and their families is recommended. Moreover, mothers should be provided with breastfeeding support while in hospital and be encouraged to seek professional assistance to deal with breastfeeding problems after discharge. Employers should also make work environments more breastfeeding-friendly. View Full-Text
Keywords: breastfeeding; infant formula; qualitative research; China breastfeeding; infant formula; qualitative research; China
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Zhang, K.; Tang, L.; Wang, H.; Qiu, L.-Q.; Binns, C.W.; Lee, A.H. Why Do Mothers of Young Infants Choose to Formula Feed in China? Perceptions of Mothers and Hospital Staff. Int. J. Environ. Res. Public Health 2015, 12, 4520-4532.

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