Saint Louis University

Baguio City
School of Nursing
S.Y. 2018-2019

Journal
“A Qualitative Analysis of the Barriers and
Facilitators for Breastfeeding and Kangaroo
Mother Care Among Service Providers, Mothers
and Influencers of Neonates Admitted in Two
Urban Hospitals in India”
Submitted to:
Ms. Sahlee Florendo

Submitted By:
Cabatbat, Wyen C/

BSN III-B4
(June 27,2019)
 Saint Louis University
Baguio City
School of Nursing
S.Y. 2018-2019

CABATBAT, Wyen C.
BSN III B4

Title: “A Qualitative Analysis of the Barriers and Facilitators for Breastfeeding and Kangaroo
Mother Care Among Service Providers, Mothers and Influencers of Neonates Admitted in Two
Urban Hospitals in India”

Summary:
Known interventions like breastfeeding and kangaroo mother care (KMC) can avert a large
share of infant deaths. Mother Baby Friendly Initiative Plus (MBFI+) is an integrated approach to
ensure exclusive human milk diet through promotion of breastfeeding, KMC, and provision of
donor human milk (DHM) to vulnerable neonates lacking mothers’ own milk.

Qualitative research was conducted among 56 service recipients including mothers and key
influencers and 9 service providers to understand their knowledge, perceptions, and practices on
breastfeeding, KMC, DHM, and human milk banks (HMBs) in 2 facilities in India, one with and
another without an operational HMB.

Nearly all mothers mentioned that antenatal visits lacked information on breastfeeding.
Most were unaware of the recommended duration of exclusive breastfeeding. Most parents knew
about the benefits of breast milk and colostrum. Limited staff and privacy in facilities resulted in
inadequate breastfeeding and milk expression support to mothers, who found feeding of preterm
and low-birth-weight babies challenging. Mothers shared challenges in breastfeeding at home, such
as low family support and privacy and burden of household chores. Only those mothers who
practiced KMC were aware of its benefits. Few service providers and recipients were comfortable
with the practice of wet nursing in the absence of breastfeeding.

In conclusion, the MBFI+ is a promising approach which strengthen breastfeeding and

KMC. Quality counseling on breastfeeding and milk expression from antenatal period, increasing
awareness and training on KMC for mothers, improving infrastructure, addressing staff shortage,
and building capacities of hospital staff on MBFI+ are needed.

Reactions/Insights:
In relevance to patient, with mothers who have problems or lack of knowledge about
breastfeeding especially knowing the importance of KMC, which is why in relevance to us nurses
is to inform them about it. For in which, according to the journal there are also alternative ways
for the baby to have their milk like the MBFI+ which was just recently approved can be also a be
a reference for future research and also to be implemented here in the Philippines and its hospital
setting.

Reference: http://web.b.ebscohost.com/ehost/detail/detail?vid=0&sid=43dc7beb-0391-4e7a-
a3a4-4e6dad6246fb%40pdc-v-
sessmgr02&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=135320961&db=c8h