Understanding Breastfeeding Women's Behaviors Toward Medication: Healthcare Professionals' Viewpoint.


Journal

Journal of human lactation : official journal of International Lactation Consultant Association
ISSN: 1552-5732
Titre abrégé: J Hum Lact
Pays: United States
ID NLM: 8709498

Informations de publication

Date de publication:
Feb 2019
Historique:
pubmed: 5 5 2018
medline: 7 3 2020
entrez: 5 5 2018
Statut: ppublish

Résumé

Taking medication during breastfeeding is often a major concern for mothers. Knowledge, representations, and attitudes condition a mother's behavior in this situation. Healthcare professionals, whose medication advice for breastfeeding women is often described in scientific literature as inappropriate, play a major role in counseling mothers. Healthcare professionals' perceptions of mothers' behaviors regarding medication use during breastfeeding may influence mothers' behaviors. The aim of this study was to identify healthcare professionals' perceptions of breastfeeding women's knowledge, representations, and attitudes and behaviors about medication use. A cross-sectional, prospective qualitative design was used. Semistructured interviews were conducted with a broad array of healthcare professionals ( N = 20) in different practice settings in the Angers area (France). Thematic analysis of the interview transcripts was carried out using the planned behavior theory of Ajzen. Seventy themes concerning medication use while breastfeeding were identified and then combined into 8 categories. Healthcare professionals perceived that maternal behaviors regarding medication were mostly focused on the child's safety and were linked to poor knowledge and negative representations, attitudes, and feelings toward medication. Healthcare professionals also perceived significant negative influences from the mother's friends and family in regard to breastfeeding. Relationships between healthcare professionals and women were problematic when it came to drug use during breastfeeding. Taking into account healthcare professionals' perceptions of maternal behavior will help improve education for these professionals. Indeed, knowing precisely what difficulties are met by healthcare professionals when they encounter medication use during breastfeeding can help educators improve training for these professionals.

Sections du résumé

BACKGROUND: UNASSIGNED
Taking medication during breastfeeding is often a major concern for mothers. Knowledge, representations, and attitudes condition a mother's behavior in this situation. Healthcare professionals, whose medication advice for breastfeeding women is often described in scientific literature as inappropriate, play a major role in counseling mothers. Healthcare professionals' perceptions of mothers' behaviors regarding medication use during breastfeeding may influence mothers' behaviors.
RESEARCH AIM: UNASSIGNED
The aim of this study was to identify healthcare professionals' perceptions of breastfeeding women's knowledge, representations, and attitudes and behaviors about medication use.
METHOD: UNASSIGNED
A cross-sectional, prospective qualitative design was used. Semistructured interviews were conducted with a broad array of healthcare professionals ( N = 20) in different practice settings in the Angers area (France). Thematic analysis of the interview transcripts was carried out using the planned behavior theory of Ajzen.
RESULTS: UNASSIGNED
Seventy themes concerning medication use while breastfeeding were identified and then combined into 8 categories. Healthcare professionals perceived that maternal behaviors regarding medication were mostly focused on the child's safety and were linked to poor knowledge and negative representations, attitudes, and feelings toward medication. Healthcare professionals also perceived significant negative influences from the mother's friends and family in regard to breastfeeding. Relationships between healthcare professionals and women were problematic when it came to drug use during breastfeeding.
CONCLUSION: UNASSIGNED
Taking into account healthcare professionals' perceptions of maternal behavior will help improve education for these professionals. Indeed, knowing precisely what difficulties are met by healthcare professionals when they encounter medication use during breastfeeding can help educators improve training for these professionals.

Identifiants

pubmed: 29727253
doi: 10.1177/0890334418771294
doi:

Types de publication

Journal Article

Langues

eng

Pagination

137-153

Auteurs

Laurence Spiesser-Robelet (L)

1 Health Education and Practices Laboratory-LEPS (EA 3412), Paris 13 University Sorbonne, Paris Cité, Bobigny, France.
2 Service Pharmacie, CHU d'Angers, Angers, France.

Aurélie Maurice (A)

1 Health Education and Practices Laboratory-LEPS (EA 3412), Paris 13 University Sorbonne, Paris Cité, Bobigny, France.

Rémi Gagnayre (R)

1 Health Education and Practices Laboratory-LEPS (EA 3412), Paris 13 University Sorbonne, Paris Cité, Bobigny, France.

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