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Research article
Gill Thomson
University of Central Lancashire
Corresponding Author
ORCiD: https://orcid.org/0000-0003-3392-8182
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background A lack of perceived social support influences women’s infant feeding behaviours. The Infant Feeding Genogram is a visual co-constructed diagram which details people/services that can provide support to women and can facilitate a connection between mothers and their existing assets landscape. The aim of this study is to explore women’s and infant feeding helpers’ experiences and use of an infant feeding genogram delivered to the intervention group of the Assets-based infant feeding help Before and After birth (ABA) randomised feasibility trial.
Methods 103 primiparous mothers aged 16+ years were recruited to the trial in two sites (Site A and Site B) with low breastfeeding prevalence in the UK. Infant feeding helpers co-constructed a genogram at the first antenatal meeting for the intervention group, and then provided proactive, woman-centered support from ~32 weeks gestation to up to 5 months postnatal. Infant feeding helpers and women’s experiences of the infant feeding genogram were collected via interviews or focus groups. Completed genograms were shared with researchers. Content analysis of the genograms and qualitative data from the interviews and focus groups were analysed thematically.
Results Data comprised 32 completed genograms, and qualitative insights from all 13 infant feeding helpers (two focus groups; 4 interviews) and interviews with a purposive sample of 21 of 50 intervention group women between 4-21 weeks after birth. Content analysis of the genograms highlighted variations, with more personal, individualised genograms completed at Site B compared to Site A. The perceived impact of the genogram was related to the IFHs’ application of the tool. The genogram was either used as intended to raise women’s awareness of available assets and motivate help-seeking behaviour, or as a data collection tool with limited perceived utility. Negative and positive unintended consequences of genogram use were highlighted.
Discussion/Conclusion The genogram has the potential to offer a woman, family and community-centred approach that focusses on building assets for infant feeding. However, variations in genogram application indicate that revised training is required to clarify the purpose and ensure it is used as intended.
Keywords
breast feeding, bottle feeding, social support, women, assets based, genogram, infant feeding.
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CURRENT STATUS: Published
View the published article at BMC Pregnancy and Childbirth.
No community comments so far
Submission checks complete
On 09 Sep, 2020
Editorial decision: Accept
On 09 Sep, 2020
No comments provided
Review #2 received
Received 21 Aug, 2020
Review #1 received
Received 13 Aug, 2020
Reviewer #2 agreed
On 29 Jul, 2020
Reviewer #1 agreed
On 27 Jul, 2020
Editor assigned
On 26 Jul, 2020
Reviewers invited
Invitations sent on 26 Jul, 2020
Submission checks complete
On 25 Jul, 2020
Editor invited
On 25 Jul, 2020
Version 1
Posted 10 Oct, 2019
No comments provided
Editorial decision: Major revision
On 06 Jul, 2020
Review #2 received
Received 06 Jun, 2020
Reviewer #3 agreed
On 07 May, 2020
Reviewer #2 agreed
On 06 May, 2020
Review #1 received
Received 29 Jan, 2020
Reviewer #1 agreed
On 16 Nov, 2019
Reviewers invited
Invitations sent on 11 Nov, 2019
Submission checks complete
On 07 Oct, 2019
Editor invited
On 07 Oct, 2019
Editor assigned
On 04 Oct, 2019
First submitted
On 01 Oct, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Maternal & Fetal Medicine
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Pregnancy and Childbirth.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Gill Thomson
University of Central Lancashire
Corresponding Author
ORCiD: https://orcid.org/0000-0003-3392-8182
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Pregnancy and Childbirth.
No community comments so far
Submission checks complete
On 09 Sep, 2020
Editorial decision: Accept
On 09 Sep, 2020
No comments provided
Review #2 received
Received 21 Aug, 2020
Review #1 received
Received 13 Aug, 2020
Reviewer #2 agreed
On 29 Jul, 2020
Reviewer #1 agreed
On 27 Jul, 2020
Editor assigned
On 26 Jul, 2020
Reviewers invited
Invitations sent on 26 Jul, 2020
Submission checks complete
On 25 Jul, 2020
Editor invited
On 25 Jul, 2020
Version 1
Posted 10 Oct, 2019
No comments provided
Editorial decision: Major revision
On 06 Jul, 2020
Review #2 received
Received 06 Jun, 2020
Reviewer #3 agreed
On 07 May, 2020
Reviewer #2 agreed
On 06 May, 2020
Review #1 received
Received 29 Jan, 2020
Reviewer #1 agreed
On 16 Nov, 2019
Reviewers invited
Invitations sent on 11 Nov, 2019
Submission checks complete
On 07 Oct, 2019
Editor invited
On 07 Oct, 2019
Editor assigned
On 04 Oct, 2019
First submitted
On 01 Oct, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Maternal & Fetal Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Pregnancy and Childbirth.
Background A lack of perceived social support influences women’s infant feeding behaviours. The Infant Feeding Genogram is a visual co-constructed diagram which details people/services that can provide support to women and can facilitate a connection between mothers and their existing assets landscape. The aim of this study is to explore women’s and infant feeding helpers’ experiences and use of an infant feeding genogram delivered to the intervention group of the Assets-based infant feeding help Before and After birth (ABA) randomised feasibility trial.
Methods 103 primiparous mothers aged 16+ years were recruited to the trial in two sites (Site A and Site B) with low breastfeeding prevalence in the UK. Infant feeding helpers co-constructed a genogram at the first antenatal meeting for the intervention group, and then provided proactive, woman-centered support from ~32 weeks gestation to up to 5 months postnatal. Infant feeding helpers and women’s experiences of the infant feeding genogram were collected via interviews or focus groups. Completed genograms were shared with researchers. Content analysis of the genograms and qualitative data from the interviews and focus groups were analysed thematically.
Results Data comprised 32 completed genograms, and qualitative insights from all 13 infant feeding helpers (two focus groups; 4 interviews) and interviews with a purposive sample of 21 of 50 intervention group women between 4-21 weeks after birth. Content analysis of the genograms highlighted variations, with more personal, individualised genograms completed at Site B compared to Site A. The perceived impact of the genogram was related to the IFHs’ application of the tool. The genogram was either used as intended to raise women’s awareness of available assets and motivate help-seeking behaviour, or as a data collection tool with limited perceived utility. Negative and positive unintended consequences of genogram use were highlighted.
Discussion/Conclusion The genogram has the potential to offer a woman, family and community-centred approach that focusses on building assets for infant feeding. However, variations in genogram application indicate that revised training is required to clarify the purpose and ensure it is used as intended.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
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