Expression of Breastmilk: Qualitative Exploration on Experience of Working Women in Malaysia
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Abstract
Introduction: Women worldwide have been practising milk expression for various reasons through different methods and tools. Nevertheless, references on milk expression among working Malaysian women are limited. Materials and methods: The present study explored working Malaysian women’s views and experiences on breastmilk expression practices using a feminist phenomenological approach. This study conducted in-depth interviews with 19 working mothers of infants between three and 12 months old who were practising milk expression. Purposive and snowball sampling were employed during data collection. The information obtained was analysed systematically to establish themes and subthemes. Results: The participants employed hand, breast pumps, and suction cups to express their milk. The principal themes that emerged from the data obtained were reasons for practising milk expression, factors influencing milk expression method selection, and milk expression experiences. Conclusion: The reasons for breastmilk expression demonstrated the participants’ determination to continue providing breastmilk despite facing various challenges. The conditions influencing the milk expression method selected and the participants’ experiences in expressing breastmilk could assist practitioners in providing guidelines for breastfeeding mothers when choosing a milk expression approach.
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Rodrigo R, Amir LH, Forster DA. Review of guidelines on expression, storage and transport of breast milk for infants in hospital, to guide formulation of such recommendations in Sri Lanka. BMC Pediatrics. 2018;18(1). doi:10.1186/s12887-018-1244-2
Becker GE, Smith HA, Cooney F. Methods of milk expression for lactating women. Cochrane Database of Systematic Reviews. 2016;2016(9). doi:10.1002/14651858.cd006170
McInnes RJ, Arbuckle A, Hoddinott P. How UK internet websites portray breast milk expression and breast pumps: A qualitative study of content. BMC Pregnancy and Childbirth. 2015;15(1). doi:10.1186/s12884-015-0509-0
World Health Organization GRC, editor. Guideline: Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services [Internet]. World Health Organization. World Health Organization; 2017 [cited 2023 Dec 21]. Available from: https://www.who.int/publications-detail-redirect/9789241550086
Kementerian Kesihatan Malaysia BP, editor. Bagaimana Memerah dan Memberi Susu Perahan [Internet]. Manual Pembimbing Penyusuan Susu Ibu. Kementerian Kesihatan Malaysia; 2019 [cited 2023 Dec 21]. Available from: https://hq.moh.gov.my/nutrition/manual/mobile/index.html
Malaysia LHDN. Tax Deduction For Purchase Of Breastfeeding Equipment [Internet]. Amendment To: Specification For Monthly Tax Deduction (Mtd) Calculations Using Computerised Calculation For 2017. Lembaga Hasil Dalam Negeri Malaysia; 2017 [cited 2023 Dec 21]. Available from: http://lampiran2.hasil.gov.my/pdf/pdfam/SpesifikasiKaedahPengiraanBerkomputerPC B2017.pdf
Bourdieu P. Outline of a theory of Practice. New York: Cambridge University Press;1977.
Amir LH. Social theory and infant feeding. International Breastfeeding Journal. 2011;6(1):7. doi:10.1186/1746-4358-6-7
Freeman L. Introduction: Feminist phenomenology, Medicine, Bioethics, and health. IJFAB: International Journal of Feminist Approaches to Bioethics. 2018;11(2):1–13. doi:10.3138/ijfab.2018.05.28
Alcoff LM. Phenomenology, post-structuralism, and feminist theory on the concept of experience. Feminist Phenomenology. 2000;39–56. doi:10.1007/978-94-015-9488-2_3
Abdul Rashid A, Shamsuddin NH, Raja Malek Ridhuan RDA, Sallahuddin NA, Devaraj NK. Breastfeeding Practice, Support, and Self- Efficacy Among working Mothers in a Rural Health Clinic in Selangor. Malaysian Journal of Medicine and Health Sciences. 2018 Jun;14(2):39–49.
Mahidin MU. Labour Force Survey Report, Malaysia, 2019 [Internet]. Department of Statistics Malaysia. Labour Force; 2020 [cited 2023 Dec 21]. Available from: https://www.dosm.gov.my/portal-main/release-content/labour-force-survey-report-malaysia-2019.
Grady MP. Qualitative and action research: A practitioner handbook. Bloomington, IN: Phi Delta Kappa Educational Foundation; 1998.
Patton MQ. Enhancing the quality and credibility of qualitative analysis. Health Serv Res. 1999 Dec;34(5 Pt 2):1189-208. PMID: 10591279; PMCID: PMC1089059.
Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006;3(2):77–101. doi:10.1191/1478088706qp063oa
Clemons SN, Amir LH. Breastfeeding women’s experience of expressing: A descriptive study. Journal of Human Lactation. 2010;26(3):258–65. doi:10.1177/0890334410371209
Johns HM, Amir LH, McLachlan HL, Forster DA. Breast pump use amongst mothers of healthy term infants in Melbourne, Australia: A prospective cohort study. Midwifery. 2016;33:82–9. doi: 10.1016/j.midw.2015.10.009
al-Din MS. Kitab Dunya Ibu. Kuala Lumpur: Kutub Khanah Kebudayaan; 1947.
Fernandez JL. Women and Education in Malaysia. Bulletin of Higher Education Research. 2005.
Robertson BD. New kid on the block: The HAAKAA style silicone breast pump. Clinical Lactation. 2020;11(3):164–71. doi:10.1891/clinlact-d-20-00004
Bourdieu P. The Logic of Practice. Stanford University Press; 1990.
Breastfeeding and going back to work [Internet]. NHS; 2021 [cited 2023 Dec 21]. Available from: https://www.nhs.uk/conditions/baby/breastfeeding-and-bottle-feeding/breastfeeding-and-lifestyle/
Foong SC, Tan ML, Foong WC, Ho JJ, Rahim FF. Comparing breastfeeding experiences between mothers spending the traditional Chinese confinement period in a confinement centre and those staying at home: A cohort study. International Breastfeeding Journal. 2021;16(1). doi:10.1186/ s13006-020-00353-1
Loewenberg Weisband Y, Keim SA, Keder LM, Geraghty SR, Gallo MF. Early breast milk pumping intentions among postpartum women. Breastfeeding Medicine. 2017;12(1):28–32. doi:10.1089/bfm.2016.0142
Abu Baker J. In Focus: How social media can be a bane and a boon for mums struggling to breastfeed [Internet]. CNA; 2021 [cited 2023 Dec 21]. Available from: https://www.channelnewsasia.com/singapore/in-focus-breastfeeding-struggles-social-media-advice-2077896
O’Sullivan EJ, Geraghty SR, Rasmussen KM. Human milk expression as a sole or ancillary strategy for infant feeding: A qualitative study. Maternal & Child Nutrition. 2016;13(3). doi:10.1111/ mcn.12332
Clark H, Ghebreyesus TA. It’s time to stop infant formula marketing practices that endanger our children [Internet]. World Health Organization; 2022 [cited 2023 Dec 21]. Available from: https://www.who.int/news-room/commentaries/it-s-time-to-stop-infant-formula-marketing-practices-that-endanger-our-children
Bourdieu P, Turner C. The social structures of the economy. Cambridge: Polity; 2005.
Common Sense, Habitus, and Social Imaginary. Economic and Political Weekly [Internet]. 2015 Jun 5;56(26-27):7–8. Available from: https://www.epw.in/journal/2021/26-27/special-articles/common-sense-habitus-and-social-imaginary.html
Drucker PF. The Employee Society. American Journal of Sociology [Internet]. 1953 [cited 2024 Jan 17];58(4):358–63. Available from: https://www.jstor.org/stable/pdf/2772357.pdf
Ikonen R. Breast Milk for Preterm Infants : Mothers’ milk expressing experiences, practices, and coping strategies. Tampere: Tampere University Press, 2018. (Acta Electronica Universitatis Tamperensis).
Bujold M, Feeley N, Axelin A, Cinquino C. Expressing Human Milk in the NICU. Advances in Neonatal Care. 2018 Feb;18(1):38–48. doi:10.1097/anc.0000000000000455