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    Exploring Higher Rates of Breastfeeding Among Civilan Military Wives: A Mixed Methods Study

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    Author
    Ringo, Nicole
    Issue Date
    2019
    Keywords
    Breastfeeding
    Breastfeeding self-efficacy
    Civilian Military Wives
    Concurrent Mixed Methods
    Advisor
    Gephart, Sheila
    Goldsmith, Melissa
    
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    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    Background: As compared to the U.S. general postpartum population, civilian military wives (CMWs) encounter unique challenges that can impede their ability to breastfeed, including geographic replacement and physical and emotional challenges. Yet despite these challenges, CMWs demonstrate higher rates of breastfeeding initiation and duration in the U.S. postpartum population as a whole. Purpose: The purpose of this study was to explore factors contributing to the high rate of breastfeeding initiation and duration among CMWs and to determine what might be learned from these factors for intervention design for the broader population of postpartum mothers. Sample/Setting: The sample consisted of 28 CMWs whose ages ranged from 18-45. Methods: Concurrent mixed-methods design. Results: Seven main themes with 16 subthemes emerged from the descriptions of the semi-structured interviews and the BSE score of the CMWs was 55.2(SD = 5.73). The results of the integrative analysis revealed that factors within the military environment influence a sense of community, thus supporting their BSE. Additionally, supportive and pro-breastfeeding healthcare facilitators (especially lactation consultants) throughout the prenatal, intrapartum, and postpartum periods described by CMWs were associated with high levels of BSE among CMWs. Moreover, high levels of BSE related to breastfeeding skills and duration were associated with the accessibility of resources within the military environment, breastfeeding health and economic benefits, and setting of a breastfeeding goal. Conclusions: Using a concurrent mixed-methods design, this study identified facilitators from the descriptions of CMWs that they believed promote their higher rates of breastfeeding initiation and continuation, quantified their high level of breastfeeding self-efficacy, and identified descriptive factors that contributed to both areas lacking in the literature among this population. In the future, the integration of the prominent themes (and subthemes) into interventions that target lower BSE in other populations has the potential to improve breastfeeding initiation and duration among those populations. Keywords: breastfeeding, civilian military wives, concurrent mixed-method
    Type
    text
    Electronic Dissertation
    Degree Name
    Ph.D.
    Degree Level
    doctoral
    Degree Program
    Graduate College
    Nursing
    Degree Grantor
    University of Arizona
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