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Barriers to Breastfeeding in Disasters in the Context of Iran

Published online by Cambridge University Press:  14 February 2019

Mandana MirMohamadaliIe Open the ORCID record for Mandana MirMohamadaliIe [Opens in a new window] ,
Reza Khani Jazani ,
Sanaz Sohrabizadeh  and
Alireza Nikbakht Nasrabadi
Mandana MirMohamadaliIe
Affiliation:
Department of Health in Disasters and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran School of Nursing and Midwifery, Tehran University ofMedical Sciences, Tehran, Iran
Reza Khani Jazani
Affiliation:
Department of Health in Disasters and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Sanaz Sohrabizadeh*
Affiliation:
Department of Health in Disasters and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Alireza Nikbakht Nasrabadi
Affiliation:
School of Nursing and Midwifery, Tehran University ofMedical Sciences, Tehran, Iran
*
Correspondence: Sanaz Sohrabizadeh PhD Daneshju Blv, Velenjak District School of Public Health and Safety Shahid Beheshti University of Medical Sciences Tehran, Iran E-mail: sohrabizadeh@sbmu.ac.ir
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Abstract

Introduction

Natural disasters have many effects on vulnerable groups, especially infants and children. Protecting breastfeeding in disasters is important, because artificial feeding puts a lot of risk to the child. In disasters, artificial nutrition is dangerous to children and its supplementation requires special equipment. There is little information on the nutritional status of infants after disasters in Iran.

Problem

The purpose of this study was to explore the barriers to appropriate lactation after disasters in Iran.

Method

This was a qualitative study using a content analysis method. A total of 19 midwives with disaster-relief experiences were approached for interview. Data were collected using semi-structured interviews. Data analysis was performed using the Graneheim’s approach.

Results

The categories of maternal factors, neonatal factors, management factors, and context-base factors were extracted from the data.

Conclusion

The challenges of social support, mothers’ self-efficacy, educated staff for disasters, and privacy for breastfeeding can be considered as important barriers to breastfeeding in disasters. Training programs, as well as health system support, can help overcome the breastfeeding barriers in disasters.

MirMohamadaliIeM, Khani JazaniR, SohrabizadehS, Nikbakht NasrabadiA. Barriers to Breastfeeding in Disasters in the Context of Iran. Prehosp Disaster Med. 2019;34(1):20–24.

Keywords

breastfeedingdisastersIranmidwifereproductive health
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 34 , Issue 1 , February 2019 , pp. 20 - 24
Copyright
© World Association for Disaster and Emergency Medicine 2019 

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Footnotes

Conflicts of interest: none

References

1. International Confederation of Midwives (ICM). Health of Women and Children in Disasters, Position Statement. https://internationalmidwives.org/who-we-are/policy-and-practice/icm-position-statements-general/ 2011. Accessed August 2018.Google Scholar
2. Tsuboyama-Kasaoka, N, Purba, MB. Nutrition and earthquakes: experience and recommendations. Asia Pac J Clin Nutr. 2014;23(4):505-513.Google Scholar
3. Sohrabizadeh, S. A qualitative study of violence against women after the recent disasters of Iran. Prehosp Disaster Med. 2016;31(4):407-412.Google Scholar
4. Pyone, T, Dickinson, F, Kerr, R, Boschi-Pinto, C, Mathai, M, Broek, Nvd. Data collection tools for maternal and child health in humanitarian emergencies: a systematic review. Bull World Health Organ. 2015;93(9):648-658.Google Scholar
5. Pfeiffer, J, Avery, MD, Benbenek, M, et al. Maternal and newborn care during disasters: thinking outside the hospital paradigm. Nursing Clinics. 2008;43(3):449-467.Google Scholar
6. Gribble, KD, McGrath, M, MacLaine, A, Lhotska, L. Supporting breastfeeding in emergencies: protecting women’s reproductive rights and maternal and infant health. Disasters. 2011;35(4):720-738.Google Scholar
7. Lawrence, R. “Host-resistance factors and immunologic significance of human milk.” In: Breastfeeding. A Guide for the Medical Profession. Philadelphia, Pennsylvania USA: Elsevier; 2006:171-214.Google Scholar
8. Carothers, C, Gribble, K. Infant and young child feeding in emergencies. Journal of Human Lactation. 2014;30(3):272-275.Google Scholar
9. Davanzo, R. Newborns in adverse conditions: issues, challenges, and interventions. J Midwifery Womens Health. 2004;49(S1):29-35.Google Scholar
10. American Academy of Pediatrics (AAP). Infant nutrition during disasters: breastfeeding and other options. http://www.bepreparedcalifornia.ca.gov/BePrepared/IndividualsAndFamilies/Documents/InfantNutritionDisaster.pdf. Accessed August 2018.Google Scholar
11. Adhisivam, B, Srinivasan, S, Soudarssanane, M, Deepak Amalnath, S, Nirmal Kumar, A. Feeding of infants and young children in tsunami affected villages in Pondicherry. Indian Pediatrics. 2006;43(8):724.Google Scholar
12. Arvelo, W, Kim, A, Creek, T, et al. Case–control study to determine risk factors for diarrhea among children during a large outbreak in a country with a high prevalence of HIV infection. Int J Infect Dis. 2010;14(11):e1002-e1007.Google Scholar
13. Hipgrave, DB, Assefa, F, Winoto, A, Sukotjo, S. Donated breast milk substitutes and incidence of diarrhea among infants and young children after the May 2006 earthquake in Yogyakarta and Central Java. Public Health Nutr. 2012;15(2):307-315.Google Scholar
14. Creek, T, Luo, C, Quick, T, (eds). HIV-exposed children highly affected by deadly outbreak of diarrhea and severe acute malnutrition-Botswana, 2006. The 2006 HIV/AIDS Implementers Meeting of the President’s Emergency Plan for AIDS Relief, Durban, South Africa; Late Breaker Abstract 1, 2006.Google Scholar
15. Creek, T, Arvelo, W, Kim, A, et al. (eds). Role of infant feeding and HIV in a severe outbreak of diarrhea and malnutrition among young children, Botswana, 2006. XIV Conference on Retroviruses and Opportunistic Infections; 2007: Los Angeles, California USA.Google Scholar
16. Sulaiman, Z, Mohamad, N, Ismail, TAT, Johari, N, Hussain, NHN. Infant feeding concerns in times of natural disaster: lessons learned from the 2014 flood in Kelantan, Malaysia. Asia Pac J Clin Nutr. 2016;25(3):625-630.Google Scholar
17. Creek, TL, Kim, A, Lu, L, et al. Hospitalization and mortality among primarily non-breastfed children during a large outbreak of diarrhea and malnutrition in Botswana, 2006. J Acquir Immune Defic Syndr. 2010;53(1):14-19.Google Scholar
18. International Confederation of Midwives (ICM). Role of the Midwife in Disaster/Emergency Preparedness, PS2014_003. The Netherlands: ICM; 2014.Google Scholar
19. Elo, S, Kyngäs, H. The qualitative content analysis process. J Advan Nurs. 2008;62(1):107-115.Google Scholar
20. Graneheim, UH, Lundman, B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurs Educat Today. 2004;24(2):105-112.Google Scholar
21. Mehrdad, R. Health system in Iran. JMAJ. 2009;52(1):69-73.Google Scholar
22. Sohrabizadeh, S. The neglect of women’s capacities in disaster management systems in Iran: a qualitative study. Indian Journal of Gender Studies. 2016;23(3):467-480.Google Scholar
23. Taghizadeh, Z. Midwives’ professional competency for preventing neonatal mortality in disasters. Health in Emergencies and Disasters Quarterly. 2016;1(3):155-162.Google Scholar
24. Sohrabizadeh, S, Jahangiri, K, Jazani, RK, Babaie, J, Moradian, MJ, Rastegarfar, B. Women’s challenges and capabilities in disasters: a case report of the Twin Earthquakes of Eastern Azerbaijan, Iran. PLoS Currents. 2017;1:9.Google Scholar
25. Greshko, M. Pictures Reveal Iran and Iraq Earthquake, the Deadliest of 2017. https://news.nationalgeographic.com/2017/11/iran-iraq-earthquake-2017-photos-pictures-spd/. Accessed August 2018.Google Scholar
26. Wikipedia. 2017 Iran–Iraq earthquake 2017. https://en.wikipedia.org/wiki/2017_Iran%E2%80%93Iraq_earthquake. Accessed August 2018.Google Scholar
27. Holloway, I, Freshwater, D. Narrative Research in Nursing. Hoboken, New Jersey USA: John Wiley & Sons; 2009.Google Scholar
28. Polit, DF, Beck, CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. Philadelphia, Pennsylvania USA: Lippincott Williams & Wilkins; 2008.Google Scholar
29. Speziale, HS, Streubert, HJ, Carpenter, DR. Qualitative Research in Nursing: Advancing the Humanistic Imperative. Philadelphia, Pennsylvania USA: Lippincott Williams & Wilkins; 2011.Google Scholar
30. Borrel, A, Taylor, A, McGrath, M, et al. From policy to practice: challenges in infant feeding in emergencies during the Balkan crisis. Disasters. 2001;25(2):149-163.Google Scholar
31. Kelly, M. Infant feeding in emergencies. Disasters. 1993;17(2):110-121.Google Scholar
32. Dobson, B, Murtaugh, MA. Position of the American Dietetic Association: breaking the barriers to breastfeeding. J Am Diet Assoc. 2001;101(10):1213-1220.Google Scholar
33. Tatham, P. An investigation into the suitability of the use of unmanned aerial vehicle systems (UAVS) to support the initial needs assessment process in rapid onset humanitarian disasters. Int J Risk Assess Manag. 2009;13(1):60-78.Google Scholar
34. Chretien, J-P, Tomich, NE, Gaydos, JC, Kelley, PW. Real-time public health surveillance for emergency preparedness. Am J Pub Health. 2009;99(8):1360-1363.Google Scholar
35. Infant Feeding Emergency (IFE) Core Group. Infant and Young Child Feeding in Emergencies Operational Guidance for Emergency Relief Staff and Programme Managers: IFE Core Group; 2007. http://www.who.int/nutrition/publications/emergencies/operational_guidance/en/. Accessed August 2018.Google Scholar
36. O’Hara, MW, Schlechte, JA, Lewis, DA, Wright, EJ. Prospective study of postpartum blues: biologic and psychosocial factors. Arch Gen Psychiatry. 1991;48(9):801-806.Google Scholar
37. Pope, CJ, Mazmanian, D. Breastfeeding and postpartum depression: an overview and methodological recommendations for future research. Depression Research Treatment. 2016.Google Scholar
38. Henderson, JJ, Evans, SF, Straton, JA, Priest, SR, Hagan, R. Impact of postnatal depression on breastfeeding duration. Birth. 2003;30(3):175-180.Google Scholar
39. Kingston, D, Dennis, C-L, Sword, W. Exploring breast‐feeding self‐efficacy. Journal of Perinatal & Neonatal Nursing. 2007;21(3):207-215.Google Scholar
40. Bandura, A. Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, New Jersey USA: Prentice-Hall, Inc; 1986.Google Scholar
41. Mitra, AK, Khoury, AJ, Hinton, AW, Carothers, C. Predictors of breastfeeding intention among low-income women. Maternal and Child Health Journal. 2004;8(2):65-70.Google Scholar
42. Kendall, C, Cathy, C. “Breastfeeding: A Vital Emergency Response – Are You Ready?” 2009 International Lactation Consultant Association World Breastfeeding Week Action Kit. http://www.worldbreastfeedingweek.net/wbw2009/. Accessed August 2018.Google Scholar
43. Neifert, M, Lawrence, R, Seacat, J. Nipple confusion: toward a formal definition. Journal of Pediatrics. 1995;126(6):S125-129.Google Scholar
44. Zimmerman, E, Thompson, K. Clarifying nipple confusion. Journal of Perinatology. 2015;35(11):895.Google Scholar
45. Radzyminski, S, Callister, LC. Health professionals’ attitudes and beliefs about breastfeeding. Journal of Perinatal Education. 2015;24(2):102.Google Scholar
46. Heidari, Z, Keshvari, M, Kohan, S. Breastfeeding promotion, challenges and barriers: a qualitative research. International Journal of Pediatrics. 2016;4(5):1687-1695.Google Scholar
47. Clark, A. The Role of Social Support in Breastfeeding Experiences Among Rural Women in Southern Appalachia. Boone, North Carolina USA: Appalachian State University; 2016.Google Scholar
48. Datta, J, Graham, B, Wellings, K. The role of fathers in breastfeeding: decision-making and support. British Journal of Midwifery. 2012;20(3):159-167.Google Scholar
49. Raj, VK, Plichta, SB. The role of social support in breastfeeding promotion: a literature review. Journal of Human Lactation. 1998;14(1):41-45.Google Scholar
50. Binns, CW, Lee, MK, Tang, L, Yu, C, Hokama, T, Lee, A. Ethical issues in infant feeding after disasters. Asia Pacific Journal of Public Health. 2012;24(4):672-680.Google Scholar