Agboado G, Michel E, Jackson E, Verma A. Factors associated with breastfeeding cessation in nursing mothers in a peer support programme in Eastern Lancashire. BMC Pediatr. 2010; 10

Agho K, Dibley M, Odiase J, Ogbonmwan S. Determinants of exclusive breastfeeding in Nigeria. BMC Pregnancy Childbirth. 2011; 11

Arora S, McJunkin C, Wehrer J, Kuhn P. Major factors influencing breastfeeding rates: mother's perception of father's attitude and milk supply. Pediatrics. 2000; 106:(5)

Belfort M, Rifas-Shiman S, Guthrie L Infant feeding and childhood cognition at ages 3 and 7 years: effects of breastfeeding duration and exclusivity. JAMA Pediatr. 2013; 167:(9)836-44

In: Bulman C, Schutz S (eds). Oxford: Wiley-Blackwell; 2013

Bzowyckyj A, Brommelsiek M, Lofgreen M, Gotham H, Lindsey C. Reflecting on care: Using reflective journaling to evaluate interprofessional education and clinical practicum experiences in two urban primary care clinics. Journal of Interprofessional Education and Practice. 2017; 8:(1)6-7

Day-Stirk F. The birth of a baby is the birth of a family.London: RCM; 2002

Reference Guide to Consent for Examination or Treatment, 2nd edn. London: DH; 2009

Social experiences of breastfeeding: building bridges between research, policy and practice. In: Dowling S, Pontin D, Boyer K (eds). Bristol: Policy Press; 2018

England C, Morgan R. Communication Skills for Midwives.Berkshire: Open University Press; 2012

Fieril K, Olsén M, Glantz A, Premberg A. Experiences of a lifestyle intervention in obese pregnancy women - a qualitative study. Midwifery. 2017; 44:(1)1-6

Finlay S, Sandall J. “Someone's rooting for you”: Continuity, advocacy and street-level bureaucracy in UK maternal healthcare. Soc Sci Med. 2009; 69:(8)1228-1235

Forste R, Weiss J, Lippincott E. The decision to breastfeed in the United States: does race matter?. Pediatrics. 2001; 108:(2)291-296

Gibbs G. Learning by Doing: A Guide to Teaching and Learning Methods.Oxford: Further Education Unit, Oxford Brookes University; 1988

Infant Feeding Guidelines 2016.London: St Thomas' Hospital; 2016

Johns C. Becoming a Reflective Practitioner.Oxford: Wiley-Blackwell; 2009

Karlström A, Nystedt A, Hildingsson I. The meaning of a very positive birth experience: focus groups discussions with women. BMC Pregnancy Childbirth. 2015; 15

Kourkouta L, Papathanasiou I. Communication in nursing practice. Mater Sociomed. 2014; 26:(1)65-7

MacLeod L. Making SMART goals smarter. Physician Exec. 2012; 38:(2)68-70

Mannion C, Hobbs A, McDonald S, Tough S. Maternal perceptions of partner support during breastfeeding. Int Breastfeed J. 2013; 8:(1)

McCabe C. Nurse-patient communication: an exploration of patients' experiences. J Clin Nurs. 2004; 13:(1)41-49

Meedya S, Fahy K, Kable A. Factors that positively influence breastfeeding duration to 6 months: A literature review. Women Birth. 2010; 23:(4)135-45

Postnatal Care up to 8 weeks after Birth: Contraception [CG37].London: NICE; 2015

Nigeria Demographic and Health Survey 2013. Abuja, Nigeria, and Rockville (MD): NPC and ICF International. 2014;

NHS Digital. Infant feeding survey - UK, 2010. 2012. (accessed 29 November 2018)

NHS Digital. NHS Maternity Statistics, England 2016-17?. 2017. (accessed 29 November 2018)

The Nielsen Company. Oh Baby! Trends in the Baby food and Diaper Markets Around the World. 2015. (accessed 29 November 2018)

Standards for pre-registration midwifery education.London: NMC; 2009

The Code: Professional standards of practice and behaviour for nurses and midwives.London: NMC; 2015

Office for National Statistics. Population of the UK by country of birth and nationality: individual country data. 2016. (accessed 29 November 2018)

O'Hagen S, Manias E, Elder C What counts as effective communication in nursing? Evidence from nurse educators' and clinicians' feedback on nurse interactions with simulated patients. J Adv Nurs. 2014; 70:(6)1344-55

Onah S, Osuorah I, Ebenebe J, Ezechukwu C, Ekwochi U, Ndukwu I. Infant feeding practices and maternal socio-demographic factors that influence practice of exclusive breastfeeding among mothers in Nnewi South-East Nigeria: a cross sectional and analytical study. Int Breastfeed J. 2014; 9

Persad MD, Mensinger JL. Maternal breastfeeding attitudes: association with breastfeeding intent and socio-demographics among urban primiparas. J Community Health. 2008; 33:(2)53-60

Persson E, Kvist L, Ekelin M. Analysis of midwifery students' written reflections to evaluate progression in learning during clinical practice at birthing units. Nurse Educ Pract. 2015; 15:(2)134-40

Pilla H, Kitsantas P. Mode of delivery and breastfeeding practices. International Journal of Pregnancy and Childbirth. 2017; 2:(6)167-72

Pisacane A, Continisio GI, Aldinucci M, D'Amora S, Continisio P. A controlled trial of the father's role in breastfeeding promotion. Pediatrics. 2005; 116:(4)e494-e498

Public Health England. Breastfeeding at 6 to 8 weeks after birth: 2017 to 2018 quarterly data. 2018. (accessed 26 November 2018)

Radzyminski S, Callister L. Mother's beliefs, attitudes, and decision making related to infant feeding choices. J Perinat Educ. 2016; 25:(1)18-28

Rollins NC, Bhandari N, Hajeebhoy N Why invest, and what it will take to improve breastfeeding practices?. Lancet. 2016; 387:(10017)491-504

Reaching Out: Involving Fathers in Maternity Care.London: RCM; 2011

Scott JA, Binns CW, Oddy WH, Graham KI. Predictors of breastfeeding duration: evidence from a cohort study. Pediatrics. 2006; 117:(4)e646-e655

Sipsma H, Magrigples U, Divney A, Gordono D, Gadzydyl E, Kershaw T. Breastfeeding behaviour among adolescents: initiation, duration and exclusivity. J Adolesc Health. 2013; 53:(3)394-400

Thulier D, Mercer J. Variables associated with breastfeeding duration. J Obstet Gynecol Neonatal Nurs. 2009; 38:(3)259-68

UNICEF. At a Glance: Nigeria. 2013. (accessed 26 November 2018)

UN Secretary-General Report on International Migration and Development.Geneva: UNHCR;

World Health Organization. Indicators for assessing infant and young child feeding practices part 3: country profiles. 2010. (accessed 26 November 2018)

Wright C, Geraghty S. Are male partners of pregnant women treated negatively in maternity care?. Br J Midwifery. 2017; 25:(10)631-7

The influence of partners on feeding: A personal reflection

02 January 2019
Volume 27 · Issue 1


Research suggests that partner support is one of the biggest determinants of women's health choices (Scott et al, 2006), yet partner inclusion in maternity care is often overlooked. This article critically reflects on a personal encounter with a breastfeeding woman and her husband that highlights these issues. It explores the literature on breastfeeding influences, focusing on partner support and sociocultural background. This personal reflection also examines how greater knowledge of these factors helps to foster more meaningful communication with women and their families.

In this article, I will critically reflect on an encounter with a breastfeeding woman and her husband that highlights issues of partner support, cultural influences and, in light of these, meaningful and effective communication. The appointment took place during my second year as a student midwife. Reflecting on this has helped to develop my competency in standard 4.1 of the Nursing and Midwifery Council (NMC) Standards for pre-registration midwifery education:

‘Women can expect a newly registered midwife to understand and share information that is clear, accurate and meaningful at a level which women, their partners and family can understand.’

This is also in keeping with the continued emphasis from UK maternity services on the importance of partner involvement in care (Royal College of Midwives (RCM), 2011). Reflection is the systematic re-examination of experience, which aims to promote personal and professional development, whether through diary writing, verbal discourse, or formal written reflection (Persson et al, 2015; Bzowyckyj et al, 2017). For the purposes of this article, Gibbs' iterative model (1988) has been used as an appropriate tool to reflect on this experience (Bulman and Schultz, 2013). Pseudonyms will be used throughout the article to refer to those involved to maintain confidentiality (NMC, 2015). The woman in our care will be referred to as Adebola and her partner as Ali. Both Adebola and Ali gave informed consent for their experience to be shared.

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