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Influence of grandmothers on breastfeeding practices in a rural community in Papua New Guinea: A critical discourse analysis of first-time mothers’ perspectives

  • Author Footnotes
    1 ORCID: https://orcid.org/0000-0001-5435-7054
    McKenzie Ken Maviso
    Correspondence
    Correspondence to: Division of Public Health, School of Medicine and Health Sciences, University of Papua New Guinea, PO Box 5623, Boroko 111, National Capital District, Papua New Guinea.
    Footnotes
    1 ORCID: https://orcid.org/0000-0001-5435-7054
    Affiliations
    Division of Public Health, School of Medicine and Health Sciences, University of Papua New Guinea, Port Moresby, Papua New Guinea
    Search for articles by this author
  • Lillian Maye Kaforau
    Affiliations
    School of Foundation Studies, Pacific TAFE Science Technology & Environment, University of South Pacific, Honiara Campus, Solomon Islands
    Search for articles by this author
  • Carolyn Hastie
    Affiliations
    School of Nursing and Midwifery, Griffith University, Gold Coast Campus, Parklands Drive, Southport, Queensland 4222, Australia
    Search for articles by this author
  • Author Footnotes
    1 ORCID: https://orcid.org/0000-0001-5435-7054
Published:August 10, 2022DOI:https://doi.org/10.1016/j.wombi.2022.08.001

      Abstract

      Background

      Almost all babies are breastfed in Papua New Guinea (PNG); yet appropriate breastfeeding practices are not always followed.

      Aim

      To explore the perspectives of first-time mothers in rural PNG on how the language and discourse of grandmothers about infant feeding influence their breastfeeding practices.

      Methods

      A critical discourse analysis (CDA) approach was used to theoretically frame the analysis of twenty first-time mothers’ narratives.

      Findings

      Analysis revealed three themes: (i) prescribed knowledge repository, (ii) social control and dominance, and (iii) disapproval and role conflict, which provides an understanding of grandmothers’ differing views and positions on infant feeding practices and their influence on breastfeeding.

      Conclusion

      This study shows that grandmothers remain influential in infant feeding practices in rural PNG. There appears to be a societal expectation that empowers grandmothers in the maternal decision-making processes regarding breastfeeding practice. Grandmothers’ influence includes the early introduction of complementary foods to infants less than six months old. Interventions aimed at promoting, protecting, and supporting breastfeeding need to include grandmothers.

      Keywords

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