StFX Scholar (St. Francis Xavier University)
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Wayne Joseph Connolly
No full textposted: SaltWire, Mar. 3, 2022; funeral arrangements by Dennis Haverstock Funeral Home
Frank Arthur Gosbee
No full textposted: SaltWire, Jan. 15, 2022; funeral arrangements by C. L. Curry Funeral Service
Nova Scotia Midwives’ Perceived Barriers and Facilitators to Baby-Friendly Initiative Implementation
No full textPurpose: Breastfeeding has numerous benefits for both breastfeeding parent and child. Unfortunately, breastfeeding rates in Nova Scotia are among the lowest in Canada. The Baby-Friendly Initiative (BFI) is a breastfeeding promotion program designed to support the initiation, exclusivity, and duration of breastfeeding. While the BFI has been demonstrated to improve breastfeeding outcomes, it is not well implemented across Nova Scotia. This study aimed to identify the valuable and unique perspective of midwives on the barriers and facilitators to BFI implementation across the province.
Methods: Qualitative descriptive design employing semi-structured virtual interviews to understand midwives’ perceptions of barriers and facilitators to BFI implementation in Nova Scotia. Interview data were transcribed and analyzed using inductive-deductive qualitative content analysis to identify common barriers and facilitators to BFI implementation. This study was guided by the Theoretical Domains Framework (TDF) and COM-B Model of Behaviour.
Results: Study participants included two midwives (n = 2). Study participants identified barriers and facilitators related to: 1) client education needed to support breastfeeding; 2) family, peer, and community supports needed for breastfeeding; and 3) equity in access to breastfeeding supports. Client education early in the perinatal period, especially around breastfeeding expectations, was seen as a key facilitator of BFI. Community supports (such as peer support groups and postpartum mental health support) were also identified as essential enablers of breastfeeding and BFI. Participants identified inequities in access to breastfeeding supports that could be addressed by widespread implementation of the midwifery care model.
Discussion and conclusion: Barriers and facilitators identified by participants highlight the importance of the midwifery model of care for supporting exclusive breastfeeding and BFI implementation. Continuity of care, consistent access to knowledge and supports, and family-centered social-emotional support throughout the perinatal period are key components of the midwifery care approach that should be adopted across the health system. The findings of this research will be used to inform additional implementation research aimed at supporting BFI implementation and breastfeeding across Nova Scotia
Mary Elizabeth (Brown) McKenna
No full textposted: Tribute Archive, Echovita; funeral arrangements by MacIsaac Funeral Home; formerly of Big Mars
M. Bernadette (McPhee) Gillis
No full textposted: SaltWire, Jan. 22, 2022; funeral arrangements by MacIsaac Funeral Home; raised in New Glasgo
Douglas Cleveland Greencorn
No full textposted: SaltWire, Jan. 31, 2022; funeral arrangements by Dennis Haverstock Funeral Homes; "Dougie Duke"; formerly of Queenspor
John Walter Martell
No full textposted: Necro Canada, Le Necrologue; funeral arrangements by Green's Funeral Hom
Alvin Alexander Richards
No full textposted: Echovita; funeral arrangements by Dennis Haverstock Funeral Home
Joseph Andrew MacIsaac
No full textposted: Le Necrologue, Echovita; funeral arrangements by Dennis Haverstock Funeral Homes; "Andy"; foster son of Mrs. Eviva Carr, of St. Francis Harbou
Royden Kenneth MacNeil
No full textposted: Le Necrologue, Echovita; funeral arrangements by Green's Funeral Home; "RK"