Factors influencing high socio-economic class mothers’ decision regarding formula feeding practices in the Cape Metropole

Abstract

The aims of the study were to identify the reasons why high socio-economic class women in the Cape Metropole decide not to breastfeed; to evaluate whether the type and volume of infant formula selected by the mother was appropriate for her infant and to identify the factors that influence the decision-making process when deciding which infant formula to feed her infant. An observational descriptive study with consecutive sampling was utilized. Data of 55 mothers with infants aged 0-6 months that were not currently breastfed, was captured in day-care centres and private clinics situated in the Cape Metropole. Data was collected by means of a self-administered questionnaire available in Afrikaans and English. The majority of mothers decided only after the birth of their infant to rather opt for formula feeding. Evident factors that were identified as barriers to breastfeeding include a lack of knowledge and experience as well as a lack of facilities at public places and at work to breastfeed. Perceived benefits of infant formula included that the father could help with the workload and does not feel left out; the mother knows what volume of milk is received and the convenience if working. The mothers were overall not concerned about possible side effects of breastfeeding and did not feel that their breasts were physically not of optimal physiology to breastfeed. One of the greatest challenges to support, protect and promote breastfeeding is to ensure that every information source gives scientifically correct information to the uninformed or information-seeking mother in a standardized and positive manner.