Applying Feminist Poststructuralism as a Framework for Exploring Infant Feeding Interactions in the Neonatal Intensive Care Unit
DOI:
https://doi.org/10.25071/2291-5796.12Keywords:
Feminist poststurcturalism, Nursing practice, Infant feeding, breastfeeding, chest feeding, neonatal intensive care unitAbstract
Childbearing/rearing families in Canada face a variety of conflicting discourses related to infant feeding, entrenched in a complex web of gendered, social, institutional and political discourses. For parents of preterm and/or critically ill infants, this area remains largely under-explored through a feminist lens. We offer a critical examination of the applicability of feminist poststructuralism (FPS) as a theory to explore infant feeding interactions in the neonatal intensive care unit (NICU). Scholarly literature from diverse perspectives, including nursing, healthcare, gender studies, and social sciences is critiqued and the use of FPS as a guiding framework for nursing research and praxis is discussed. We discuss FPS and the relevance of various discourses to explore the phenomenon of infant feeding interactions in the NICU. Ultimately, we propose that FPS does offer a relevant lens through which to critically examine infant feeding interactions and bring voice to the complex processes embedded in the NICU.
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Alianmoghaddam, N., Phibbs, S. & Benn, C. (2017). Resistance to breastfeeding: A Foulcauldian analysis of breastfeeding support form health professionals. Women and Birth, 30, e281-e291 DOI: https://doi.org/10.1016/j.wombi.2017.05.005
Aranda, K. (2006). Postmodern feminist perspectives and nursing research: A passionately interested form of inquiry. Nursing Inquiry, 13(2), 135-143. DOI: https://doi.org/10.1111/j.1440-1800.2006.00310.x
Aranda, K. (2018). Feminist theories & concepts in healthcare: An introduction for qualitative research. London, UK: Macmillan Publishers Ltd. DOI: https://doi.org/10.1057/978-1-137-37676-3
Aston, M. (1990). Bonding sounds too much like glue: Pedagogical implications of the experiences of breastfeeding. Masters Thesis, Kingston, ON: Queen’s University.
Aston, M. (2002). Learning to be a normal mother: Empowerment and pedagogy in postpartum classes. Public Health Nursing, 19(4), 284-293. DOI: https://doi.org/10.1046/j.1525-1446.2002.19408.x
Aston, M., Meagher-Stewart, D., Sheppard-LeMoine, D., Vukic, A. & Chircop, A. (2006). Family health nursing and empowering relations. Pediatric Nursing, 32(1), 61-67.
Aston, M. (2008). Public health nurses as social mediators: Using feminist poststructuralism to guide practice with new mothers. Nursing Inquiry, 15(4) 280-288. DOI: https://doi.org/10.1111/j.1440-1800.2008.00408.x
Aston, M. (2016). Teaching feminist poststructuralism: Founding scholars still relevant today. Creative Education, 7(15), 2251-2267. DOI: https://doi.org/10.4236/ce.2016.715220
Aston, M., Price, S., Etowa, J., Vukic, A., Young, L., Hart, C., MacLeod, E. & Randel, P. (2015). The power of relationships: Exploring how public health nurses support mothers and families during postpartum home visits. Journal of Family Nursing, 21(1), 11-34. DOI: https://doi.org/10.1177/1074840714561524
Aston, M., Price, S., Kirk, S.F.L. & Penney, T. (2012). More than meets the eye. Feminist poststructuralism as a lens towards understanding obesity. Journal of Advanced Nursing, 68(5), 1187-1194.
Benoit, B., Goldberg, L. & Campbell-Yeo, M. (2016). Infant feeding and maternal guilt: The application of a feminist phenomenological framework to guide clinician practices in breastfeeding promotion. Midwifery, 34, 58-65. DOI: https://doi.org/10.1016/j.midw.2015.10.011
Bicking, C. & Moore, G.A. (2012). Maternal perinatal depression in the neonatal intensive care unit: The role of the neonatal nurse. Neonatal Network, 31(5), 295-304. DOI: https://doi.org/10.1891/0730-0832.31.5.295
Boykova, M. (2016). Transition from hospital to home for parents of preterm infants: A literature review. Journal of Perinatal and Neonatal Nursing, 30(4), 327-348. DOI: https://doi.org/10.1097/JPN.0000000000000211
Blackburn, A.C. (2009). Stories, ethics and the interpretations of meaning: Bearing witness to mothers’ stories of their neonatal intensive care experience. Doctoral Thesis, Retrieved from: https://aquila.usm.edu/cgi/viewcontent.cgi?article=2028&context=dissertations
Boucher, C.A., Brazal, P. M., Graham-Certosini, C., Carnaghan-Sherrard, K. & Feeley, N. (2011). Mother’s breastfeeding experiences in the NICU. Neonatal Network, 30(1), 21-28. DOI: https://doi.org/10.1891/0730-0832.30.1.21
Brown, A. (2017). Breastfeeding as a public health responsibility: A review of the evidence. Journal of Human Nutrition & Dietetics, 30(6), 759-770. DOI: https://doi.org/10.1111/jhn.12496
Canadian Paediatric Society. (2013). Nutrition for healthy term infants, birth to six months: An overview. Retrieved from: https://www.cps.ca/en/documents/position/nutrition-healthy-term-infants-overview
Canadian Paediatric Society. (2014). Nutrition for healthy term infants, six to 24 months: An overview. Pediatric Child Health, 19(10), 547-549.
Carroll, K. (2014). Body dirt or liquid gold? How the ‘safety’ of donated breastmilk is constructed for use in the neonatal intensive care unit. Social Studies of Science, 44(3), 466-485. DOI: https://doi.org/10.1177/0306312714521705
Carter, P. (1995). Feminism, breasts and breast-feeding. New York, NY: Palgrave Macmillan. DOI: https://doi.org/10.1057/9780230389533
Cassidy, C. Goldberg, L. & Aston, M. (2016). The application of a feminist poststructural framework in nursing practice for addressing young women’s sexual health. Journal of Clinical Nursing, 25, 2378-2386. DOI: https://doi.org/10.1111/jocn.13354
Cody, W.K. (2003). Paternalism in nursing and healthcare: Central issues and their relation to theory. Nursing Science Quarterly, 16(4), 288-296. DOI: https://doi.org/10.1177/0894318403257170
Cricco-Lizza, R. (2016). Infant feeding beliefs and day-to-day feeding practices of NICU nurses. Journal of Pediatric Nursing, 31(2), e91-e98. DOI: https://doi.org/10.1016/j.pedn.2015.10.012
Dalzell, J., Rogerson, E. & Martindale, L. (2010). Breastfeeding: Contemporary issues in practice and policy. Oxon, UK: Radcliffe Publishing Ltd.
Davies, B. & Gannon, S. (2010). Feminism/post-structuralism (Ch. 36). In B. Somekh & C. Lewin’s (eds.) Research Methods in the Social Sciences (2nd ed.). Thousand Oaks, CA: SAGE Publications. pp. 312-319.
Deeney, K., Lohan, M., Spence, D., Parkes, J. (2012). Experiences of fathering a baby admitted to neonatal intensive care: A critical gender analysis. Social Science & Medicine, 75(6), 1106-1113. DOI: https://doi.org/10.1016/j.socscimed.2012.04.018
Dieterich, C.M., Felice, J.P., O’Sullivan, E. & Rasmussen, K.M. (2013). Breastfeeding and health outcomes for mother-infant dyad. Pediatric Clinics of North America, 60(1), 31-48. DOI: https://doi.org/10.1016/j.pcl.2012.09.010
DiQuinzio, P. (1993). Exclusion and essentialism in feminist theory: The problem of mothering. Hypatia, 8(3), 1-20. DOI: https://doi.org/10.1111/j.1527-2001.1993.tb00033.x
Dykes, F. (2005). ‘Supply’ and ‘demand’: Breastfeeding as labour. Social Science & Medicine, 60(10), 2283-2293. DOI: https://doi.org/10.1016/j.socscimed.2004.10.002
Dykes, F. & Flacking, R. (2010). Encouraging breastfeeding: A relational perspective. Early Human Development, 86(11), 733-736. DOI: https://doi.org/10.1016/j.earlhumdev.2010.08.004
Edwards, N.P. (2005). Birthing autonomy: Women’s experiences of planning home births. New York, NY: Routledge.
Feldman-Winter, L. (2013). Evidence-based interventions to support breastfeeding. Pediatric Clinics of North America, 60(1), 169-187. DOI: https://doi.org/10.1016/j.pcl.2012.09.007
Foucault, M. (1975/1979). Discipline and punish: The birth of the prison. New York, NY: Vintage Books.
Foucault, M. (1982). The subject and power. Critical Inquiry, 8(4), 777-795. DOI: https://doi.org/10.1086/448181
Gionet, L. (2013). Breastfeeding trends in Canada (Statistics Canada Catalogue No. 82-624-X). Retrieved from: https://www.statcan.gc.ca/pub/82-624-x/2013001/article/11879-eng.htm
Greaves, L. (2018). Personal and political: Stories form the women’s health movement 1960 2010. Toronto, ON: Second Story Press.
Haug, F. (1987). Female sexualization: A collective work of memory. Norfolk, UK: Thetford Press. hooks, b. (2000). Feminist theory: From margin to center (2nd ed). Brooklyn, NY: South End Press.
hooks, b. (2015). Feminism is for everybody: Passionate politics. New York, NY: Routledge.
Hurst, N., Engebreston, J. & Mahoney, J.S. (2013). Providing mothers’ own milk in the context of the NICU: A paradoxical experience. Journal of Human Lactation, 29(3), 366-373. DOI: https://doi.org/10.1177/0890334413485640
Infant Feeding Working Group. (2015). Nutrition for healthy term infants:Recommendations from birth to six months. Retrieved from: https://www.canada.ca/en/health-canada/services/food-nutrition/healthy-eating/infant-feeding/nutrition-healthy-term-infants-recommendations-birth-six-months.html#a3
Inglis, D. (2010). A feminist phenomenological study of skin-to-skin contact with mothers and nurses in NICU. Masters’ Thesis, Retrieved from ProQuest Dissertations & Theses Global (UMI No. MR63637).
Jefferies, A.L. (2014). Going home: Facilitating discharge of the preterm infant (Canadian Pediatric Society position statement). Paediatrics & Child’s Health, 19(1), 31-36. DOI: https://doi.org/10.1093/pch/19.1.31
Johnson, S., Williamson, I., Lyttle, S. & Leeming, D. (2009). Expressing yourself: A feminist analysis of talk around expressing breast milk. Social Science & Medicine, 69(6), 900-907. DOI: https://doi.org/10.1016/j.socscimed.2009.07.001
Layne, L. (1996). "How's the baby doing?" Struggling with narratives of progress in a neonatal intensive care unit. Medical Anthropology Quarterly, 10(4), 624-656. DOI: https://doi.org/10.1525/maq.1996.10.4.02a00130
Lupton, D. (1992). Discourse analysis: A new methodology for understanding the ideologies of Health and illness. Australian Journal of Public Health, 16(2), 145-150. DOI: https://doi.org/10.1111/j.1753-6405.1992.tb00043.x
MacConnell, G., Aston, M., Randel, P. & Zwaagstra, N. (2012). Nurses’ experiences providing bereavement follow-up: An exploratory study using feminist poststructuralism. Journal of Clinical Nursing, 22(7-8), 1094-1102.
Marcotte, M. (2017). Examining the climate for aboriginal mothers in neonatal intensive care units (NICUs): An exploratory qualitative study about views of health care professionals. Doctoral Thesis, Retrieved from: https://unbc.arcabc.ca/islandora/object/unbc%3A17378/datastream/.../unbc_17378.pdf
Murphy, E. (1999). ‘Breast is best’: Infant feeding decisions and maternal deviance. Sociology of Health & Illness, 21(2), 187-208. DOI: https://doi.org/10.1111/1467-9566.00149
Murphy, E. (2000). Risk, responsibility, and rhetoric in infant feeding. Journal of Contemporary Ethnography, 29(3), 291-325. DOI: https://doi.org/10.1177/089124100129023927
Lee, R. (2018). The ethics and politics of breastfeeding: Power, pleasure, poetics. Toronto, ON: University of Toronto Press. DOI: https://doi.org/10.3138/9781487518561
McCarter-Spaulding, D. (2008). Is breastfeeding fair? Tensions in feminist perspectives on breastfeeding and the family. Journal of Human Lactation, 24(2), 206-212. DOI: https://doi.org/10.1177/0890334408316076
Nathoo, T. & Ostry, A. (2009). The one best way? Breastfeeding history, politics, and policy in Canada. Waterloo, ON: Wilfrid Laurier University Press.
Neyer, G. & Bernardi, L. (2011). Feminist perspectives on motherhood and reproduction. Historical Social Research, 36(2), 162-176.
Oakley, A. (1986). Telling the truth about Jerusalem. New York, NY: Basil Blackwell.
Obeidat, H.M., Bond, E.A. & Callister, L.C. (2009). The parental experience of having an infant in the newborn intensive care unit. The Journal of Perinatal Education, 18(3), 23-29. DOI: https://doi.org/10.1624/105812409X461199
Palmer, G. (1988). The politics of breastfeeding. London, UK: Pandora Press.
Palmer, G. (2009). The politics of breastfeeding: When breasts are bad for business. (3rd ed.). London, U.K.: Pinter & Martin Ltd.
Patel, S. & Patel, S. (2016). The effectiveness of lactation consultants and lactation counselors on breastfeeding outcomes. Journal of Human Lactation, 32(3), 530-541. DOI: https://doi.org/10.1177/0890334415618668
Paynter, M. & Goldberg, L. (2018). A critical review of human milk sharing using an intersectional feminist framework: Implications for practice. Midwifery, 66, 141-147. DOI: https://doi.org/10.1016/j.midw.2018.08.014
Perrella, S.L., Williams, J., Nathan, E.A., Fenwick, J., Hartmann, P.E., & Geddes, D.T. (2012). Influences on breastfeeding outcomes for healthy term and preterm/sick infants. Breastfeeding Medicine, 7(4), 255–261. DOI: https://doi.org/10.1089/bfm.2011.0118
Rich, A. (1986). Of woman born: Motherhood as experience and institution. New York, NY: W.W. Norton and Company.
Richardson, B., Goldberg, L., Aston, M. & Campbell-Yeo, M. (2018). eHealth versus Equity: Using a feminist poststructural framework to explore the influence of perinatal eHealth resources on health equity. Journal of Clinical Nursing, 27, 4224-4233. DOI: https://doi.org/10.1111/jocn.14592
Schanler, R.J. (2011). Outcomes of human milk-fed premature infants. Seminars in Perinatology, 35(1), 29-33. DOI: https://doi.org/10.1053/j.semperi.2010.10.005
Shattnawi, K.K. (2015). Suspended liminality: Breastfeeding and becoming a mother in two NICUs. International Journal of Advanced Nursing Studies, 4(2), 75-84. DOI: https://doi.org/10.14419/ijans.v4i2.4877
Smith, P.H., Hausman, B.L. & Labbok, M. (2012). Beyond health, beyond choice: Breastfeeding constraints and realities. New Brunswick, NJ: Rutgers University Press.
Smith, P.H. (2018). Social justice at the core of breastfeeding protection, promotion and support: A conceptualization. Journal of Human Lactation, 34(2), 220-225. DOI: https://doi.org/10.1177/0890334418758660
Snitow, A. (1992). Feminism and motherhood: An American reading. Feminist Review, 40, 32-51. DOI: https://doi.org/10.1057/fr.1992.4
Statistics Canada. (2019). Exclusive breastfeeding, at least 6 months, by age group [Table 13-10-0096-22]. Retrieved from: https://www150.statcan.gc.ca/t1/tbl1/en/tv.action?pid=1310009622
Stevens, E.E., Patrick, T.E. & Pickler, R. (2009). A history of infant feeding. The Journal of Perinatal Education, 18(2), 32-39. DOI: https://doi.org/10.1624/105812409X426314
Taylor, E.N. & Wallace, L.E. (2012). For shame: Feminism, breastfeeding advocacy, and maternal guilt. Hypatia, 27(1), 76-98. DOI: https://doi.org/10.1111/j.1527-2001.2011.01238.x
Thomson, G., Ebisch-Burton, K. & Flacking, R. (2015). Shame if you do – shame if you don’t: Women’s experiences of infant feeding. Maternal & Child Nutrition, 11(1), 33-46. DOI: https://doi.org/10.1111/mcn.12148
UNICEF. (2015). Breastfeeding. Retrieved from: https://www.unicef.org/nutrition/index_24824.html
van Esterik, P. & O’Connor, R.A. (2017). The dance of nurture: Negotiating infant feeding. New York, NY: Berghahn Books. DOI: https://doi.org/10.2307/j.ctvw04j4z
van Wijlen, J.E. (2019). Breastfeeding woman or lactating object? A critical philosophical discussion on the influence of Cartesian dualism on breastfeeding in the neonatal intensive care unit. Journal of Clinical Nursing, 28(5-6), 1022-1031. DOI: https://doi.org/10.1111/jocn.14686
Victora, C. G., Bahl, R., Barros, A.J.D., França, G.V.A., Horton, S., Krasevec, J., . . . Rollins, N. C. (2016). Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. The Lancet, 387(10017), 475-490. DOI: https://doi.org/10.1016/S0140-6736(15)01024-7
Weedon, C. (1997). Feminist practice & poststructuralist theory (2nd ed.). Oxford, UK: Blackwell Publishing.
World Health Organization. (2001). The optimal duration of exclusive breastfeeding: Report of an expert consultation (WHO/NHD/01.09). Geneva, CH: Author. Retrieved from: http://apps.who.int/iris/bitstream/10665/67219/1/WHO_NHD_01.09.pdf?ua=1
World Health Organization. (2014). Global nutrition targets 2025: Breastfeeding policy brief (WHO/NMH/NHD/14.7). Geneva, CH: Author. Retrieved from: http://apps.who.int/iris/bitstream/10665/149022/1/WHO_NMH_NHD_14.7_eng.pdf?ua=1
World Health Organization and United Nations Children’s Fund. (2018). Implementation guidance: Protecting, promoting, and supporting breastfeeding in facilities providing maternity and newborn services – the revised Baby-Friendly Hospital Initiative. Geneva, CH: Author. Retrieved from: https://apps.who.int/iris/bitstream/handle/10665/272943/9789241513807-eng.pdf?ua=1
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