Navigating Work and Breastfeeding: A Qualitative Exploration of Breastfeeding Experiences among Nurses and Support Staff in South India.

Objective: The personal experiences of breastfeeding healthcare workers may influence the quality of breastfeeding support provided. This study explored the breastfeeding experiences of nurses and support staff in South India. Materials and Methods: A qualitative exploratory study using focus group discussions (FGDs) was conducted among nurses and support staff of a newly established tertiary care hospital in South India. Purposive sampling was used, and written consent was obtained. Three FGDs were conducted in English and in local language by trained personnel. Audio recordings were transcribed, coded using Atlas Ti, and analyzed thematically. New themes from each FGD were integrated into later discussions until saturation was achieved in the third FGD. Results: Participants, primarily aged 30-35 years, encountered cultural pressures, fears of job loss, and insufficient workplace support while breastfeeding. Maternity leave varied with some participants having experienced job loss. Facilitators for exclusive breastfeeding included support from colleagues and friends, private lactation rooms, and adequate leave. Harmful cultural practices suggested limited health literacy. Reduced milk supply, lack of awareness about expressed milk, inadequate storage facilities, and job stress led to a preference for bottle feeding. Participants also highlighted a lack of spousal understanding concerning shared responsibilities and sexual intimacy following delivery. They expressed a desire for paid leave with job security, designated breastfeeding areas, and the normalization of public breastfeeding. Conclusion: Breastfeeding challenges for nurses and support staff in South India stem from societal pressures and work demands. This study emphasizes the need for multi-level interventions to empower them in effective breastfeeding practices.