Parental Infant Feeding Survey

A Breastfeeding Quality Project is underway in Our Lady’s Children’s Hospital, Crumlin (OLCHC). As part of this project, we want to explore your feeding decisions and influences for your baby, your perception of how these decisions were supported and your experience of breastfeeding and/or expressing breast milk for your baby while in OLCHC. Your responses are private, confidential and anonymous. Thank you for participating in our survey. Your feedback is important.

Question Title

* 1. How did you plan to feed your baby before your baby was admitted to OLCHC?

Breastfeeds

Expressed Breast Milk

Formula Feeds

Spoon Feeds

Breastfeeds and Formula

Breastfeeds and Expressed Breast Milk

Other (please specify)

Question Title

* 2. Tick what or who influenced your feeding decision?

Antenatal classes

Media (TV / Internet / Social Media)

Family

Friends

Healthcare professionals in Maternity

Healthcare professionals in Community

Healthcare professionals in OLCHC

Voluntary Breastfeeding Support Groups

Peers

Myself

Don’t know

Other

Other (please specify)

Question Title

* 3. How would you rate the following for influencing your decision?

	Very Negatively	Negatively	Neutral	Positively	Very Positively	Not applicable
Antenatal classes	Antenatal classes Very Negatively	Antenatal classes Negatively	Antenatal classes Neutral	Antenatal classes Positively	Antenatal classes Very Positively	Antenatal classes Not applicable
Media (TV / Internet / Social Media)	Media (TV / Internet / Social Media) Very Negatively	Media (TV / Internet / Social Media) Negatively	Media (TV / Internet / Social Media) Neutral	Media (TV / Internet / Social Media) Positively	Media (TV / Internet / Social Media) Very Positively	Media (TV / Internet / Social Media) Not applicable
Family	Family Very Negatively	Family Negatively	Family Neutral	Family Positively	Family Very Positively	Family Not applicable
Friends	Friends Very Negatively	Friends Negatively	Friends Neutral	Friends Positively	Friends Very Positively	Friends Not applicable
Healthcare professionals in Maternity	Healthcare professionals in Maternity Very Negatively	Healthcare professionals in Maternity Negatively	Healthcare professionals in Maternity Neutral	Healthcare professionals in Maternity Positively	Healthcare professionals in Maternity Very Positively	Healthcare professionals in Maternity Not applicable
Healthcare professionals in Community	Healthcare professionals in Community Very Negatively	Healthcare professionals in Community Negatively	Healthcare professionals in Community Neutral	Healthcare professionals in Community Positively	Healthcare professionals in Community Very Positively	Healthcare professionals in Community Not applicable
Healthcare professionals in OLCHC	Healthcare professionals in OLCHC Very Negatively	Healthcare professionals in OLCHC Negatively	Healthcare professionals in OLCHC Neutral	Healthcare professionals in OLCHC Positively	Healthcare professionals in OLCHC Very Positively	Healthcare professionals in OLCHC Not applicable
Voluntary Breastfeeding Support Groups	Voluntary Breastfeeding Support Groups Very Negatively	Voluntary Breastfeeding Support Groups Negatively	Voluntary Breastfeeding Support Groups Neutral	Voluntary Breastfeeding Support Groups Positively	Voluntary Breastfeeding Support Groups Very Positively	Voluntary Breastfeeding Support Groups Not applicable
Peers	Peers Very Negatively	Peers Negatively	Peers Neutral	Peers Positively	Peers Very Positively	Peers Not applicable
Myself	Myself Very Negatively	Myself Negatively	Myself Neutral	Myself Positively	Myself Very Positively	Myself Not applicable
Don’t know	Don’t know Very Negatively	Don’t know Negatively	Don’t know Neutral	Don’t know Positively	Don’t know Very Positively	Don’t know Not applicable
Other	Other Very Negatively	Other Negatively	Other Neutral	Other Positively	Other Very Positively	Other Not applicable

Comments

Question Title

* 4. Did your baby's illness or admission to OLCHC change your feeding choice?

If Yes, what or who influences the change?

Question Title

* 5. What age was your baby when they were admitted to OLCHC?

Comments

Question Title

* 6. Did your baby need an operation while in OLCHC?

If yes, please specify

Question Title

* 7. Who supported your choice of baby feeding while in OLCHC?

Partner

Family

Friend

Other Family/Friends

Nursing in OLCHC

Medical Doctor in OLCHC

Surgical Doctor in OLCHC

Others in OLCHC

Other (please specify)

Question Title

* 8. How would you rate the support for your choice of baby feeding while in OLCHC?

	Very Supported	Supported	Neutral	Unsupported	Very Unsupported	Not applicable
Partner	Partner Very Supported	Partner Supported	Partner Neutral	Partner Unsupported	Partner Very Unsupported	Partner Not applicable
Family	Family Very Supported	Family Supported	Family Neutral	Family Unsupported	Family Very Unsupported	Family Not applicable
Friends	Friends Very Supported	Friends Supported	Friends Neutral	Friends Unsupported	Friends Very Unsupported	Friends Not applicable
Other Family/Friend	Other Family/Friend Very Supported	Other Family/Friend Supported	Other Family/Friend Neutral	Other Family/Friend Unsupported	Other Family/Friend Very Unsupported	Other Family/Friend Not applicable
Nursing in OLCHC	Nursing in OLCHC Very Supported	Nursing in OLCHC Supported	Nursing in OLCHC Neutral	Nursing in OLCHC Unsupported	Nursing in OLCHC Very Unsupported	Nursing in OLCHC Not applicable
Medical Doctor in OLCHC	Medical Doctor in OLCHC Very Supported	Medical Doctor in OLCHC Supported	Medical Doctor in OLCHC Neutral	Medical Doctor in OLCHC Unsupported	Medical Doctor in OLCHC Very Unsupported	Medical Doctor in OLCHC Not applicable
Surgical Doctor in OLCHC	Surgical Doctor in OLCHC Very Supported	Surgical Doctor in OLCHC Supported	Surgical Doctor in OLCHC Neutral	Surgical Doctor in OLCHC Unsupported	Surgical Doctor in OLCHC Very Unsupported	Surgical Doctor in OLCHC Not applicable
Others in OLCHC	Others in OLCHC Very Supported	Others in OLCHC Supported	Others in OLCHC Neutral	Others in OLCHC Unsupported	Others in OLCHC Very Unsupported	Others in OLCHC Not applicable

Other (please specify)

Question Title

* 9. Were the benefits of breastfeeding/breast milk discussed with you while your baby was in OLCHC?

Question Title

* 10. If the benefits of breastfeeding/breast milk were discussed in OLCHC, who discussed them?

Not applicable as benefits were not discussed

Nursing

Medical Doctor

Surgical Doctor

Other

Other (please specify)

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* 11. How is baby currently being fed?

Question Title

* 12. How would you rate the Breastfeeding and Expressing Breast Milk Facilities in OLCHC?

	Very Satisfied	Satisfied	Neutral	Dissatisfied	Very Dissatisfied	Not Applicable
Breast Pump Equipment	Breast Pump Equipment Very Satisfied	Breast Pump Equipment Satisfied	Breast Pump Equipment Neutral	Breast Pump Equipment Dissatisfied	Breast Pump Equipment Very Dissatisfied	Breast Pump Equipment Not Applicable
Sterilisation of Equipment	Sterilisation of Equipment Very Satisfied	Sterilisation of Equipment Satisfied	Sterilisation of Equipment Neutral	Sterilisation of Equipment Dissatisfied	Sterilisation of Equipment Very Dissatisfied	Sterilisation of Equipment Not Applicable
Breast Milk Storage Facilities	Breast Milk Storage Facilities Very Satisfied	Breast Milk Storage Facilities Satisfied	Breast Milk Storage Facilities Neutral	Breast Milk Storage Facilities Dissatisfied	Breast Milk Storage Facilities Very Dissatisfied	Breast Milk Storage Facilities Not Applicable
Expressing at the bedside	Expressing at the bedside Very Satisfied	Expressing at the bedside Satisfied	Expressing at the bedside Neutral	Expressing at the bedside Dissatisfied	Expressing at the bedside Very Dissatisfied	Expressing at the bedside Not Applicable
Breastfeeding at the bedside	Breastfeeding at the bedside Very Satisfied	Breastfeeding at the bedside Satisfied	Breastfeeding at the bedside Neutral	Breastfeeding at the bedside Dissatisfied	Breastfeeding at the bedside Very Dissatisfied	Breastfeeding at the bedside Not Applicable
Breastfeeding Room at ward/unit level	Breastfeeding Room at ward/unit level Very Satisfied	Breastfeeding Room at ward/unit level Satisfied	Breastfeeding Room at ward/unit level Neutral	Breastfeeding Room at ward/unit level Dissatisfied	Breastfeeding Room at ward/unit level Very Dissatisfied	Breastfeeding Room at ward/unit level Not Applicable
Parents Accommodation	Parents Accommodation Very Satisfied	Parents Accommodation Satisfied	Parents Accommodation Neutral	Parents Accommodation Dissatisfied	Parents Accommodation Very Dissatisfied	Parents Accommodation Not Applicable
Ronald McDonald House	Ronald McDonald House Very Satisfied	Ronald McDonald House Satisfied	Ronald McDonald House Neutral	Ronald McDonald House Dissatisfied	Ronald McDonald House Very Dissatisfied	Ronald McDonald House Not Applicable

Other (please specify)

Question Title

* 13. Where do you prefer to express breast milk while your baby is in OLCHC?

By your babies bed side

In the Breastfeeding/Expressing Room

Parents Accommodation

Ronald McDonald House

In your own home

Somewhere else

Why?

Parental Infant Feeding Survey