Skip to main content

Breastfeeding experiences of Latina migrants living in Spain: a qualitative descriptive study



The migratory flows in Spain have changed due to the arrival of a diverse migrant population. Among the new migrants the Latino collective predominate with more than half being women of childbearing age. There are no previous studies exploring breastfeeding experiences of migrants in a country where their mother tongue is spoken. This study aimed to explore Latina migrants’ breastfeeding experiences in a Spanish-speaking country.


A descriptive qualitative study was carried out in the main province in southern Andalusia between November 2019 and June 2020. The study used intentional sampling. The study participants were contacted by video calls and data were collected through a semi-structured in-depth interview (n = 19). The interviews were transcribed and analysed by thematic analysis.


The nineteen participants were aged between 22 and 43 years old and came from six different countries in Latin America. The two main categories that emerged were breastfeeding facilitators and barriers, divided into ten interrelated sub-categories: working conditions; precarious socioeconomic conditions; lack of support (health professionals, family and society); physiological changes, pain and fatigue; ignorance and wrong beliefs; support networks (partner, health professionals and family); host country versus home country; religious practices/worship; appropriate attitude, knowledge and experience; and breastfeeding support groups. Most of the study participants stated that their breastfeeding experiences were influenced by barriers such as work and by facilitators such as peer support.


More support from caregivers and more sensitivity to cultural diversity were demanded by the women and well-trained professionals are needed to enable breastfeeding for a longer time. This paper provides caregivers, such as nurses, more knowledge about the care demanded by migrant women to ensure a longer breastfeeding experience.


Although the World Health Organization’s (WHO) recommendations are to exclusively breastfeed up to 6 months and continue thereafter into the second year of life [1], breastfeeding rates in Spain are not as desired. According to the latest WHO report by country, there is 68.4% exclusive breastfeeding in Spain at 6 weeks postpartum which gradually decreases, reaching 24.7% at 6 months [2]. These data reflect the need for measures to promote breastfeeding in an increasingly diverse country such as Spain.

In recent years, there has been a change in the migratory flows to our country. Of the foreign population registered in Spain, 24.4% originate from Latin America, of whom 57.5% are women. The feminization of immigrants occurs at the national, regional (Andalusia), and provincial (Seville) levels. The dominant nationalities are Colombian, Venezuelan, Bolivian, Paraguayan, and Peruvian [3]. The Latin immigrant population is of childbearing age (between 20 and 39 years old) when they migrate to Spain [4]. Latina immigrants in Spain are more likely to breastfeed than Spanish women [5,6,7,8]. Previous studies have identified barriers and facilitators unique to Latina women living in non-Spanish-speaking countries [9]. Currently, there are no studies exploring the experiences of Latina women immigrants in a Spanish-speaking country [10]. Although some barriers and facilitators to breastfeed successfully are known, migrant mothers continue to face difficulties, [11,12,13,14,15,16,17,18,19,20,21] leading some researchers to suggest that culturally adapted health services are necessary to maintain breastfeeding rates among migrant mothers [10, 22]. The aim of this study is to explore Latina migrants’ breastfeeding experience in a Spanish-speaking country.


Study design

This qualitative study was carried out following the Consolidated Criteria for Reporting Qualitative Research (COREQ) that covers the reporting of studies using interviews, and was developed to promote explicit and comprehensive reporting of interviews (see Additional file 1). The study was conducted in three local districts of Seville, the main province in southern Andalusia between November 2019 and June 2020.


Participants were selected using a non-probability “snowball” sampling procedure. The inclusion criteria were: Latina women who had given birth in Spain; experience of breastfeeding in the host country for at least 2 months over the last 5 years; involvement in breastfeeding support groups, both face-to-face or online; and consent to participate in the study. A Breastfeeding Support Group is a peer community group run by a mother with a successful experience of breastfeeding, led by a midwife. This support group provides advice on breastfeeding problems and their resolution, both online and through a private Facebook group, or during weekly face-to-face meetings. The first strategy used to recruit participants for the study was to contact the Breastfeeding Support Group on social media.


In-depth semi-structured interviews were conducted until data saturation was reached. For this purpose, an interview script was created (see Table 1), which included three dimensions: sociodemographic factors, birth and breastfeeding history and experiences, as well as support and feelings.

Table 1 Interview script

Data collection

Due to the current public health situation caused by COVID-19 and lockdown restrictions, a total of 19 interviews were conducted online and a code was assigned (M (mother) M (migrant) L (Latina) X (number of the interview)). In this way, different video-calling applications such as Skype or WhatsApp were used and prior informed consent obtained. Under these circumstances, we took the participants’ resources into account and attempted to maintain a comfortable environment and ensure the mothers’ privacy. The interviews were conducted in Spanish by the first author, who was an MSc candidate and not involved in the care of the participants. Interviews were recorded using three different devices and transcribed by the same researcher.

Data analysis

The interviews were analysed using an inductive content analysis, that is, a process of abstraction to reduce and group the data so that researchers could answer the study questions using concepts, categories or themes [23]. The transcribed interviews were examined using a thematic analysis to identify their meanings. For this purpose, a reflective, iterative and systematic process was performed, attending to the phases proposed by Braun and Clarke [24]. These are: 1) Familiarization with the data through readings and annotations made by both researchers; 2) Coding using a process that involved reading and rereading of the trascriptions to identify patterns and themes; 3) Preparation of a thematic mind map: codes were organized into a hierarchical structure for interpretation; 4) Defining and naming themes and subthemes; and 5) Preparation of the final report with an analysis of the selected fragments. The themes were grouped into linked dimensions to provide knowledge. A preliminary analysis was carried out by the first author. The second researcher examined and compared their analyses independently. The quotes presented in the results section were included for their representativeness and selected after their accuracy was verified. The analysis was carried out in Spanish and the quotes later translated into English and reviewed by an accredited native translator not directly involved with the data collection.

We used Lincoln’s and Guba’s criteria to establish the trustworthiness of the study [25]. All data was triangulated by two of the study’s researchers to enhance validity and confirmability of the findings.

Ethical considerations

We received ethical approval from the Andalusian Biomedical Research Ethics Portal, Ethics review committee (Ref: TFM-IGAL-2020). Verbal informed consent was obtained from all participants prior to the interviews. An information sheet informed the participants about the study procedure, purpose, risks and benefits. Confidentiality of the data was guaranteed in accordance with the Protection of Personal Data and Guarantee of Digital Rights Law and the ethical principles contained in the Declaration of Helsinki and its subsequent modifications [26, 27].


Initially, from a list of 36 Latinas, 31 participants met the inclusion criteria. The final number of participants interviewed was nineteen: six declined to participate at the last moment and another six either did not have the time to participate or the necessary connectivity for a video call. The total number of participants was based on data saturation. The interviews lasted between 20 and 70 min. The nineteen participants were aged between 22 and 43 years old and came from six different countries in Latin America. Nevertheless, there was heterogeneity of home countries with Peru being the most common (Table 2). Those mothers who had a longer breastfeeding duration were associated with an advanced educational level, multiparity, legal status (legitimate inmigrants) at the time the baby was born, and participating actively in the Breastfeeding Support Group.

Table 2 Sociodemographic characteristics

During the data analysis, two main categories and ten interrelated sub-categories and their interpretation were identified by the researchers (Table 3).

Table 3 Categories and sub-categories

Breastfeeding barriers

Working conditions

Working conditions were the main obstacle to breastfeeding because there were no places to express and store breastmilk nor was there enough time for pumping while at work.

“ . . . if they express their milk, where do they store it . . . the majority . . . resort to formula.” (MML-5).

“ . . . you have that pressure . . . either you stop working to breastfeed or you continue to work so that you can get food for everyone.” (MML-9)

Precarious socioeconomic conditions

Despite their education and training qualifications from their home countries, the mothers had limited employment options. All said that because of their irregular documentation status they could only access casual employment (cleaning and all forms of health care, particularly care for adults) without paid maternity leave. The bureaucratic challenges for validating degrees and other certifications from their home countries limited access to jobs that reflected their training.

“ . . . if we don't have documentation . . . who is going to give you your salary while you are on leave? . . . how are we going to cover what we have to pay?” (MML-2)

Lack of support: health professionals, family, and society

The women also identified unpleasant experiences with some healthcare professionals, complaining that professionals played a paternalistic role participants found difficult to trust because they encouraged the women to interrupt breastfeeding. The participants also complained that the knowledge of some health professionals needed to be updated.

“Health professionals are not trained . . . it is horrible how little they know about breastfeeding . . . he called me negligent . . .” (MML-1)

Others stated that the extended family could negatively interfere with the breastfeeding process as some offer inadequate or erroneous information that encourages mothers to substitute formula milk for breastmilk.

“ . . . I was not breastfeeding all the time required and it was because of the inadequate information that I had around me . . . they [family] are trapping you until you switch to formula milk.” (MML-12)

A further issue identified by the the participants was that they felt questioned and judged by society if they prolonged breastfeeding or decided to, or were forced to, stop breastfeeding early on.

“But in [Spanish] society, there are many people who see me on the street, with the child… [and they say to her] “Are you still breastfeeding the baby? When are you going to stop? . . . Sometimes, I break down, I feel frustrated . . . nervous because everyone comes and tells you that this is not right [extending breastfeeding for a long time].” (MML-5)

Finally, one-third of the participants (six women) stated that the aesthetic component of breastfeeding was another barrier imposed by society. However, our participants recognized that biological function prevails over aesthetics.

“I felt sad and accused . . . because people didn’t want me to breastfeed my children so that my breasts wouldn’t droop.” (MML-9)

Physiological changes, pain, and fatigue

The women emphasized that the most common problems they experienced were ankyloglossia (tongue tied) or nipple abnormalities such as inverted or cracked nipples. These conditions impeded proper latching and required teaching the mothers to effectively breastfeed. Additionally, most mothers admitted that they wanted to stop breastfeeding because of the pain and fatigue they experienced. Although the pain could be intense, it diminishes over time, while maternal tiredness increased due to continued demands.

“I encountered the cracks, the pain, the frenulum issue . . . that was what prevented my baby from [suckling] well.” (MML-12)

Ignorance and erroneous beliefs

Everyone recognized that insufficient milk greatly hindered breastfeeding in addition to insufficient knowledge such as breast stimulation techniques, posture, or lack of scientific information.

“ . . . A difficulty that mothers have is the misinformation on . . . unknown topics, [such as] tongue-tie, interferences, pacifiers.” (MML-1).

“We think that, instinctively, we already do it well [breastfeed], but we don’t. If someone doesn’t explain it to you, then you don’t know how to do it.” (MML-5)

“. . . When mothers are inexperienced, they do not know how to breastfeed the baby. So their nipples get sore and that makes them not want to breastfeed.” (MML-14).

One-third of the mothers also identified incorrect breastfeeding beliefs such as the baby is not satisfied after breastfeeding, and the quality of the breast milk is not good to gain weight, among which the perception of low or insufficient milk supply while breastfeeding predominated.

“Women are afraid of not having enough milk to give to their babies and that is when they stop breastfeeding and start using formula.” (MML-19)

Breastfeeding facilitators

Support networks: partner, health professionals, and family

The participants acknowledged their partners as their main source of support. Partners were essential if a mother opted to breastfeed instead of offering formula milk. The fathers also helped to care for the baby and with household chores. Similarly, the participants received support from networks made up of mothers, sisters or close friends.

“If he [husband] hadn’t made this big effort with me, I probably wouldn’t have been nursing for 25 months.” (MML-3)

These women also viewed the health professionals who positively influenced them as indispensable to their success with breastfeeding. They identified their midwife as the closest health professional who provided them with knowledge and support while breastfeeding.

“I really received a good explanation from my midwife [about breastfeeding], she was very hands on”(MML-5)

Host country versus home country

Most participants identified the host country, Spain, as a breastfeeding facilitator. In Spain, they found more institutional resources to support breastfeeding as well as better updated and official information. Conversely, half the participants thought their home country also supported breastfeeding because they had access to family counsel and a greater support network.

“ . . . there are more institutionalized resources here, such as breastfeeding groups . . . and more informal and traditional information over there.” (MML-10)

Some participants indicated that differences in breastfeeding duration in Spain were not due to cultural issues. They suggested they reflected individual factors such as lack of access to resources such as breastfeeding support groups, or the circumstances mothers were experiencing at the time.

“I believe that access to a Breastfeeding Support Group . . . [is] more than a cultural barrier, it’s a barrier because I do not know where to look for help.” (MML-3)

Religious practices/worship

One-third of the women recognized the importance of religion or worship as a source of support during their most difficult moments of breastfeeding. This finding was emphasized by mothers belonging to minority religious groups such as Evangelists or Jehovah’s Witnesses.

Emotionally, you feel good, that you can do it . . . people of your same church also give you support and you feel more secure [Evangelist].” (MML-2)

Appropriate attitude, knowledge, and experience

All the participants showed a good attitude towards breastfeeding which they recognized was the best way to feed their babies. Moreover, most attended antenatal classes during pregnancy and showed adequate knowledge about breastfeeding advantages, as well as a satisfactory breastfeeding experiences.

“It’s tailor-made, like the perfect and exclusive food for your baby . . . there are only advantages.” (MML-10)

Breastfeeding support groups

Longer breastfeeding periods were observed among mothers who actively participated in Breastfeeding Support Groups compared with those who did not. Furthermore, tandem breastfeeding was more frequently observed among mothers who participated in Breastfeeding Support Groups. The participants in Breastfeeding Support Groups had a high educational level, such as university or postgraduate levels, whereas the women who did not get involved in these groups had received vocational training or higher education.

The participants considered it important to increase the number of Breastfeeding Support Groups to help new mothers, with experienced mothers providing knowledge or correcting misconceptions. Mothers also highlighted the various functions of Breastfeeding Support Groups such as offering up-to-date knowledge; psychological support; women’s empowerment; and recreation and social interaction.

“ . . . it has been a revelation because of the high-quality information . . . I have learned much more with them than from any professional.” (MML-1)

“Those little tribes are like my . . . oasis, my relief.” (MML-3)

“. . . they give you the chance to meet other people, interact . . . that is the best thing because you come from another country, you don’t know anyone and that helps you a lot.” (MML-15)


To our knowledge, this study is the first in Spain aiming to understand Latina breatfeeding experiences from a qualitative perspective. In general, our results were consistent with the existing literature [28,29,30].

In our study, the main element that hindered breastfeeding was paid employment [14, 31,32,33]. Our participants indicated that the absence of adequate breastfeeding facilities in the workplace together with an early return to work during the postpartum period were significant barriers to breastfeeding. Women maintained that return to the workplace while breastfeeding was determined by the economic pressure and precarious socioeconomic conditions in which they live, as shown in the literature [34]. The participants commented that, despite having valid legal status, obtaining validation of a foreign degree is difficult. Consequently, they were relegated to unstable jobs with inflexible conditions, no maternity leave (in Spain, maternity leave lasts 16 weeks to allow a good breastfeeding and motherhood experience), and long working hours. These conditions limit a mother’s ability to maintain breastfeeding [16, 34,35,36].

The support the mothers received from healthcare professionals and their family was controversial, as this support was identified as both a facilitator of and barrier to breastfeeding. Participants commented that health professionals acted as a barrier when they had little breastfeeding knowledge because this led to unpleasant situations such as inadequate care and paternalistic responses to doubts or outdated information.

“Health professionals are not trained, it is horrible how little they know about the subject (breastfeeding) . . . He called me negligent for ignoring him. It is not professional that I, as a mother, know more about breastfeeding than a health worker.” (MML-1)

“The first pediatrician who saw my little girl got angry with me because I told him that I was not going to give her formula, only exclusive breastfeeding and he told me: ‘she is going to be malnourished’“ (MML-12) [30, 37, 38]. Thus, it could be concluded that the negative influence of the health professionals could be due to lack of updating or inadequate training in breastfeeding. In that case, they would not know how to respond to mothers’ needs and concerns and so act as breastfeeding barriers. Conversely, when health professionals were adequately trained, the women considered their support as essential for breastfeeding success [29, 31]. In this context, the participants identified their midwives as the health professionals giving them advice best adapted to their needs [12, 14].

Many of the mothers indicated that at times they felt forced to formula feed their infants in order to avoid offensive comments from family members or the public [31]. However, when their partners or family members were pro-breastfeeding they acted as positive reinforcers of the value of continuing to breastfeed [29, 31].

Another facilitator to breastfeeding was the influence of religious beliefs as a motivation to continue breastfeeding and a surce of support during difficult moments while breastfeeding [39, 40].

“Emotionally, you feel good, that you can do it . . . people of your same church also give you support and you feel more secure [Evangelist].” (MML-2)

“I belong to an evangelical church and I know that God is the one who gives me the strength to continue breastfeeding.” (MML-13)

However, in our study, the above finding predominated among Evangelists or Jehovah’s Witnesses. Moreover, a proactive attitude towards breastfeeding along with a positive breastfeeding experience and adequate knowledge were associated by the mothers with higher breastfeeding rates because they identified benefits for their babies and themselves [16, 37, 41].

The host country’s influence on breastfeeding maintenance was also influential. Most mothers identified the host country as very supportive of breastfeeding through the resources it made available (up-to-date information, support groups, follow-up and classes with the midwife) [18].

“ . . . there are more institutionalized resources here, such as breastfeeding groups . . . and more informal and traditional information over there.” (MML-10)

. .. the information received by the midwife, the doctor and the team that takes care of you when you are pregnant here, yes, it has been better.” (MML-12). Cultural influences were also found to have a positive influence with the longest duration of breastfeeding found among the migrant women who had resided in the host country for the longest period [14, 42]. Furthermore, in our study participation in Breastfeeding Support Groups was associated with a longer breastfeeding duration [43, 44]. Mothers who had resided in Spain the longest reported that they were provided with updated and scientific knowledge as well as psychological support that encouraged and empowered them to breastfeed. Similarly, the Breastfeeding Support Group offered them a recreational space that facilitated sociocultural integration [38, 45].

Finally, the participants expressed the need for breastfeeding instruction and regular contact with healthcare professionals before and during birth, as well as during the early postpartum period [14, 30, 46]. Breastfeeding Support Groups were also associated with an improvement in breastfeeding duration among Latina mothers [18] with participants demanding greater Breastfeeding Support Group visibility to facilitate access to these groups and ultimately, improve breastfeeding rates in our country. Finally, in common with other studies, participants in the current study emphasised the importance of painful breasts and nipples or fatigue as obstacles to breastfeeding. A lack of breastfeeding knowledge and/or erroneous beliefs such as the perception of insufficient milk were also identified as barriers to breastfeeding [31, 37].

The lockdown that began in March 2020 could be the main limitation of this study, as some mothers may have decided not to take part in the research. Some reported difficulties due to connectivity issues (resources to carry out the interview by video call such via an internet connection, mobile phone, computer or another device with a camera, etc.) or emotional management (mothers afraid that they might be infected with COVID-19 in the workplace (most worked as house cleaners) and talking about the risks intensified their stress. A futher possible limitation of the study is that the interviews were conducted and analysed in Spanish and subsequently translated into English which may have affected the communication of the results [47].


This study has highlighted the need to promote a more inclusive and culturally sensitive society for migrant groups, such as Latina migrants. In this context, contributing to migrant literature and openness to diversity should be encouraged. We believe that by identifying breastfeeding facilitators we can use the findings to mitigate the negative effect of barriers to breastfeeding. This goal requires researchers to always take into account the cultural needs of the group.

Most of our participants were convinced that breastfeeding was the best option, but needed more information and knowledge to successfully breastfeed. Peer support has been shown to be helpful, and there is a need for health care professionals to adapt breastfeeding-friendly practices to the circumstance of migrants, particuarly barriers confronted in the work place and a lack of support networks. The participants also identified the need for more support from caregivers, sensitivity to cultural diversity, and well-trained health professionals.

Availability of data and materials

The datasets used and/or analysed in the current study are available from the corresponding author upon reasonable request.



Consolidated Criteria for Reporting Qualitative Research


Ethics Review Committee


World Health Organization


  1. World Health Organization. United Nations Children’s Fund. Capture the Moment – Early initiation of breastfeeding: The best start for every newborn. New York: UNICEF; 2018.

    Google Scholar 

  2. World Health Organization. Infant and young child feeding data by country, 2009. Accessed 18 Dec 2020.

    Google Scholar 

  3. Statistics National Institute. Statistics of the Continuous Register of Foreign Population by country of birth and sex, on January 1, 2018, 2019. Accessed 15 Sep 2020.

    Google Scholar 

  4. Statistics National Institute. Statistics of the Continuous Register of Foreign Population by country of birth, age and sex, on January 1, 2018. 2019. Accessed 15 Sep 2020.

    Google Scholar 

  5. Oves Suárez B, Escartín Madurga L, Samper Villagrasa MP, Cuadrón Andrés L, Álvarez Sauras ML, Lasarte Velillas JJ, et al. Immigration and factors associated with breastfeeding. CALINA study. An Pediatr. 2014;81(1):32–8.

    Article  Google Scholar 

  6. González M, Toledano J. Breastfeeding in our general population: an analysis of the situation. Acta Pediatr Esp. 2007;65:123–5.

    Google Scholar 

  7. Hernández MT. [epidemiology of breastfeeding. Prevalence and trends of breastfeeding in the world and in Spain. Breastfeeding: a guide for professionals]. Breastfeeding committee of the AEP, editor. Monographs of the AEP n. 5. Madrid: Ergón; 2004.

    Google Scholar 

  8. Kana MA, Rodrigues C, Fonseca MJ, Santos AC, Barros H. Effect of maternal country of birth on breastfeeding practices: results from Portuguese GXXI birth cohort. Int Breastfeed J. 2018;1(1):15.

    Article  Google Scholar 

  9. Sebastian RA, Coronado E, Otero MD, McKinney CR, Ramos MM. Associations between maternity care practices and 2-month breastfeeding duration vary by race, ethnicity, and acculturation. Matern Child Health J. 2019;23(6):858–67.

    Article  PubMed  Google Scholar 

  10. Dennis CL, Shiri R, Brown HK, Santos HP, Schmied V, Falah-Hassani K. Breastfeeding rates in immigrant and non-immigrant women: a systematic review and meta-analysis. Matern Child Nutr. 2019;15(3):e12809.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Barcelona de Mendoza V, Harville E, Theall K, Buekens P, Chasan-Taber L. Acculturation and intention to breastfeed among a population of predominantly Puerto Rican women. Birth. 2016;43(1):78–85.

    Article  PubMed  Google Scholar 

  12. Lindsay AC, Le Q, Greaney ML. Infant feeding beliefs, attitudes, knowledge and practices of Chinese immigrant mothers: an integrative review of the literature. Int J Environ Res Public Health. 2018;15(1):21.

    Article  Google Scholar 

  13. Vega Recio A, Jurado García E, Baena AF. Migratory grief, perspective of the midwife. Agathos. 2018;2:56–9.

    Google Scholar 

  14. De Bocanegra HT. Breast-feeding in immigrant women: the role of social support and acculturation. Hisp J Behav Sci. 1998;20(4):448–67.

    Article  Google Scholar 

  15. Gil-Estevan MD. [Experience of nursing professionals in the application of culturally competent care in women at risk of social vulnerability: an ethnographic study]. PhD Thesis. University of Alicante, 2019.

    Google Scholar 

  16. Lok KYW, Bai DL, Chan NPT, Wong JYH, Tarrant M. The impact of immigration on the breastfeeding practices of mainland Chinese immigrants in Hong Kong. Birth. 2018;45(1):94–102.

    Article  PubMed  Google Scholar 

  17. Rubin L, Nir-Inbar S, Rishpon S. Breastfeeding patterns among Ethiopian immigrant mothers, Israel, 2005-2006. Isr Med Assoc J. 2010;12(11):657–61.

    PubMed  Google Scholar 

  18. Schmied V, Olley H, Burns E, Duff M, Dennis CL, Dahlen HG. Contradictions and conflict: a meta-ethnographic study of migrant women’s experiences of breastfeeding in a new country. BMC Pregnancy Childbirth. 2012;12(1):163.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Linares AM, Wambach K, Rayens MK, Wiggins A, Coleman E, Dignan MB. Modeling the influence of early skin-to-skin contact on exclusive breastfeeding in a sample of Hispanic immigrant women. J Immigr Minor Health. 2017;19(5):1027–34.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Febres-Cordero B, Brouwer KC, Rocha-Jimenez T, Fernandez-Casanueva C, Morales-Miranda S, Goldenberg SM. Influence of peer support on HIV/STI prevention and safety amongst international migrant sex workers: a qualitative study at the Mexico-Guatemala border. PLoS One. 2018;13(1):e0190787.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Carlsson T, Marttala UM, Mattsson E, Ringnér A. Experiences and preferences of care among Swedish immigrants following a prenatal diagnosis of congenital heart defect in the fetus: a qualitative interview study. BMC Pregnancy Childbirth. 2016;16(1):130.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Río I, Castelló-Pastor A, Del Val S-VM, Barona C, Jané M, Más R, et al. Breastfeeding initiation in immigrant and non-immigrant women in Spain. Eur J Clin Nutr. 2011;65(12):1345–7.

    Article  PubMed  Google Scholar 

  23. Kyngäs H. Inductive content analysis. The application of content analysis in nursing science research. New York: Springer; 2020. p. 13–21.

    Book  Google Scholar 

  24. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.

    Article  Google Scholar 

  25. Korstjens I, Moser A. Series: practical guidance to qualitative research. Part 4: trustworthiness and publishing. Eur J Gen Pract. 2018;24(1):120–4.

    Article  PubMed  Google Scholar 

  26. Organic Law 3/2018, December 5, on Protection of Personal Data and guarantee of digital rights. Official State Gazette, December 6, 2018. Accessed 15 Nov 2020.

  27. Manzini JL. Declaration of Helsinki: ethical principles for medical research on human subjects. Acta Bioeth. 2000;6(2):321–34.

    Article  Google Scholar 

  28. Chapman DJ, Pérez-Escamilla R. Acculturative type is associated with breastfeeding duration among low-income Latinas. Matern Child Nutr. 2013;9(2):188–98.

    Article  PubMed  Google Scholar 

  29. Dennis CL, Brown HK, Chung-Lee L, Abbass-Dick J, Shorey S, Marini F, et al. Prevalence and predictors of exclusive breastfeeding among immigrant and Canadian-born Chinese women. Matern Child Nutr. 2019;15(2):e12687.

    Article  PubMed  Google Scholar 

  30. McFadden A, Gavine A, Renfrew MJ, Wade A, Buchanan P, Taylor JL, et al. Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database Syst Rev. 2017;2:CD001141.

    Article  PubMed  Google Scholar 

  31. Hohl S, Thompson B, Escareño M, Duggan C. Cultural norms in conflict: breastfeeding among Hispanic immigrants in rural Washington state. Matern Child Health J. 2016;20(7):1549–57.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Scott A, Shreve M, Ayers B, McElfish PA. Breast-feeding perceptions, beliefs and experiences of Marshallese migrants: an exploratory study. Public Health Nutr. 2016;19(16):3007–16.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Chen J, Xin T, Gaoshan J, Li Q, Zou K, Tan S, et al. The association between work related factors and breastfeeding practices among Chinese working mothers: a mixed-method approach. Int Breastfeed J. 2019;14(1):28.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Wu WC, Wu JCL, Chiang TL. Variation in the association between socioeconomic status and breastfeeding practices by immigration status in Taiwan: A population based birth cohort study. BMC Pregnancy Childbirth. 2015;15(1):298.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Agboado G, Michel E, Jackson E, Verma A. Factors associated with breastfeeding cessation in nursing mothers in a peer support programme in eastern Lancashire. BMC Pediatr. 2010;10(1):3.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Aguilar-Ortega JM, González-Pascual JL, Cardenete-Reyes C, Pérez-De-Algaba-Cuenca C, Pérez-García S, et al. Adherence to initial exclusive breastfeeding among Chinese born and native Spanish mothers. BMC Pregnancy Childbirth. 2019;19(1):44.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Nolan A, Layte R. The “healthy immigrant effect”: breastfeeding behaviour in Ireland. Eur J Pub Health. 2015;25(4):626–31.

    Article  Google Scholar 

  38. Phipps B. Peer support for breastfeeding in the UK. Br J Gen Pract. 2006;56(524):166–7.

    PubMed  PubMed Central  Google Scholar 

  39. Bernard JY, Rifas-Shiman SL, Cohen E, Lioret S, de Lauzon-Guillain B, Charles MA, et al. Maternal religion and breastfeeding intention and practice in the US project viva cohort. Birth. 2019;47(2):191–201.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Stroope S, Rackin HM, Stroope JL, Uecker JE. Breastfeeding and the role of maternal religion: results from a national prospective cohort study. Ann Behav Med. 2018;52(4):319–30.

    Article  PubMed  Google Scholar 

  41. Janer E, Miralbés S, Alquézar A, Mínguez J, Lalaguna P. Continuous registry on breastfeeding from primary care. Bull Pediatr Soc Aragon, La Rioja and Soria. 2019;49(1):43–8.

    Google Scholar 

  42. Bigman G, Wilkinson AV, Pérez A, Homedes N. Acculturation and breastfeeding among Hispanic American women: a systematic review. Matern Child Health J. 2018;22(9):1260–77.

    Article  PubMed  Google Scholar 

  43. Kushwaha KP, Sankar J, Sankar MJ, Gupta A, Dadhich JP, Gupta YP, et al. Effect of peer counselling by mother support groups on infant and young child feeding practices: the Lalitpur experience. PLoS One. 2014;9(11):e109181.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Saggurti N, Atmavilas Y, Porwal A, Schooley J, Das R, Kande N, et al. Effect of health intervention integration within women’s self-help groups on collectivization and healthy practices around reproductive, maternal, neonatal and child health in rural India. PLoS One. 2018;13(8):e0202562.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Fox R, McMullen S, Newburn M. UK women’s experiences of breastfeeding and additional breastfeeding support: a qualitative study of baby Café services. BMC Pregnancy Childbirth. 2015;15(1):147.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Jama NA, Wilford A, Masango Z, Haskins L, Coutsoudis A, Spies L, et al. Enablers and barriers to success among mothers planning to exclusively breastfeed for six months: a qualitative prospective cohort study in KwaZulu-Natal, South Africa. Int Breastfeed J. 2017;12(1):43.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Squires A. Methodological challenges in cross-language qualitative research: a research review. Int J Nurs Stud. 2009;46(2):277–87.

    Article  PubMed  Google Scholar 

Download references


We would like to thank all the mothers who agreed to take part in the study.


This project has received a public grant for its development in the call for Research, Development, and Innovation on Biomedicine and Health Sciences in Andalusia of the Consejería de Salud y Familias, Spain. Code PI-0008-2019. The funders had no role in the design of this study and will not have any role during its execution, analyses, interpretation of data, or submission of outcomes.

Author information

Authors and Affiliations



FLL designed the study; BIR collected and analysed data and wrote the first version of this manuscript. Both authors approved the final version of this article.

Corresponding author

Correspondence to Fatima Leon-Larios.

Ethics declarations

Ethics approval and consent to participate

This study was approved by the Research Ethics Committees of the Virgen Macarena and Virgen del Rocío University Hospitals (Seville). Code TFM-IGAL-2020. The participants were asked to provide their written informed consent.

Consent for publication

Not applicable.

Competing interests

The authors declare no conflict of interest.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Additional file 1.

COREQ (COnsolidated criteria for REporting Qualitative research) Checklist.

Rights and permissions

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Iglesias-Rosado, B., Leon-Larios, F. Breastfeeding experiences of Latina migrants living in Spain: a qualitative descriptive study. Int Breastfeed J 16, 76 (2021).

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: