Dynamics of infant feeding: mothers, professionals, and the institutional context in a large urban hospital
| Autor: | Beverly Winikoff, Deborah Myers, Richard Stone, Virginia Hight Laukaran |
|---|---|
| Rok vydání: | 1986 |
| Předmět: |
Adult
Adolescent Attitude of Health Personnel Hospital Departments Mothers Context (language use) Nursing Patient Education as Topic Pregnancy Obstetric Nursing Health care Hospital discharge Medicine Humans Lactation skin and connective tissue diseases Hospitals Municipal Obstetrics and Gynecology Department Hospital Infant feeding Early weaning business.industry Data Collection Infant Newborn Emigration and Immigration Hospital Bed Capacity 500 and over Mother-Child Relations United States Breast Feeding Infant formula Pediatrics Perinatology and Child Health Female Infant Food business Nurse-Patient Relations Patient education Urban hospital |
| Zdroj: | Pediatrics. 77(3) |
| ISSN: | 0031-4005 |
| Popis: | A multidimensional approach was taken to understand the constraints to breast-feeding in a large municipal hospital. Data were collected through direct observation, chart review, and questionnaires to patients and staff. Breast-feeding had not yet begun within 24 hours postpartum in 37% of women who wanted to breast-feed. Chart review revealed that at hospital discharge no woman was breast-feeding exclusively: only 16% of infants had ever been breast-fed and all of these also had been formula fed. The most common reason for the use of supplementary formula and early weaning was the mother's perception or anticipation of insufficient milk. The existing procedures communicated the message to patients that the health care providers expected women to bottle-feed. Some practices that prevented successful breast-feeding were prolonged and/or unnecessary separation of mother and infant, routine provision of infant formula, confusion about drug contraindications for breast-feeding, and inconsistent identification of breast-feeding infants. Staff knowledge about breast-feeding management was inadequate, and staff underestimated mothers' interest in breast-feeding. Recommendations to facilitate breast-feeding include a revision of routines and procedures as well as provision of staff education and expansion of patient education. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|