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Wendy C. Budin 《The Journal of perinatal education》2011,20(3):123-125
In this column, the editor of The Journal of Perinatal Education discusses the latest breastfeeding controversy—a new doll that is intended to help little girls learn to breastfeed. The goal of the doll’s manufacturers is to spread the word that breastfeeding is a normal, natural way to feed a baby. Its purpose is to raise awareness about the positive health benefits associated with breastfeeding. But not everyone seems to agree. Pros and cons are presented. The editor also describes the contents of this issue, which offer a broad range of resources, research, and inspiration for childbirth educators in their efforts to promote natural, safe, and healthy birth. 相似文献
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The benefits of breastfeeding for infant, mother, family, and community are well recognized, and increasing breastfeeding rates is considered an important health-promotion strategy. Improving breastfeeding knowledge and practice among individuals caring for breastfeeding women is considered an important aspect of this strategy. The practice-development initiative described in this article aimed to improve hospital-based breastfeeding rates through the implementation of The Ten Steps to Successful Breastfeeding. The initiative included the development and implementation of an education program aimed at changing and improving breastfeeding practices. The program was evaluated in three ways: changes in breastfeeding rates at hospital discharge; client preparation for breastfeeding and satisfaction during the postnatal period; and staff knowledge and skills. 相似文献
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Meghan Moran 《The Journal of perinatal education》1999,8(4):19-26
Modesty may be a significant variable impacting breast- feeding outcomes in western cultures, yet this term has received minimal attention in the breastfeeding literature. An analysis of the concept of modesty was conducted to gain greater understanding of the potential impact of modesty on breastfeeding outcomes. Various uses of the term modesty and particularly modesty in the context of breastfeeding are discussed in this paper. The defining attributes of breastfeeding modesty are identified and examples are provided. Implications for research and clinical practice are suggested. 相似文献
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Research literature supports the notion that maternal comfort should be considered a priority and that mothers should receive adequate information regarding any drug prior to receiving that drug. Some studies indicate that difficulties with breastfeeding may be related to the amount of the anesthetic or analgesic that is administered to the mother. Thus, it seems wise to administer the lowest possible dose to the mother in order to minimize the amount of drug (or metabolite) exposure to the nursing infant. Infant exposure can be further reduced if breastfeeding is avoided during the times when the mother receives high doses of anesthetics and analgesics. However, because relatively small amounts of the drug are excreted into the breast milk, some mothers may opt to continue nursing after weighing the benefits of breastfeeding against the potential risk to the infant. Others may choose to "pump and dump" breast milk while they receive anesthetic or analgesic agents. Any concerns in this regard should be discussed with the anesthesia provider, preferably prior to labor or to any surgeries while breastfeeding. 相似文献
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目的探讨早期母乳喂养存在的问题及护理措施。方法分析总结1882例新生儿母乳喂养情况。结果通过早期对产妇进行母乳喂养的适时帮助,大大提高了早期母乳喂养的成功率。结论开展系统宣传教育,采取综合护理措施是提高早期母乳喂养成功率的保证。 相似文献
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Viola Polomeno 《The Journal of perinatal education》1999,8(1):30-40
Expectant and new parents have many concerns regarding the relationship between sexuality and breastfeeding. How is a new mother''s libido affected by breastfeeding? Why do some women get sexually excited when breastfeeding? Is this frequent or normal? How does the partner feel about breasts full of milk? Why do breasts leak during a woman''s orgasm? Perinatal educators are in a privileged position to reassure these parents about this relationship while promoting the breastfeeding bond between the mother and child and the intimacy bond between the parents. 相似文献
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Breastfeeding provides valuable immunologic, nutritional, and psychological advantages to infants and is the most desirably complete diet for the infant during the first 6 months of life. The purpose of this exploratory study was to determine the prevalence of breastfeeding in a group of Alaskan Inupiat Eskimos, who live in northern Alaska. A convenience sample of 36 women making up three age cohorts was utilized (women ages 18 to 25, N=11; ages 26 to 40, N=14; ages 41 to 60, N=11). Data collected from these women on their choice of infant-feeding method contributed to measuring the prevalence of breastfeeding. Prevalence was also measured by categorizing the children of these women into three age groups and further classifying them as to how they were fed when they were infants. Statistical analysis was performed utilizing 95% confidence intervals. Results revealed that, in this sample and over the past 20 years, a substantial decline has occurred in the percentage of Inupiat infants exclusively breastfeeding for 6 months or longer. Data also indicated a downward trend in the percentage of mothers between the ages of 26 and 39 who initiate breastfeeding; however, among the mothers aged 18 to 25, data reflected a rising trend. 相似文献
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Kelsey M. Quigley Ginger A. Moore Cathi B. Propper Barbara D. Goldman Martha J. Cox 《Child development》2017,88(3):919-933
Consistent with the gustatory–vagal hypothesis, vagal stimulation during breastfeeding may contribute to infants' physiological regulatory development independent of caregiving effects. This study examined whether breastfeeding predicted 6‐month‐old infants' (N = 151) and their mothers' vagal regulation during the face‐to‐face still‐face (FFSF). Although breastfed and nonbreastfed infants showed expected vagal withdrawal during the Still‐Face episode, only breastfed infants showed continued withdrawal during the reunion episode, suggesting greater physiological mobilization to repair the interaction. Breastfeeding mothers showed higher vagal tone than nonbreastfeeding mothers at baseline, suggesting greater capacity for regulation, and throughout the FFSF, suggesting calmer states. Breastfeeding effects were independent of maternal sensitivity. Findings suggest that infants' and mothers' physiological regulation may be shaped by breastfeeding independently of associated social factors. 相似文献
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Budin WC 《The Journal of perinatal education》2005,14(1):39-41
In this column, a group of nurses working in a special-care nursery at a small community hospital comment on a comprehensive, hospital-wide program that supports and promotes breastfeeding for vulnerable infants at the Children's Hospital of Philadelphia. The program is described by Diane Spatz in her article featured elsewhere in this issue of The Journal of Perinatal Education. The nurses who reviewed the article agreed that the program described by Spatz is truly an exemplary service worthy of being emulated. 相似文献
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A sample of staff members from the Special Supplemental Nutrition Program for Women, Infants and Children (WIC program) were interviewed about breastfeeding and their perceptions of WIC recipients' views on breastfeeding. WIC staff members universally supported breastfeeding and expressed desires for more linkages between WIC agencies and perinatal education specialists in childbirth education classes, as well as with mothers during their postpartum hospital stay. The WIC staff members in this study reported on a variety of beliefs about breastfeeding held by their WIC clients, including cultural beliefs, the importance of family support, and experiences of pain during breastfeeding. 相似文献
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Spear HJ 《The Journal of perinatal education》2005,14(3):6-10
This article describes one mother's selected childbirth and breastfeeding experiences that transpired over the span of three decades. Her story is a source of inspiration and encouragement for breastfeeding mothers and health-care professionals who provide maternity care for today's childbearing women. Furthermore, this personal account reveals that, although breastfeeding support and childbirth services have improved over the past 30 years, more needs to be done to promote positive birth experiences and breastfeeding outcomes. 相似文献
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Aurora C. Vandewark 《The Journal of perinatal education》2014,23(3):135-141
Breastfeeding is an important health topic worldwide, although lack of breastfeeding knowledge is noted among health-care professionals. The purpose of this study was to explore the relationship between breastfeeding knowledge and attitudes in undergraduate nursing students at the beginning and end of their clinical education. An electronic survey, based on the Iowa Infant Feeding Attitude Scale and the Breastfeeding Knowledge Questionnaire, was administered. Attitude scores did not differ significantly between groups. Total knowledge scores between groups differed modestly (p = .006). Correlations between total knowledge and total attitude scores were found (r[89] = .482, p < .000). Respondents reported that nursing education effectively teaches breastfeeding and that breastfeeding advocacy through patient education is a crucial nursing role. 相似文献
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Helen M. Hurst 《The Journal of perinatal education》2001,10(2):31-34
So That's What They're For: Breastfeeding Basics by Janet Tamaro. Published 1998 by Adams Media Corporation in Holbrook, MA. As childbirth educators continue the effort to find ways to educate women on the benefits of breastfeeding, it is increasingly difficult to find literature that appeals to teenagers and nonmedical personnel. Many texts are written at such a high level of language and complexity that they are inappropriate to recommend for the teenage girl or the educated woman who has no desire to become bogged down by the pathophysiology of the breast and the plethora of research that has been conducted. In her book So That's What They're For: Breastfeeding Basics (1998), Janet Tamaro achieves a balance between information, practical suggestions, anecdotes, and a good helping of humor to guide the pregnant or new mother through the decision and practice of breastfeeding. 相似文献
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Amy Koerber 《Technical Communication Quarterly》2006,15(1):87-101
Drawing on interviews from a qualitative study, this article extends theorizing about rhetorical agency and resistance by analyzing how breastfeeding advocates and their clients resist medical regulatory rhetoric. The resistant acts that interviewees describe begin with a negotiation of discursive alternatives and subject positions framed by the grid of disciplinary rhetoric about breastfeeding. But in some acts of resistance, breastfeeding women use both discursive and bodily actions to disrupt the intelligibility of this grid and what it deems possible. When such disruption occurs, the results are unpredictable and so must be understood as more than the occupation of preexisting subject positions. 相似文献
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Report of a Staff Program to Promote and Support Breastfeeding in the Care of Vulnerable Infants at a Children's Hospital 
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下载免费PDF全文 Spatz DL 《The Journal of perinatal education》2005,14(1):30-38
Ill or premature infants do not have the opportunity to begin breastfeeding in an optimal manner; yet, these infants may benefit most from human milk. Health-care providers' knowledge of breastfeeding in both healthy and ill infants is frequently limited due to deficits in training. This article outlines a multifaceted approach to develop a comprehensive, hospital-wide system to support and promote breastfeeding for vulnerable infants. This approach was designed for the staff of the Children's Hospital of Philadelphia. 相似文献
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The objective of this integrative review was to assess birth and postpartum doulas'' roles in supporting breastfeeding initiation and duration. The electronic databases Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, PubMed, and Scopus were searched using the key terms doula and breastfeeding. Fourteen articles met inclusion criteria. Six key themes were identified. Doulas may acquire only modest amounts of lactation-specific education; however, doula care still enhances the breastfeeding care provided by health-care professionals. Doulas offer prenatal and intrapartum support that encourages breastfeeding initiation in the hospital, as well as providing breastfeeding support in the community and home settings. This reinforces the unique role of the doula in bolstering maternal–infant health. The effect of doulas on breastfeeding duration is less clear. 相似文献