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Open Access Infant-Feeding Among Low-Income Women: The Social Context That Shapes Their Perspectives and Experiences Alimentation des nourrissons chez les femmes à faible revenu : le contexte social qui conditionne leur façon de voir les choses et leurs expériences

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This article explores the perspectives of low-income women in order to better understand the social context that shapes their infant-feeding perspectives and experiences. The authors used purposive sampling to conduct 3 focus groups with 19 women who were formula-feeding their infants in 1 urban and 2 rural communities in the eastern region of the island of Newfoundland in Canada. Elements of the social context for infant-feeding included the prevalence of myths and misinformation about breastfeeding; cultural expectations about infant behaviour; the postnatal experience, including the medicalization of birth and breastfeeding; partner support and child-care workload; cultural stigma of breastfeeding; and a moralizing ideology that equates breastfeeding with "good mothering." The authors discuss the implications of the findings from a nursing and public health perspective, offering 7 recommendations for how nurses and health professionals might better support women and their families.

French
Cet article analyse les points de vue des femmes à faible revenu afin de mieux comprendre le contexte social qui conditionne leur façon de voir les choses et leurs expériences en matière d'alimentation des nourrissons. À partir d'un échantillonnage dirigé, les auteures ont organisé trois groupes de discussion avec 19 femmes qui utilisaient des préparations pour nourrissons pour nourrir leur bébé dans une communauté urbaine et deux communautés rurales dans la région de l'Est de l'île de Terre-Neuve au Canada. Les éléments du contexte social pour l'alimentation comprenaient la prévalence de mythes et de renseignements erronés sur l'allaitement; les attentes culturelles concernant le comportement des nourrissons; l'expérience postnatale, y compris la médicalisation de la naissance et de l'allaitement; le soutien du partenaire et la charge de travail en matière de soins aux enfants; les préjugés culturels sur l'allaitement; et une idéologie moralisante qui associe l'allaitement à un « bon maternage ». Les auteures discutent des implications des constatations dans l'optique des soins infirmiers et de la santé publique en formulant sept recommandations sur la façon dont les infirmières et les professionnels de la santé peuvent mieux soutenir les femmes et leur famille.
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Keywords: BREASTFEEDING; FAMILY; HEALTH PROMOTION; MOTHERS; VULNERABLE POPULATIONS

Document Type: Research Article

Publication date: 2013-09-01

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