Document Detail


Prenatal infant feeding intent and perceived social support for breastfeeding in Manitoba first nations communities: a role for health care providers.
MedLine Citation:
PMID:  9494299     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a prospective study of pregnant women (n = 36) in four southern Manitoba First Nations communities to test a breastfeeding decision-making model, maternal perceptions of the impact of referents (individuals and groups which impact a woman's decisions) was measured. A quantitative "referent score" comprised of a measure of the referent's "breastfeeding-supportiveness" and a measure of maternal compliance with the referent. The woman's own mother, the community health nurse, and the physician were perceived as highly supportive of breastfeeding, and as people with whom the woman was most likely to comply. Women also identified the timing of their infant feeding decisions, as reported in the third trimester of pregnancy. Only 22% had decided prior to pregnancy. During the third trimester, 36% did not know their infant feeding choice. Women forced to verbalize a "choice" prior to being informed may make decisions based on the perceived cultural norm, which may be bottle feeding. A neutral attitude by health professionals may be harmful if it prevents informed choice by pregnant or postpartum clients. Prenatal education of the pregnant woman with her own mother, and adolescent school education of the peer group (sisters, close friends and male partner) may need to be incorporated into a community strategy to promote breastfeeding.
Authors:
P J Martens
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal of circumpolar health     Volume:  56     ISSN:  1239-9736     ISO Abbreviation:  Int J Circumpolar Health     Publication Date:  1997 Oct 
Date Detail:
Created Date:  1998-03-20     Completed Date:  1998-03-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9713056     Medline TA:  Int J Circumpolar Health     Country:  FINLAND    
Other Details:
Languages:  eng     Pagination:  104-20     Citation Subset:  IM    
Affiliation:
Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Breast Feeding / ethnology*
Decision Making*
Female
Health Knowledge, Attitudes, Practice
Humans
Indians, North American / psychology*
Male
Manitoba
Models, Psychological*
Mothers / education,  psychology*
Pregnancy
Professional-Patient Relations
Prospective Studies
Social Support*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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