Loading...
Please wait, while we are loading the content...
Similar Documents
La promotion de l'allaitement maternel en milieu défavorisé dans le cadre de l'implantation de l'Initiative des amis des bébés: le cas des infirmières de santé communautaire
| Content Provider | Semantic Scholar |
|---|---|
| Author | Doucet, Marie-Hélène |
| Copyright Year | 2012 |
| Abstract | Background: In order to increase breastfeeding rates, the third Step of the Baby Friendly Initiative (BFI) (WHO / UNICEF) aims to offer complete information on breastfeeding to pregnant women. However, this step's implementation varies among the Montreal's CLSCs as healthcare professionals seem uncomfortable to promote breastfeeding prenatally, especially in French speaking and underprivileged areas. Objective: To explore the personal and professional experiences of community health nurses which are linked to the promotion of breastfeeding during the prenatal period in underprivileged areas. Information less often offered were examined in this study: the risks of not breastfeeding and the recommendation to continue breastfeeding up to 2 years or beyond. Methodology: The data of this qualitative study were collected in 8 CLSCs of Montreal, offering services to an important population of underprivileged women, French speaking and born in Canada, through nurses' individual interviews (n=12 nurses) and group interviews (n=36 nurses). Results: The most important factors for the level of comfort of nurses to promote breastfeeding are: to have followed 20 hours or more of training on breastfeeding within the 5 past years, and to have positive profound beliefs about the value of breastfeeding compared to artificial infant formula (AIF). Fear of causing guilt by promoting breastfeeding hinders breastfeeding promotion. Furthermore, nurses exposed to breastfeeding culture during their childhood, with a positive personal breastfeeding experience, who perceived that their role is to support women to breastfeed, or those who rarely recommended mothers to give AIF postnatally in case of breastfeeding problems, are more comfortable to inform pregnant women about the risks of not breastfeeding. Conclusion: Many nurses seem to have a lack of knowledge about the superior quality of breastfeeding in comparison with artificial feeding and about the risks of not breastfeeding. Moreover, it seems that many nurses do not have the optimal clinical abilities to support mothers in their breastfeeding experience. Appropriate training could greatly help nurses to have greater confidence in their abilities to support mothers during the postnatal period, as well as to promote breastfeeding in the prenatal period. Finally, nurses should become aware of their personal bias, in order to reduce as much as possible negative impacts on their professional practices. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://papyrus.bib.umontreal.ca/xmlui/bitstream/handle/1866/6911/Doucet_Marie-Helene_2011_memoire.pdf?isAllowed=y&sequence=4 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
