'It's far from the norm': breastfeeding beyond 1 year in the Republic of Ireland.

IF 2.3 4区 医学 Q2 HEALTH POLICY & SERVICES
Gillian Paul, Niamh Vickers, Regina Kincaid, Denise McGuinness
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Abstract

Breastfeeding is the optimal form of nutrition for infants and young children. The World Health Organization recommends that babies are breastfed exclusively for the first 6 months of life, and up to the age of 2 years or beyond in combination with complementary food. Breastfeeding initiation and continuation rates are suboptimal globally and very low in the Republic of Ireland where health promotion initiatives and healthcare professional support predominantly focus on the important phase of initiation and early months of the breastfeeding journey. This qualitative descriptive study aimed to explore the experiences of women who chose to breastfeed their children beyond 1 year of age in the Republic of Ireland. Fourteen women participated in semi-structured interviews. Interviews were transcribed verbatim and thematic analysis was conducted. The analysis generated three overarching themes: (1) Influences on breastfeeding beyond 1 year, (2) Sustaining breastfeeding and (3) Benefits of breastfeeding beyond 1 year. Family, friends, peers, culture and commercial milk formula marketing had an influence on breastfeeding journeys. Support, determination, knowledge, bed-sharing and Covid-19 pandemic social restrictions helped to sustain breastfeeding beyond 1 year. Benefits of breastfeeding beyond 1 year such as nutrition, strengthening of emotional bonds, development of a parenting tool, and protection of child and maternal health were identified. Our findings support the need for discussions and further research on the normalization of breastfeeding beyond 1 year in the Republic of Ireland, targeted health promotion initiatives and education programmes for healthcare professionals on supporting the continuation of breastfeeding.

与常规相去甚远":爱尔兰共和国超过 1 岁的母乳喂养。
母乳喂养是婴幼儿的最佳营养方式。世界卫生组织建议,在婴儿出生后的头 6 个月内应完全采用母乳喂养,直到 2 岁或 2 岁以上,同时辅之以辅食。在全球范围内,母乳喂养的开始率和持续率都不尽如人意,而在爱尔兰共和国,母乳喂养的开始率和持续率都非常低,因为在爱尔兰,健康促进活动和医疗保健专业人员的支持主要集中在母乳喂养的开始阶段和最初几个月这一重要阶段。这项定性描述性研究旨在探讨爱尔兰共和国选择母乳喂养 1 岁以上子女的妇女的经历。14 名妇女参加了半结构化访谈。对访谈内容进行了逐字记录,并进行了主题分析。分析产生了三个首要主题:(1) 一岁后母乳喂养的影响因素;(2) 持续母乳喂养;(3) 一岁后母乳喂养的益处。家庭、朋友、同龄人、文化和商业配方奶粉营销对母乳喂养历程产生了影响。支持、决心、知识、分床育儿和 Covid-19 大流行病的社会限制有助于母乳喂养持续到 1 岁以后。母乳喂养一岁后的益处包括营养、加强情感纽带、开发育儿工具以及保护儿童和产妇健康。我们的研究结果表明,有必要就爱尔兰共和国 1 岁以后母乳喂养的正常化、有针对性的健康促进措施以及针对医护专业人员的支持继续母乳喂养的教育计划进行讨论和进一步研究。
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来源期刊
Health Promotion International
Health Promotion International Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.70
自引率
7.40%
发文量
146
期刊介绍: Health Promotion International contains refereed original articles, reviews, and debate articles on major themes and innovations in the health promotion field. In line with the remits of the series of global conferences on health promotion the journal expressly invites contributions from sectors beyond health. These may include education, employment, government, the media, industry, environmental agencies, and community networks. As the thought journal of the international health promotion movement we seek in particular theoretical, methodological and activist advances to the field. Thus, the journal provides a unique focal point for articles of high quality that describe not only theories and concepts, research projects and policy formulation, but also planned and spontaneous activities, organizational change, as well as social and environmental development.
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