Cascading Disasters, Perinatal Wellbeing, and Infant Feeding Practices in South Alabama.

IF 1.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Emily Locke, Holly Horan
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引用次数: 0

Abstract

The purpose of this study was to explore the ways in which cascading disasters (i.e., disruptions to the environment that generate unexpected secondary events of strong impact) shape perceptions of perinatal wellbeing and breastfeeding/formula-feeding practices in south Alabama. Ethnographic research was conducted with perinatal healthcare providers (n = 10) and birth parents (n = 10) in south Alabama during the COVID-19 pandemic and in the aftermath of multiple hurricanes in 2020. Results reveal that concerns related to cascading disasters were exacerbated or eclipsed by system-level challenges that shaped breastfeeding and formula-feeding practices. Specifically, the absence of paid parental leave and community-based breastfeeding support was perceived as profoundly stressful for participants. Birth parents often had to negotiate between breastfeeding/formula-feeding decisions and their own needs. We argue that robust federal and state-level support systems are needed if birth parents and perinatal healthcare providers are to follow guidelines for breastfeeding before, during, and after cascading disasters.

南阿拉巴马州的级联灾难、围产期健康和婴儿喂养实践。
本研究的目的是探索连锁灾害(即,对环境的破坏产生意想不到的强烈影响的次要事件)如何影响阿拉巴马州南部围产期健康和母乳喂养/配方喂养实践的看法。在2019冠状病毒病大流行期间和2020年多次飓风过后,在阿拉巴马州南部对围产期医疗服务提供者(n = 10)和亲生父母(n = 10)进行了人种学研究。结果显示,影响母乳喂养和配方奶喂养做法的系统层面挑战加剧或掩盖了与级联灾害有关的担忧。具体而言,缺乏带薪育儿假和基于社区的母乳喂养支持被认为对参与者造成了极大的压力。生身父母经常不得不在母乳喂养/配方奶喂养的决定和他们自己的需要之间进行协商。我们认为,如果亲生父母和围产期医疗保健提供者要在连锁灾难之前、期间和之后遵循母乳喂养指南,那么需要强有力的联邦和州一级的支持系统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.50
自引率
4.30%
发文量
28
期刊介绍: New Solutions delivers authoritative responses to perplexing problems, with a worker’s voice, an activist’s commitment, a scientist’s approach, and a policy-maker’s experience. New Solutions explores the growing, changing common ground at the intersection of health, work, and the environment. The Journal makes plain how the issues in each area are interrelated and sets forth progressive, thoughtfully crafted public policy choices. It seeks a conversation on the issues between the grassroots labor and environmental activists and the professionals and researchers involved in charting society’s way forward with the understanding that lack of scientific knowledge is no excuse for doing nothing and that inaction is itself a choice.
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