Parrilla Rodríguez A M, Gorrín Peralta J J
Escuela Graduada de Salud Pública, Recinto de Ciencias Médicas, Universidad de Puerto Rico, San Juan 00936-5067.
P R Health Sci J. 2000 Jun;19(2):145-51.
Breastfeeding has experienced a surge in Puerto Rico thanks to the efforts of many women, as well as governmental, non-governmental and private organizations. Among the aspects which can affect the initiation, establishment and maintenance of successful breastfeeding one finds potential ethical conflicts among health professionals as well as the financial interests of the companies which produce and market artificial milks. These companies dedicate great marketing efforts and enormous sums of money in the sale of their products, in detriment of breastfeeding. The profit motive of these companies is in open contradiction to public health and to breastfeeding promotion. The international community has carried out efforts for more than two decades in the creation of structures which protect the rights of women and their children to ideal nutrition practices, free from commercial pressures, through breastfeeding. Possible ethical conflicts related to the new industry of breastfeeding paraphernalia are discussed, especially when these are marketed exclusively for profit. Recommendations are presented for health professionals in order for them to be able to face and respond to the unethical strategies practiced by the manufacturers of artificial milks in utilizing these professionals for legitimating and marketing their products.
在波多黎各，由于众多女性以及政府、非政府和私人组织的努力，母乳喂养率大幅上升。在影响成功母乳喂养的启动、建立和维持的诸多因素中，人们发现健康专业人员之间存在潜在的伦理冲突，以及生产和销售人工奶粉的公司的经济利益。这些公司在产品销售上投入了大量的营销精力和巨额资金，损害了母乳喂养。这些公司的盈利动机与公共卫生和母乳喂养推广公然相悖。二十多年来，国际社会一直在努力建立各种结构，以保护妇女及其子女通过母乳喂养获得理想营养做法的权利，使其免受商业压力。文中讨论了与母乳喂养用品新行业相关的可能的伦理冲突，特别是当这些用品完全以盈利为目的进行营销时。针对健康专业人员提出了建议，以便他们能够面对并应对人工奶粉制造商利用这些专业人员为其产品合法化和营销所采取的不道德策略。
