Maternal and Infant Nutrition and Nurture Unit, University of Central Lancashire, Preston PR1 2HE, United Kingdom.
Midwifery. 2011 Feb;27(1):8-14. doi: 10.1016/j.midw.2010.12.003.
This paper explores some of the significant changes that have taken place with regard to the protection, promotion and support of breast feeding during the past three decades. The period covered since the first issue of Midwifery in 1985, has been marked by some dramatic reversals of harmful discourses and detrimental practices with regard to infant and young child feeding and more specifically breast feeding. Midwifery has spanned this period with the publication of 80 papers on breast feeding. This collection of papers has both influenced and reflected upon changes in international and national breast-feeding strategies and practices. Six papers have been selected for a special virtual edition of Midwifery to reflect the diversity of breast-feeding research in terms of issues explored, methodology and country of origin (www.midwiferyjournal.com). Considerable progress is reflected in these papers. However, there are still enormous challenges ahead in working towards the optimisation of infant and young child feeding. In addition to continuing to conduct and collate robust scientific and epidemiological research we need further studies that explore the political, economic, socio-cultural and psychological factors influencing women's infant feeding practices. Our professional practice needs to continue to improve in order to provide women and families with appropriate support, encouragement and resources to enable them to breastfeed effectively. Finally, we need to continue to challenge the systems and approaches at organisational and community levels that impede women in their endeavours to feed their infants in optimum ways.
本文探讨了过去三十年中在保护、促进和支持母乳喂养方面发生的一些重大变化。自 1985 年第一期《产科学》出版以来,在婴儿和幼儿喂养方面,一些关于有害言论和有害做法的戏剧性逆转已经出现,更具体地说,就是母乳喂养方面。产科学在这一时期发表了 80 篇关于母乳喂养的论文。这些论文集既影响了国际和国家母乳喂养策略和实践的变化,也反映了这些变化。为了反映在探索的问题、方法和来源国方面母乳喂养研究的多样性,有 6 篇论文被选入《产科学》的一个特别虚拟版(www.midwiferyjournal.com)。这些论文反映了相当大的进展。然而,在努力优化婴儿和幼儿喂养方面,仍然面临着巨大的挑战。除了继续进行和整理强有力的科学和流行病学研究外,我们还需要进一步的研究来探讨影响妇女婴儿喂养实践的政治、经济、社会文化和心理因素。为了使妇女及其家庭能够获得适当的支持、鼓励和资源,以使其能够有效地进行母乳喂养,我们的专业实践需要继续改进。最后,我们需要继续挑战组织和社区层面上妨碍妇女以最佳方式喂养婴儿的系统和方法。