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“如履薄冰”:评估一个婴儿喂养信息团队实施世界卫生组织《国际母乳代用品销售守则》的情况。

'Dancing on a thin line': evaluation of an infant feeding information team to implement the WHO code of marketing of breast-milk substitutes.

机构信息

Maternal and Infant Nutrition and Nurture Unit (MAINN), University of Central Lancashire, Preston PR1 2HE, UK.

出版信息

Midwifery. 2012 Dec;28(6):765-71. doi: 10.1016/j.midw.2011.08.012. Epub 2011 Oct 22.

DOI:10.1016/j.midw.2011.08.012
PMID:22019088
Abstract

OBJECTIVES

to conduct an in-depth evaluation of the Infant Feeding Information Team (IFIT) to implement the WHO Code of Marketing of Breast-milk Substitutes in North West England. The evaluation included consultations with inter-disciplinary professionals to explore their perceptions of the IFIT and related contextual issues.

DESIGN

a qualitative, descriptive study involving seven focus groups (n=34) and semi-structured, in-depth interviews (face to face or via telephone; n=68) with a total of 102 participants. Thematic networks analysis was conducted to generate global, organising and basic themes.

SETTING

two maternity/primary health-care facilities located in the North-West of England.

FINDINGS

six global themes were generated; this paper focuses upon one of these themes: 'Dancing on a thin line'. This reflects the difficulties health-care staff face in negotiating political, professional and socio-cultural influences on infant feeding practices and how they struggle to implement best available evidence, guidance and practice when they experience incomplete, conflicting and competing messages around infant feeding.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

IFIT offers an innovative means to sustain contact with the formula industry without their unprecedented access to health facilities or personnel. Focused training opportunities should be provided to enable health-care staff to appreciate the constituent limitations of artificial milks and provide consistent, sensitive and comprehensive infant feeding information.

摘要

目的

对婴儿喂养信息团队(IFIT)在英格兰西北部实施世界卫生组织《国际母乳代用品销售守则》进行深入评估。评估包括与跨学科专业人员进行磋商,以探讨他们对 IFIT 及相关背景问题的看法。

设计

一项定性、描述性研究,涉及 7 个焦点小组(n=34)和 68 名(面对面或通过电话)共 102 名参与者的半结构化深入访谈。采用主题网络分析生成全局、组织和基本主题。

地点

位于英格兰西北部的两个产妇/初级保健设施。

结果

生成了 6 个全局主题;本文重点介绍其中一个主题:“在薄线上跳舞”。这反映了医护人员在协商婴儿喂养实践中的政治、专业和社会文化影响方面所面临的困难,以及当他们在婴儿喂养方面遇到不完整、相互矛盾和相互竞争的信息时,他们如何努力实施最佳现有证据、指南和实践。

结论和对实践的影响

IFIT 提供了一种创新的方式,可以在不允许配方奶粉行业前所未有地进入卫生机构或人员的情况下,与他们保持联系。应提供有针对性的培训机会,使医护人员能够理解人造奶的局限性,并提供一致、敏感和全面的婴儿喂养信息。

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引用本文的文献

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Outcomes of implementing the International Code of Marketing of Breast-milk Substitutes as national laws: a systematic review.实施《国际母乳代用品销售守则》作为国家法律的结果:系统评价。
Int Breastfeed J. 2024 Sep 27;19(1):68. doi: 10.1186/s13006-024-00676-3.
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Professional and non-professional sources of formula feeding advice for parents in the first six months.母乳喂养咨询的专业和非专业来源,针对的是前六个月的父母。
Matern Child Nutr. 2020 Jul;16(3):e12942. doi: 10.1111/mcn.12942. Epub 2020 Jan 13.
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Shame if you do--shame if you don't: women's experiences of infant feeding.
做了会感到羞愧——不做也会感到羞愧:女性的婴儿喂养体验。
Matern Child Nutr. 2015 Jan;11(1):33-46. doi: 10.1111/mcn.12148. Epub 2014 Aug 19.