Hull V J, Thapa S, Wiknjosastro G
Family Health International, Research Triangle Park, NC 27709-3950.
Soc Sci Med. 1989;28(4):355-64. doi: 10.1016/0277-9536(89)90037-3.
This paper presents findings on knowledge, attitudes, and practices regarding breast-feeding management in the modern health sector in Indonesia. The methodology applied was a survey which was carried out in teaching hospitals in major cities throughout Indonesia. The results showed that although the perinatal health care providers' attitudes toward breast-feeding were very positive, there were many areas in which knowledge was incomplete and in which wide variation existed or incorrect advice given to breast-feeding mothers. The content of advice on breast-feeding was not always sound. Many thought that a wide range of illnesses were a contraindication to breast-feeding, nearly one in five thought that breast-feeding should follow a fixed schedule rather than the baby's needs, and only 54% thought that breast-feeding should be initiated immediately after delivery. Most of the providers did not seem to have the knowledge to cope with the common problem of insufficient breast-milk supply syndrome. Similarly, although support for the concept of rooming-in was strong, about one-third of respondents did not think the mother and infant should be together for the full 24 hr implied by true rooming-in. Fears about the possibility of increased risk of infection with rooming-in were expressed These and other misconceptions about rooming-in imply that a consistent, well-designed training program needs to be carried out in the modern health sector which will provide the necessary information to health care providers about this important aspect of early infant care.
本文介绍了印度尼西亚现代卫生部门在母乳喂养管理方面的知识、态度和实践情况。所采用的方法是在印度尼西亚各大城市的教学医院开展的一项调查。结果显示，尽管围产期医疗保健提供者对母乳喂养的态度非常积极，但在许多方面知识并不完整，存在很大差异，或者向母乳喂养的母亲提供了错误建议。关于母乳喂养的建议内容并不总是合理的。许多人认为多种疾病是母乳喂养的禁忌症，近五分之一的人认为母乳喂养应遵循固定时间表而非婴儿的需求，只有54%的人认为应在分娩后立即开始母乳喂养。大多数提供者似乎没有应对母乳供应不足综合征这一常见问题的知识。同样，尽管对母婴同室的概念支持力度很大，但约三分之一的受访者认为母婴不应按照真正的母婴同室所要求的那样全天24小时在一起。有人表达了对母婴同室可能增加感染风险的担忧。这些以及其他关于母婴同室的误解意味着，需要在现代卫生部门开展一个连贯、精心设计的培训项目，该项目将为医疗保健提供者提供有关早期婴儿护理这一重要方面的必要信息。
