Anderson Jenn, Kuehl Rebecca A, Mehltretter Drury Sara A, Tschetter Lois, Schwaegerl Mary, Yoder Julia, Gullickson Heidi, Lamp Jamison, Bachman Charlotte, Hildreth Marilyn
115K Pugsley Center, South Dakota State University, Brookings, SD, 57007, USA.
Wabash College, Crawfordsville, USA.
Transl Behav Med. 2017 Dec;7(4):783-792. doi: 10.1007/s13142-017-0480-6.
Empirical evidence demonstrates myriad benefits of breastfeeding for mother and child, along with benefits to businesses that support breastfeeding. Federal and state legislation requires workplace support for pumping and provides protections for public breastfeeding. Yet, many are unaware of these laws, and thus, support systems remain underdeveloped. We used a community-based approach to spread awareness about the evidence-based benefits of breastfeeding and breastfeeding support. We worked to improve breastfeeding support at the local hospital, among local employers, and throughout the broader community. Our coalition representing the hospital, the chamber of commerce, the university, and local lactation consultants used a public deliberation model for dissemination. We held focus groups, hosted a public conversation, spoke to local organizations, and promoted these efforts through local media. The hospital achieved Baby-Friendly status and opened a Baby Café. Breastfeeding support in the community improved through policies, designated pumping spaces, and signage that supports public breastfeeding at local businesses. Community awareness of the benefits of breastfeeding and breastfeeding support increased; the breastfeeding support coalition remains active. The public deliberation process for dissemination engaged the community with evidence-based promotion of breastfeeding support, increased agency, and produced sustainable results tailored to the community's unique needs.
实证证据表明母乳喂养对母婴有诸多益处，对支持母乳喂养的企业也有益处。联邦和州立法要求工作场所支持吸奶，并为公共场所母乳喂养提供保护。然而，许多人并不知晓这些法律，因此，支持体系仍不发达。我们采用基于社区的方法来传播母乳喂养的循证益处以及母乳喂养支持。我们致力于改善当地医院、当地雇主以及更广泛社区内的母乳喂养支持。我们代表医院、商会、大学和当地哺乳顾问的联盟采用了公众审议模式进行传播。我们举办了焦点小组、组织了公开对话、与当地组织交流，并通过当地媒体宣传这些努力。医院获得了爱婴医院称号并开设了一家母乳咖啡馆。社区内的母乳喂养支持通过政策、指定的吸奶空间以及支持当地企业公共场所母乳喂养的标识得到了改善。社区对母乳喂养益处和母乳喂养支持的认识有所提高；母乳喂养支持联盟仍然活跃。公众审议传播过程让社区参与到基于证据的母乳喂养支持推广中，增强了行动力，并产生了符合社区独特需求的可持续成果。
