Lacerte Julie, Levasseur Mélanie, McSween Anne, Provencher Véronique
Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Québec, Canada.
Centre de recherche sur le vieillissement, Centre intégré universitaire de santé et de services sociaux de l'Estrie-Centre hospitalier universitaire de Sherbrooke, 1036, rue Belvédère Sud, Sherbrooke, Québec, J1H 4C4, Canada.
Can J Public Health. 2017 Mar;108(2):e214-e216. doi: 10.17269/CJPH.108.5732. Epub 2017 Mar 1.
Public health concerns associated with infant feeding have prompted the need to increase breastfeeding rates. To do so, initiatives have been implemented and proven successful in raising breastfeeding initiation rates. However, continued breastfeeding according to official recommendations remains scarce and many mothers feel emotionally burdened by their experience. This commentary thus raises the question about the effects of breastfeeding promotion on the well-being of families and takes a critical look at the strategies being put in place. A conceptual model as well as empirical evidences help better understand the balancing act underlying the decisions related to infant feeding and the risks of promoting breastfeeding without providing adequate support. The context of the transition towards a breastfeeding culture requires setting up services adapted to parents' current needs. An approach taking into account their satisfaction and reinforcing their self-efficacy must be adopted, namely through a more thorough implementation of the Baby-Friendly Initiative. Allocating resources allowing for proper enactment of this approach is essential to increase breastfeeding while ensuring families' well-being.
与婴儿喂养相关的公共卫生问题促使人们需要提高母乳喂养率。为此，已实施了多项举措，且这些举措在提高母乳喂养启动率方面已被证明是成功的。然而，按照官方建议持续进行母乳喂养的情况仍然很少，许多母亲对自己的经历感到情绪负担沉重。因此，这篇评论提出了母乳喂养推广对家庭福祉的影响问题，并对正在实施的策略进行了批判性审视。一个概念模型以及实证证据有助于更好地理解与婴儿喂养相关决策背后的平衡行为，以及在没有提供充分支持的情况下推广母乳喂养的风险。向母乳喂养文化转变的背景要求建立适应父母当前需求的服务。必须采用一种考虑到他们的满意度并增强其自我效能感的方法，即通过更全面地实施爱婴医院倡议。分配资源以确保该方法得以适当实施对于增加母乳喂养同时确保家庭福祉至关重要。
