Alvarenga Willyane de Andrade, Nascimento Lucila Castanheira, Leal Camila Lima, Fabbro Marcia Regina Cangiani, Bussadori Jamile Claro de Castro, Melo Simone Santos E Silva, Cartagena-Ramos Denisse, Dupas Giselle
Universidade Federal de São Carlos. São Carlos, São Paulo, Brazil.
Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto. Ribeirão Preto, São Paulo, Brazil.
Rev Bras Enferm. 2019 Sep 16;72(5):1153-1160. doi: 10.1590/0034-7167-2017-0880.
To explore factors that interact and shape the meaning and experience of mothers of HIV-exposed children in relation to replacing breastfeeding by infant formula.
A qualitative study was carried out with 23 mothers living with HIV, whose children were up to 18 months of age and under follow-up in a specialized care service. Symbolic Interactionism, semi-structured interviews and content analysis were adopted as theoretical framework.
The social symbols of breastfeeding, the (un)availability of the milk formula and the (lack of)support of health professionals influenced the mothers' experience with formula feeding. Social, cultural and economic constraints have proved capable of undermining the conditions necessary for the replacement of breastfeeding.
The availability of infant formula, access to lactation inhibitor and quality of health services still represent challenges to eradicate new HIV infections in children.
探讨与用婴儿配方奶粉替代母乳喂养相关的、相互作用并塑造感染艾滋病毒儿童母亲的意义和经历的因素。
对23名感染艾滋病毒的母亲进行了一项定性研究，她们的孩子年龄在18个月以下，正在一家专门护理服务机构接受随访。采用象征互动理论、半结构化访谈和内容分析作为理论框架。
母乳喂养的社会象征、婴儿配方奶粉的（不）可得性以及卫生专业人员的（缺乏）支持影响了母亲们使用配方奶粉喂养的经历。社会、文化和经济限制已被证明能够破坏替代母乳喂养所需的条件。
婴儿配方奶粉的可得性、获得回奶药的机会以及卫生服务的质量仍然是消除儿童新发艾滋病毒感染的挑战。
