Groff Elisa, Steger Florian
Institute of the History, Philosophy and Ethics of Medicine, Ulm University, 89081 Ulm, Germany.
Healthcare (Basel). 2023 Nov 10;11(22):2941. doi: 10.3390/healthcare11222941.
Breastfeeding is a key issue found in ancient sources that resonates with public debates today, affecting women in different parts of the world and of all social classes. The aim of this research was to identify breastfeeding narratives in ancient medical and philosophical texts from the 1st to the 6th century CE that address ethical issues in the medical management and social perception of new mothers. We examined 15 literary sources and one funerary inscription on lactation and critically evaluated the ancient idea of the perfect breastfeeding mother versus the non-breastfeeding mother. We then discussed our historical data in terms of objectivity and significance in relation to contemporary attitudes towards motherhood and lactation, e.g., (1) the cult of the perfect, breastfeeding mother in contemporary lactation education and (2) the onset of conditions which may affect normal breastfeeding, such as dysphoric milk ejection reflex (D-MER), breastfeeding aversion response (BAR) or post-partum depression. The analysis of the results showed that in both ancient and contemporary postnatal health care: (1) good mothering is associated with breastfeeding and (2) alternative feeding methods are acknowledged, but never as the best, natural option. Finally, our analysis shows that public health policies on breastfeeding and mothers' own knowledge of their bodies are contested between nursing theories, social expectations and economic factors.
母乳喂养是古代文献中出现的一个关键问题,在当今的公众辩论中也引起共鸣,影响着世界各地不同社会阶层的女性。本研究的目的是在公元1世纪至6世纪的古代医学和哲学文本中识别母乳喂养的叙述,这些叙述涉及新妈妈医疗管理和社会认知方面的伦理问题。我们研究了15篇关于哺乳的文献资料和一篇墓志铭,并批判性地评估了完美母乳喂养母亲与非母乳喂养母亲的古代观念。然后,我们根据当代对母亲身份和哺乳的态度,讨论了我们历史数据的客观性和重要性,例如,(1)当代哺乳教育中对完美母乳喂养母亲的推崇,以及(2)可能影响正常母乳喂养的情况的出现,如烦躁性射乳反射(D-MER)、母乳喂养厌恶反应(BAR)或产后抑郁症。结果分析表明,在古代和当代产后保健中:(1)好母亲与母乳喂养相关,(2)承认有替代喂养方法,但从未将其视为最佳的自然选择。最后,我们的分析表明,母乳喂养的公共卫生政策以及母亲自身对其身体的了解在护理理论、社会期望和经济因素之间存在争议。