Barnett E, Sienkiewicz M, Roholt S
Birth. 1995 Mar;22(1):15-20. doi: 10.1111/j.1523-536x.1995.tb00548.x.
A statewide project was implemented in 1993 to increase breastfeeding among low-income women in North Carolina through improved institutional policies and practices and professional lactation-management skills. A survey designed to ascertain professional beliefs about breastfeeding was mailed to 31 hospitals and 25 public health agencies. A total of 2209 health professionals completed the survey and met the study selection criteria. Nutritionists and pediatricians were most likely to have positive beliefs about breastfeeding, whereas hospital nurses were most likely to have negative beliefs. Personal breastfeeding experience contributed to positive beliefs. Professionals were least convinced of the emotional benefits of breastfeeding. Those with negative beliefs were most likely to advocate complete infant weaning from the breast before nine months of age. Although most health professionals had positive beliefs about breastfeeding, differences by profession, work environment, and personal breastfeeding experience indicate the need for comprehensive training in lactation management, and improvements in hospital and public health clinic environments.
1993年，北卡罗来纳州实施了一项全州范围的项目，旨在通过改善机构政策与实践以及专业的泌乳管理技能，提高低收入女性的母乳喂养率。一项旨在确定专业人员对母乳喂养看法的调查被邮寄给了31家医院和25家公共卫生机构。共有2209名卫生专业人员完成了调查并符合研究选择标准。营养学家和儿科医生最有可能对母乳喂养持有积极看法，而医院护士最有可能持有消极看法。个人母乳喂养经历有助于形成积极看法。专业人员对母乳喂养的情感益处最缺乏信心。持有消极看法的人最有可能主张在婴儿9个月前完全断奶。尽管大多数卫生专业人员对母乳喂养持有积极看法，但不同职业、工作环境和个人母乳喂养经历之间的差异表明，需要进行全面的泌乳管理培训，并改善医院和公共卫生诊所的环境。
