Almirón P, Fatjó A, Fernández M, Fernández de Sanmamed M J, Gómez M A, Martí M, Relat V
Area Básica de Salud Santa Perpetua, Barcelona.
Aten Primaria. 1996 May 15;17(8):501-6.
To understand the conditioning factors which, whether negatively or positively, affect the success or failure of breast-feeding and to analyse the intervention of the health system to support it.
A descriptive, prospective study which uses qualitative methodology in data gathering and analysis.
Health District of Santa Perpetua de la Mogoda, Barcelona.
56 in-depth interviews of 20 women were carried out at different moments of the pregnancy and suckling.
The decision to breast-feed was taken by women before or during their pregnancy under the influence of their social and family environment. The performance of the health system had little influence on the decision. The birth, even if it was pathological, did not prevent breast-feeding except when it was experienced as a failure. The days before the milk came increased women's insecurity about their capacity to suckle. Information from hospitals was evaluated as being scant. Fear of not feeding the baby well was the major source of breast-feeding failure. Mothers who breast-fed for longer felt they received more sympathy from paediatricians than those who gave up early. These felt blamed and did not seek doctors' advice on their decision.
The health system has to plan an efficient intervention to support breast-feeding in the most crucial moments: after the birth and on arriving home.
了解无论是消极还是积极影响母乳喂养成败的调节因素，并分析卫生系统为支持母乳喂养所采取的干预措施。
一项描述性前瞻性研究，在数据收集和分析中采用定性方法。
巴塞罗那圣佩尔佩图阿-德拉莫戈达卫生区。
在怀孕和哺乳的不同阶段对20名女性进行了56次深入访谈。
女性在怀孕前或怀孕期间受社会和家庭环境影响做出母乳喂养的决定。卫生系统的表现对这一决定影响甚微。分娩即使属于病理情况，也不妨碍母乳喂养，除非产妇将其视为失败。乳汁分泌前的日子增加了女性对自身哺乳能力的不安全感。医院提供的信息被认为很少。担心无法很好地喂养婴儿是母乳喂养失败的主要原因。母乳喂养时间较长的母亲觉得儿科医生对她们的同情多于早早放弃母乳喂养的母亲。后者感觉受到指责，并且在做出决定时没有寻求医生的建议。
卫生系统必须规划有效的干预措施，在最关键的时刻，即分娩后和回家后，支持母乳喂养。
