<p>Women, who are HIV-positive, may transmit the virus to their babis during labour and through breast milk. HIV-positive mothers have to be counselled and encouraged to make informed decisions about the feeding of their babies to avoid this transmission. The feeding choices are exclusive breast-feeding , exclusive formula feeeding or modified feeding. this study focused on the perceptions, knowledge and experiences of breastfeeding women living with HIV/AIDS in the Oshakati district, Northern Namibia. A qualitative descriptive research design was used to conduct the study. The sresaerch was conducted at the Prevention of Mother-to-Child Transmission (PMTCT) Clinic, in the intermediate Hospital, Oshakati. The Medical Superitendant of the Hospital gave the researcher permission to conduct the study at the PMTCT clinic. A purposive sample was used consisting of 14 breastfeeding women who are HIV-positive and aged between 15-49 years. the ages of their babies were between one day and six months. The data collected through individual face-face-interviews. The interviews were tape-recorded with the permission of the respondents. The interviews were transcribed verbatim and data were analysed by thematic content analysis. The Health Belief Model guided the description and interpretation of the data. Th study revealed that some women had inadequate knowledge about the transmission of HIV through breastfeeding. Their breastfeeding choices were influennced by their knowledge and perceptions while their experiences were shaped by their relationships with their partners and family.</p>

Fördelarna med amning är många, trots detta tar allt fler mödrar beslutet att delvis amma/ inte amma sina barn. Syfte: Syftet med denna studie var att erhålla mer kunskap om samt undersöka vilka faktorer som påverkar mödrars beslut att amma/ inte amma. Metod: Studien genomfördes som en deskriptiv litteraturstudie, där 12 vetenskapliga artiklar granskades. Resultat: Faktorer som påverkar mödrars beslut till att amma var: bröstmjölk anses vara den ultimata födan för spädbarnet, föräldrar har god kunskap gällande amning, bra stöd från närstående och vårdpersonal, högutbildade mödrar, tidigare erfarenhet av amning, partnern föredrar amning, amning är praktiskt och ger lycka till både modern och barnet. Faktorer som påverkar mödrars beslut till att inte amma var: okunskap hos modern, fadern och sjukvårdspersonal, amning känns genant, fysiskt smärtsamt och obehagligt, stressad personal, föräldrarna får otillräckligt med stöd och information från vårdpersonal, tidig återgång till arbete, spädbarnet är otillfredsställt av endast bröstmjölk, oroligheter över bröstmjölkens näring samt rädsla för viktuppgång och hängiga bröst. Slutsats: Bristande kunskap, information och stöd är faktorer som kan påverka moderns beslut till att amma/ inte amma. Föräldrar behöver mer information och stöd gällande amning både innan och efter förlossningen, så de kan grunda sitt beslut på relevant fakta.

Mixed feeding confers excess risk of mother-to-child transmission (MTCT) of Human Immunodeficiency Virus (HIV) compared with exclusive breastfeeding (EBF) and exclusive formula feeding (EFF). We undertook a quantitative and qualitative cross-sectional survey to identify the social determinants of mixed feeding among a subset of HIV-infected women enrolled in a MTCT prevention program in Jos, Nigeria. Of the 91 participants, 68(75%) exclusively formula fed, 7(8%) exclusively breastfed, and 16(18%) practiced mixed feeding. Of the mixed feeding women, 7 primarily formula fed and 9 primarily breastfed. Women who primarily formula fed described family pressure as the reason for mixed feeding, whereas women who primarily breastfed indicated insufficient breast milk. In a multivariate analysis, lack of partner support of the feeding decision predicted mixed feeding behavior (OR: 4.2; 95% CI: 1.2-14.9; p=0.03). Disclosure of HIV status was significantly correlated (p<0.001) with partner support. HIV prevention interventions aimed at reducing mixed feeding should encourage supportive partner relationships that facilitate disclosure of HIV status. Attention should also be made to the differing pressures faced by women attempting to exclusively breastfeed and exclusively formula feed.

Source: Masters Abstracts International, Volume: 47-01, page: 0343. Adviser: Jacquelyn Slomka. Includes bibliographical references.

Diss. (sammanfattning) Stockholm : Karol. inst., 2004. / Härtill 6 uppsatser.

published_or_final_version / Nursing Studies / Master / Master of Nursing in Advanced Practice

published_or_final_version / Medical Sciences / Master / Master of Medical Sciences

<p>Women, who are HIV-positive, may transmit the virus to their babis during labour and through breast milk. HIV-positive mothers have to be counselled and encouraged to make informed decisions about the feeding of their babies to avoid this transmission. The feeding choices are exclusive breast-feeding , exclusive formula feeeding or modified feeding. this study focused on the perceptions, knowledge and experiences of breastfeeding women living with HIV/AIDS in the Oshakati district, Northern Namibia. A qualitative descriptive research design was used to conduct the study. The sresaerch was conducted at the Prevention of Mother-to-Child Transmission (PMTCT) Clinic, in the intermediate Hospital, Oshakati. The Medical Superitendant of the Hospital gave the researcher permission to conduct the study at the PMTCT clinic. A purposive sample was used consisting of 14 breastfeeding women who are HIV-positive and aged between 15-49 years. the ages of their babies were between one day and six months. The data collected through individual face-face-interviews. The interviews were tape-recorded with the permission of the respondents. The interviews were transcribed verbatim and data were analysed by thematic content analysis. The Health Belief Model guided the description and interpretation of the data. Th study revealed that some women had inadequate knowledge about the transmission of HIV through breastfeeding. Their breastfeeding choices were influennced by their knowledge and perceptions while their experiences were shaped by their relationships with their partners and family.</p>

No description available.

This thesis investigates the experiences of ten Australian mothers and seven fathers breastfeeding very low birth weight preterm infants, from the baby's birth to 12 months of age. A series of longitudinal in-depth interviews with the parents were used to explore the phenomenon of breastfeeding a preterm infant. Forty-five interviews were undertaken using a hermeneutic phenomenological approach based on the work of Patricia Benner. / The study explores the parents' experiences and understandings of breastfeeding in the preterm context and describes how they managed this challenging situation. Most apparent in this study are the numerous contradictions, tensions and disparities between what the participant parents expected their breastfeeding experiences to be like and what became their reality. Analysis of the data demonstrates the ways in which breastfeeding and feeding the preterm infant were objectified to the detriment of their overall satisfaction. Expressed breast milk became the primary focus of attention, the 'liquid gold' that parents strove for, while the mothers, in effect, became 'milking machines' intent solely on the production of breast milk. This objectification of the breastfeeding experience resulted in parents losing control over many aspects of normal parenting and surrendering their ability to make decisions regarding their infant's care, particularly their nutrition and feeding management following discharge from hospital. / The conflicts and tensions within the preterm-breastfeeding experience were distressing for the participant parents. They considered breastfeeding to be integral to the performance of motherhood and good parenting. Mothers, in particular, in this study tried hard to cope with these contradictions and their implications. The parents' focus on doing best for baby was paramount and they were prepared to do whatever they or others deemed necessary. Although espousing the benefits of breastfeeding for their baby, the participants' experiences showed that hospital staff practices often fostered objectified breast milk feeding, which parents found counterproductive to exclusive at-breast feeding. / This research extends existing knowledge of breastfeeding by explicating in detail parental experience of breastfeeding very low birth weight preterm infants. / Thesis (PhD)--University of South Australia, 2004.