Thesis (M. Med. Sc.)--University of Hong Kong, 2004. / Also available in print.

Thesis (M. Nurs.)--University of Hong Kong, 2005.

INTRODUCTION: Father support has recently been associated with increasing breastfeeding rates, but there is limited research on how the American father’s perspective of breastfeeding rates affect those rates. AIM: The aim of this study was to investigate the perspective American fathers have on breastfeeding and understand if it contributed to mothers’ decisions to initiate and continue exclusive breastfeeding for at least six months. METHODS: This study analyzed 10 semi-structured in-depth interviews conducted with both fathers and mothers of ever-breastfeed infants at least six months of age. Interviews were transcribed verbatim and openly coded to identify common themes, and then analyzed using principles of grounded theory. RESULTS: Results suggested that mothers were often the lead decision makers in the decision to breastfeed based on her prepartum knowledge of breastfeeding and its benefits. Many fathers had no prepartum perspective of breastfeeding, though they were not opposed to it. Those fathers who had prepartum opinions about breastfeeding traced their beliefs about breastfeeding to their families’ cultures or traditions. DISCUSSION: Data suggested that among this population of 30 – 44 year old educated, heterosexual married couples breastfeeding was common, but the recent increasing rates may not necessarily be influenced by the American father's perspective of breastfeeding.

<p>Breastfeeding id important for the health and well-being of infants. WHO recommends globally, exclusive breastfeeding for the first 6 months and thereafter, adequate and safe complementary foods to be introduced and baby to be breastfed for up to 2 years of age or beyond. Exclusive breastfeeding in Namibia is very low, at 26%. The study was designed to assess the group perception and view to appropriate breastfeeding patterns, explore the cultural beliefs of men on breastfeeding, attitudes of men towards breastfeeding and roles and actions of men that support or hnder breastfeeding.</p>

<p>Breastfeeding id important for the health and well-being of infants. WHO recommends globally, exclusive breastfeeding for the first 6 months and thereafter, adequate and safe complementary foods to be introduced and baby to be breastfed for up to 2 years of age or beyond. Exclusive breastfeeding in Namibia is very low, at 26%. The study was designed to assess the group perception and view to appropriate breastfeeding patterns, explore the cultural beliefs of men on breastfeeding, attitudes of men towards breastfeeding and roles and actions of men that support or hnder breastfeeding.</p>

Thesis (M.S.) -- University of Tennessee, Knoxville, 2005. / Title from title page screen (viewed on Sept. 6, 2005). Thesis advisor: Sonya Jones. Document formatted into pages (x, 117 p. : ill. (some col.), col. map). Vita. Includes bibliographical references.

Magister Public Health - MPH / Breastfeeding id important for the health and well-being of infants. WHO recommends globally, exclusive breastfeeding for the first 6 months and thereafter, adequate and safe complementary foods to be introduced and baby to be breastfed for up to 2 years of age or beyond. Exclusive breastfeeding in Namibia is very low, at 26%. The study was designed to assess the group perception and view to appropriate breastfeeding patterns, explore the cultural beliefs of men on breastfeeding, attitudes of men towards breastfeeding and roles and actions of men that support or hnder breastfeeding. / South Africa

Objective: To compare the effect of traditional and ¿baby-led¿ breastfeeding advice on early infant weight gain and exclusive breastfeeding rates. Design: Longitudinal cohort study: part prospective, part retrospective. Setting: One UK general practice. Participants: 63 exclusively breastfed infants in two cohorts: 32 babies born before and 31 babies born after a change in breastfeeding advice. Intervention: A change from baby-led to traditional breastfeeding advice. Main outcome measures: Primary analysis: comparison of the effectiveness of the intervention (ie, weight gain expressed as standard deviation score gain (SDSG) between birth and 6¿8 weeks) and exclusive breastfeeding rates between babies whose mothers received traditional advice and those whose mothers received baby-led advice. Secondary analysis: relevance of feed length (ie, weight gain expressed as SDSG between birth and 6¿8 weeks in babies feeding for 10 min or less from the first breast and those feeding for longer than 10 min). Results: The two groups were equivalent with respect to birth weight, gestational age, and parity. Primary outcome: babies whose mothers received the traditional advice were more likely to be exclusively breast fed up to 12 weeks (log rank ¿2¿=¿9.68, p¿=¿0.002) and gained more weight up to 6¿8 weeks than those given baby-led advice (mean SDSG 0.41 (95% CI 0.13 to 0.69) vs ¿0.23 (95% CI ¿0.72 to 0.27)). Secondary outcome: irrespective of feeding advice given, babies feeding for 10 min or less from the first breast gained more weight by 6¿8 weeks than babies feeding for longer than 10 min (mean SDSG 0.42 (95% CI 0.11 to 0.73) vs ¿0.19 (95% CI ¿0.64 to 0.26)). Conclusions: In this study, traditional breastfeeding advice resulted in increased weight gain and increased exclusive breastfeeding rates compared with baby-led advice. Exclusively breastfed babies who had shorter feeds (10 min or less from the first breast) gained more weight.

Factors that influence exclusive breastfeeding in Namibia are important, especially in light of the implementation of the Baby and Mother Friendly Initiative. Infant feeding practices, especially breastfeeding, are important public health issues, particularly in the prevention of HIV transmission from mother to child. This thesis determined the prevalence of exclusive breastfeeding and measures the association of demographic and service-related factors on exclusive and non-exclusive breastfeeding practices.

A queixa de “pouco leite" ou hipogalactia tem sido apontada como uma das mais freqüentes causas do desmame ou interrupção do aleitamento materno exclusivoe, os baixos volumes de leite têm sido associados à ansiedade materna que poderia provocar alterações na fisiologia da lactação inibindo a produção láctea. Os objetivos deste estudo foram: identificar o traço e estado de ansiedade no 10°dia pós-parto e estado de ansiedade no 30ºdia pós-parto das nutrizes primíparas e multíparas que apresentam indicadores de hipogalactia; caracterizar o traço e estado de ansiedade no 10°dia pós-parto e estado de ansiedade no 30ºdia pós-parto das nutrizes primíparas e multíparas que apresentam galctia normal; comparar o traço e estado de ansiedade das nutiezes hipo e normogalactas, no 10°dia e no 30ºdia pós-parto e verificar as possíveis relações entre o estado der ansiedade das nutrizes no 10° e 30ºdia pós-parto com os indicadores de hipogalactia apresentados por elas ou seus filhos. Participaram do estudo 168 nutrizes e seus filhos que formaram 4 sub-grupos com primíparas e multíparas hipogalactas e primíparas e multíparas normogalactas, com 42 mulheres em cada. Foram incluídas no grupo de hipogalactas as mulheres e RN que apresentaram ou referiram um ou mais indicadores de hipogalactia. Os resultados obtidos mostraram que as nutrizes deste estudo apresentam média dos escores de traço de ansiedade correspondentes à média ansiedade e a média dos escores dos estados de ansiedade nos 10° e 30ºdia pós-parto correspondentes à baixa ansiedade. As primíparas e multíparas hipogalactas e as primíparas com galactia normal apresentaram traço de ansiedade mais elavado do que os estados de ansiedade por ocasião 30ºdia pós-parto. As multíparas com galactia normal apresentaram no 30ºdia pós-parto, escores de estado de ansiedade mais elevados do que aqueles apresentados por ocasião do 10ºdia pós-parto e ambos abaixo dos escores do traço de ansiedade obtidos no 10ºdia pós-parto. Para essas mulheres, a experiência e a normalidade de produção láctea não diminuíram o grau de ansiedade. Em relação aos indicadores de hipogalactia e o estado de ansiedade das nutrizes no10° e 30ºdia pós-parto, encontramos uma relação direta entre a presença dos indicadores e o aumento do grau de ansiedade materna. Embora tenhamos encontrado relações entre alguns dos indicadores de hipogalactia e grau de ansiedade materno, ficou evidente que a remissão dos sinais maternos e neonatais, depende, na maioria das vezes, da correção da técnica da amamentação através da orientação e oferecimento de apoio às nutrizes. / The complaint about “few milk" or insufficient lactation has been pointed as one of the most frequent causes of the weaning or interruption of the exclusive maternal breastfeeding and, the low volumes of breast milk have been associated to the maternal anxiety that could provoke alterations in the physiology of the lactation inhibiting the lacteal production. The objectives of this study were: to identify the trace and the anxiety state in the 10th postpartum day and the anxiety state in 30th postpartum day of the primiparous and multiparous nursing mothers who present insufficient brestfeeding indicators; to characterize the trace and the anxiety state in the 10th postpartum day and the anxiety state in the 30th postpartum day of the primiparous and multiparous nursing mothers who present normal breastfeeding; to comparae the trace and the anxiety state of the nursing mothers with insufficient breastfeeding and nursing mother with normal brestfeeding, in the 10th and 30th day postpartum and to verify the possible relationships among the anxiety state of the nursing mothers in the 10th and 30th day postpartum with the insufficient brestfeeding indicators presented by them or their children. Have participated in the study 168 nursing mothers and their children who formed 4 sub-grops with primiparous and multiparours who present insufficientbrestfeedind and primiparous and multiparous who present normal brestfeeding, with 42 women each. Have been included in the insufficient brestfeeding group the women and newborn that presented or they referred to one or more insufficient lactation indicators. The obtained results have showed that the nursing mothers of this study has presented average scores of trace of anxiety according to the average anxiety and the average of the scores of the anxiety states in the 10th and 30th day postpartum corresponding to the low anxiety. The primiparous and multiparous who present insufficient brestfeeding and the primiparous with normal lactation have presented higher anxiety state for occasion of the 10th and 30th day postpartum. The primiparous with normal lactation have presented in the 30th postpartum higher scores of anxiety state than those have presented by occasion of the 10th postpartum and both below the scares of the anxiety trace obtained 10th postpartum. For those women the experience and the normality of the lacteal production didn´t reduce the anxiety degree. In relation to the insufficient lactation indicators and the anxiety state of the nursing mothers in the 10th and 30th day postpartum, we found a direct relationship between the presence of the indicators and the increase of degree of maternal anxiety. Although we have been finding relationships among some insufficient lactation indicators and the degree of maternal anxiety, it was evident that the remission of the maternal and neonatal signs, depends, most of the time, of the correction of the brestfeeding technique through orientation and support offer to the nursing mothers.