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Titolo:
THE STRUGGLE OF WEANING - FACTORS DETERMINING BREAST-FEEDING DURATIONIN EAST BHUTAN
Autore:
BOHLER E; INGSTAD B;
Indirizzi:
DEPT INT HLTH,BOX 1130 N-0318 OSLO NORWAY ULLEVAL UNIV HOSP,DEPT PEDIAT OSLO NORWAY UNIV OSLO,DEPT MED ANTHROPOL,INST GEN PRACTICE & COMMUNITY MED OSLO NORWAY
Titolo Testata:
Social science & medicine
fascicolo: 12, volume: 43, anno: 1996,
pagine: 1805 - 1815
SICI:
0277-9536(1996)43:12<1805:TSOW-F>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
DIARRHEAL DISEASE; PREVIOUS CHILD; GUINEA-BISSAU; BREAST; PREGNANCY; CONSTRAINTS; SURVIVAL; ETHIOPIA; WORK;
Keywords:
BREAST-FEEDING; WEANING; PREGNANCY; BHUTAN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Physical, Chemical & Earth Sciences
Citazioni:
62
Recensione:
Indirizzi per estratti:
Citazione:
E. Bohler e B. Ingstad, "THE STRUGGLE OF WEANING - FACTORS DETERMINING BREAST-FEEDING DURATIONIN EAST BHUTAN", Social science & medicine, 43(12), 1996, pp. 1805-1815

Abstract

This paper presents the qualitative part of a project in a traditional community in East Bhutan, which, among other items, investigates theeffects on child health of breastfeeding, weaning and subsequent pregnancy of the mother. Quantitative data from the project have shown that children who are weaned during a subsequent pregnancy of the mother have a reduced weight gain and an increased incidence of infectious diseases during weaning, while this is not so for children weaned from non-pregnant mothers. In-depth interviews with 35 women with experiencefrom breastfeeding were carried out in the local language in order toobtain qualitative data regarding the processes underlying the mother's decisions during weaning. Breastfeeding was found to fulfil a valuable social function in addition to its biological and emotional properties. The breastfed child had an undebatable ''right of access'' to the mother's care, not only her breast, whenever it wanted. This child also assumed a status in the family in which both its vulnerability, its special needs and its value were clearly recognized. The mothers expressed a basic motivation to breastfeed ''as long as possible''. Therewere, however, important limitations as to how this was manifested inthe practical weaning process. If the mother was pregnant at the timeof weaning, these limitations tended to be mother-centred. Most of the women had experienced tenderness of the breasts and a reduced milk production from the start of the next pregnancy. It was believed that the breast milk of a pregnant woman could ''rot'' and cause disease in the child. In spite of this belief, concurrent breastfeeding and pregnancy were common, but a pregnant mother whose breastfed child got ill,e.g. with diarrhoea, would immediately stop breastfeeding. The child would thereby abruptly loose the most important protection against thenegative effects of the disease, when this protection was most needed. Concurrent pregnancy and lactation are common in many areas of the poor world. This has important consequences for the health of mothers and children, and has only recently been given the attention it derserves. Copyright (C) 1996 Elsevier Science Ltd

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/10/20 alle ore 04:39:34