maandag 21 maart 2011

Fathers and grandmothers

[Photo: My grandson, carried by me in the sling that was last used before him to carry his youngest uncle (1990)]
Breastfeeding is a relationship between 2 people surrounded by a social network. Both partners separate and together have separate relationships with the individuals of the social network. The social network plays an important role in the initiation and continuation of breastfeeding. Most influence, no surprise here, comes from those closest by: the infants father or the mothers partner and the maternal grandmother. Grassley&Eschiti (2008) performed a qualitative study to find out what it is mothers need from their mothers. The gross outcomes were that mothers need grandmothers to be breastfeeding advocates, which is defined by the two themes, "valuing breastfeeding" and "loving encouragement." Three other themes were:  "acknowledging barriers’’, "confronting myths", and "current breastfeeding knowledge". Grandmothers take with them their own, successful or not, experiences and some cultural beliefs and these may have counterproductive influences. Health care professionals are there for encouraged to include grandmothers in breastfeeding education. Shephard et al (2000) found that bottle-feeding mothers and all fathers lacked knowledge about the health aspects of breastfeeding when compared to breastfeeding mothers. In the bottle-feeding group the fathers appeared to be more negative about breastfeeding than the mothers. In both breastfeeding and bottle-feeding groups fathers tended to be more opposed against breastfeeding in front of nonfamily persons than the mothers. Contrarily, Rempel&Rempel (2010) found that fathers who see themselves as active breastfeeding-team partners tend to become breastfeeding savvy in order to better be able to coach their breastfeeding spouse and they tended to be more into doing household chores and child-care. They were keen to work on bonding with their infants in ways that do not include feeding.
Grassley J, Eschiti V: Grandmother breastfeeding support: what do mothers need and want? Birth. 2008 Dec;35(4):329-35.
Rempel LA, Rempel JK: The Breastfeeding Team: The Role of Involved Fathers in the Breastfeeding Family. J Hum Lact. 2010 Dec 20. [Epub ahead of print]
Shepherd CK, Power KG, Carter H: Examining the correspondence of breastfeeding and bottle-feeding couples' infant feeding attitudes. J Adv Nurs. 2000 Mar;31(3):651-60.

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