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Rapid ethnographic assessment of breastfeeding practices in periurban Mexico City.
Bull World Health Organ 1999; 77(4):323-30BW

Abstract

Before carrying out a breastfeeding promotion programme in a periurban area of Mexico City, we conducted a rapid ethnographic study to determine the factors associated with absence of exclusive breastfeeding. The responses to pilot interviews were used to develop a standardized questionnaire regarding reasons for infant feeding choice, sources of advice, and barriers to breastfeeding. We interviewed a random sample of 150 mothers with a child < 5 years of age; 136 (91%) of them had initiated breastfeeding; but only 2% exclusively breastfed up to 4 months. The mothers consistently stated that the child's nutrition, health, growth, and hygiene were the main reasons for the type of feeding selected; cost, comfort, and the husband's opinion were less important. Physicians were ranked as the most important source of advice. Reduction or cessation of breastfeeding occurred on the doctor's advice (68%); or when the mothers encountered local folk illnesses such as "coraje" (52%) or "susto" (54%), which are associated with anger or fright; or had "not enough milk" (62%) or "bad milk" (56%); or because of illness of the mother (56%) or child (43%). During childhood illnesses and conditions, breastfeeding was reduced and the use of supplementary foods was increased. This study emphasizes the importance of cultural values in infant feeding choices, defines specific barriers to breastfeeding, and provides a basis for interventions to promote exclusive breastfeeding in the study population.

Authors+Show Affiliations

Department of Infectious Diseases, Instituto Nacional de la Nutrición, Mexico City, Mexico.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

10327711

Citation

Guerrero, M L., et al. "Rapid Ethnographic Assessment of Breastfeeding Practices in Periurban Mexico City." Bulletin of the World Health Organization, vol. 77, no. 4, 1999, pp. 323-30.
Guerrero ML, Morrow RC, Calva JJ, et al. Rapid ethnographic assessment of breastfeeding practices in periurban Mexico City. Bull World Health Organ. 1999;77(4):323-30.
Guerrero, M. L., Morrow, R. C., Calva, J. J., Ortega-Gallegos, H., Weller, S. C., Ruiz-Palacios, G. M., & Morrow, A. L. (1999). Rapid ethnographic assessment of breastfeeding practices in periurban Mexico City. Bulletin of the World Health Organization, 77(4), pp. 323-30.
Guerrero ML, et al. Rapid Ethnographic Assessment of Breastfeeding Practices in Periurban Mexico City. Bull World Health Organ. 1999;77(4):323-30. PubMed PMID: 10327711.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rapid ethnographic assessment of breastfeeding practices in periurban Mexico City. AU - Guerrero,M L, AU - Morrow,R C, AU - Calva,J J, AU - Ortega-Gallegos,H, AU - Weller,S C, AU - Ruiz-Palacios,G M, AU - Morrow,A L, PY - 1999/5/18/pubmed PY - 1999/5/18/medline PY - 1999/5/18/entrez KW - Action Research KW - Americas KW - Behavior KW - Breast Feeding KW - Delivery Of Health Care KW - Developing Countries KW - Family And Household KW - Family Characteristics KW - Family Relationships KW - Health KW - Health Personnel KW - Infant Nutrition KW - Kap Surveys KW - Latin America KW - Measurement KW - Mexico KW - Mothers KW - Motivation KW - North America KW - Nutrition KW - Obstacles KW - Organization And Administration KW - Parents KW - Physicians KW - Prevalence KW - Psychological Factors KW - Research Methodology KW - Research Report KW - Sampling Studies KW - Studies KW - Supplementary Feeding KW - Surveys SP - 323 EP - 30 JF - Bulletin of the World Health Organization JO - Bull. World Health Organ. VL - 77 IS - 4 N2 - Before carrying out a breastfeeding promotion programme in a periurban area of Mexico City, we conducted a rapid ethnographic study to determine the factors associated with absence of exclusive breastfeeding. The responses to pilot interviews were used to develop a standardized questionnaire regarding reasons for infant feeding choice, sources of advice, and barriers to breastfeeding. We interviewed a random sample of 150 mothers with a child < 5 years of age; 136 (91%) of them had initiated breastfeeding; but only 2% exclusively breastfed up to 4 months. The mothers consistently stated that the child's nutrition, health, growth, and hygiene were the main reasons for the type of feeding selected; cost, comfort, and the husband's opinion were less important. Physicians were ranked as the most important source of advice. Reduction or cessation of breastfeeding occurred on the doctor's advice (68%); or when the mothers encountered local folk illnesses such as "coraje" (52%) or "susto" (54%), which are associated with anger or fright; or had "not enough milk" (62%) or "bad milk" (56%); or because of illness of the mother (56%) or child (43%). During childhood illnesses and conditions, breastfeeding was reduced and the use of supplementary foods was increased. This study emphasizes the importance of cultural values in infant feeding choices, defines specific barriers to breastfeeding, and provides a basis for interventions to promote exclusive breastfeeding in the study population. SN - 0042-9686 UR - https://www.unboundmedicine.com/medline/citation/10327711/Rapid_ethnographic_assessment_of_breastfeeding_practices_in_periurban_Mexico_City_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/10327711/ DB - PRIME DP - Unbound Medicine ER -