Being a 'good mother': Managing breastfeeding and merging identities

Being a 'good mother': Managing breastfeeding and merging identities
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DOI:
10.1016/j.socscimed.2007.06.015
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发表时间:
2007-11-01
影响因子:
5.4
通讯作者:
Renfrew, Mary J.
Renfrew, Mary J.
中科院分区:
医学2区
文献类型:
--
作者:
Marshall, Joyce L.;Godfrey, Mary;Renfrew, Mary J.

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母乳喂养不仅仅是一项技术或实际任务,而且是向母亲过渡的一部分,是母亲和婴儿之间的关系以及与新生儿一起生活的日常体验。因此,关于母乳喂养的讨论必须包括个人的个人和社会背景。本文探讨了英国选择母乳喂养婴儿的妇女如何在母亲的早期阶段完成这一任务,以及影响决策的不同因素的相对权重。我们的研究结果基于对英国英格兰北部一家初级保健信托机构的158名母乳喂养妇女与助产士或健康访问者之间的互动观察,并对其中22名妇女的样本进行了深入访谈,说明了母乳喂养、成为和成为“好母亲”以及在接受母亲身份时融合多重身份之间的动态关系。在这种情况下,将母乳喂养等同于“好母亲”的价值受到质疑。在确保一个健康、满足的婴儿与她们日常生活的现实之间取得平衡时,妇女要在定义“好母亲”的道德雷区以及形成“好母亲”的各种概念和影响之间进行谈判,包括卫生专业人员、她们的社会网络以及她们生活的更广泛的社会和结构背景。对政策和实践的影响进行了讨论。(C) 2007 Elsevier Ltd.版权所有。
Breastfeeding is not simply a technical or practical task but is part of the transition to motherhood, the relationship between mother and baby and the everyday experience of living with a new baby. Discussion of breastfeeding must therefore include the individual's personal and social context. This paper explores how women in England who have chosen to breastfeed their baby accomplish this ask during the early stages of motherhood and the relative weight attached to different factors, which impinge on decision-making. Our findings, based on observing 158 interactions between breastfeeding women and midwives or health visitors from one Primary Care Trust in the north of England, UK, and in-depth interviews with a sample of 22 of these women, illustrate the dynamic between breastfeeding, becoming and being a 'good mother' and merging multiple identities as they embrace motherhood. In this context, the value attached to breastfeeding as synonymous with being a 'good mother' is questioned. In managing the balance between ensuring a healthy, contented baby and the reality of their daily lives, women negotiate the moral minefield that defines 'good mothering' and the diverse conceptions and influences that shape it-including health professionals, their social networks and the wider social and structural context of their lives. The implications for policy and practice are discussed. (C) 2007 Elsevier Ltd. All rights reserved.