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Subject:
From:
Tammy Binstock <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 6 Oct 2004 10:37:51 -0500
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  My name is Tammy Binstock and I am a junior nursing student at the
University of North Dakota.  My interests after graduation include OB
and Pediatric nursing with an emphasis on lactation consultation.  I
have a 5-year-old son of my own who I breastfed until he was 8 months
old.  I had a very good experience with this due mainly to support from
my family, our pediatric nurse practitioner, and from the WIC program.
My concern in striving to become a lactation consultant, is how to
approach the expectant moms who choose not to breastfeed and simply will
not/do not give it any consideration.
  In a study by Arora, McJunkin, Wehrer, Kuhn (2000), the most important
factors reported by bottle-feeding mothers that would have encouraged
them to breastfeed included more information from prenatal classes,
magazines, books, and television, as well as support from the infant's
grandmother or other family members.  Interestingly,
approximately 78.0% of all respondents, breastfeeding and/or
bottle-feeding mothers indicated they had made their decision before the
pregnancy or during the first trimester. Women also report that helpful providers had given them correct breastfeeding information, established supportive personal
relationships, referred women to breastfeeding specialists for problems,
showed enthusiasm for nursing, and facilitated breastfeeding (Raisler, 2000).  Negative attitudes include less promotion of breastfeeding to working mothers and adolescents and a belief that fathers feel closer to their infants through bottle feeding(Dermer, 2000).
  There are obviously many ways that women can find out about
breastfeeding their infants.  What are your recommendations for women
who are given an abundance of information on the benefits of
breastfeeding, and have a stable support system, on ways to encourage
their decision toward breastfeeding?

Thank You
Tammy Binstock

Arora, S., McJunkin, C., Wehrer, J., and Kuhn, P. (2000)  Major Factor
  Influencing   Breastfeeding Rates:   Mother's Perception of Father's
  Attitude and Milk Supply [Electronic version].  PEDIATRICS,106(5): p.
  e67.

Dermer, A. Overcoming medical and social barriers to breastfeeding.
   American Family Physician. 1995;51:755-758,761-763.

Raisler, J.  Against the odds: Breastfeeding experiences of low-income
  mothers. Journal of Midwifery & Women's Health, 2000;45:253-263.

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