Practice of breastfeeding in quilombola communities in the light of transcultural theory

Abstract

<jats:p>ABSTRACT Objectives: to identify factors that interfere with the practice of exclusive breastfeeding in quilombola communities. Methods: qualitative research based on the Transcultural Theory proposed by Madeleine Leininger, performed with quilombola mothers. For data collection, we used the semi-structured interview, conducted from June 2018 to January 2019. Content analysis was guided by the interactive model of Miles and Huberman. Results: it was revealed that intergenerational cultural myths and customs interfere with breastfeeding practice, and identified the influence of professional nurses on best breastfeeding practices. Final Considerations: cultural and intergenerational factors favor early weaning and expose the child to illness.</jats:p>

Myths About Breastfeeding as Voiced by Lactating Nurses and Midwives: A Qualitative Study at the Greater Accra Region of Ghana

“…To them, being health workers alone was not enough to debunk breastfeeding myths due to the strong influences their cultures had on them. This finding is similar to reports from other studies where breastfeeding mothers were strongly influenced by their cultural practices ( Alianmoghaddam et al, 2018 ; Martins et al, 2020 ; Tsegaye et al, 2019 ; Zakar et al, 2018 ). Conceivably, the culture of a group of people has massive influence on their wellbeing.…”

“…Myths surrounding breastfeeding practices have been extensively documented to negatively affect the rate of breastfeeding across different cultures and continents in the world ( Akram et al, 2017 ; Eram, 2017 ; García-Magdaleno & Laureano-Eugenio, 2019 ; Isytiaroh, 2018 ; Koura, 2019 ; Lajuna et al, 2020 ; Martins et al, 2020 ; Muggaga et al, 2017 ; Prado et al, 2016 ; Rahadini & Rahmat, 2018 ; Sámano et al, 2020 ; Tsegaye et al, 2019 ; Wanjohi et al, 2016 ; Yurtsal et al, 2016 ). One of the myths expressed about breastfeeding included insufficient milk production and this myth leads most mothers to wean their infants earlier than recommended ( Isytiaroh, 2018 ; Prado et al, 2016 ; Sandhi et al, 2020 ; Tsegaye et al, 2019 ; Vargas-Zarate et al, 2020 ; Zakar et al, 2018 ).…”

“…Most of the above documented myths surrounding breastfeeding have no scientific basis but they are mostly handed over between generations in different cultural settings ( Vargas-Zarate et al, 2020 ). Cultural norms in parts of Africa and Asia that encourage traditional practices where opinion leaders feed newborns with foods other than breast milk have impacted negatively on breastfeeding practices and fueled baseless myths about breastfeeding ( Alianmoghaddam et al, 2018 ; Martins et al, 2020 ; Tsegaye et al, 2019 ; Zakar et al, 2018 ). In other cultures where breastfeeding in public is considered strange thereby making it embarrassing for women to breastfeed in public may fuel such myths ( Leahy-Warren et al, 2012 ).…”

“…In a health application, questions about myths surrounding breastfeeding were among the most frequently asked ( Padró-Arocas et al, 2020 ). Breastfeeding myth busters have been identified to be primarily nurses ( Martins et al, 2020 ) which means that, nurses are expected to be the ones debunking breastfeeding myths and not perpetuate them. But, very little is known about myths held by nurses and midwives concerning breastfeeding.…”

Laser De Baixa Potência Na Cicatrização E Analgesia De Lesões Mamilares: Ensaio Clínico

“…(5) Estas possuem um tempo médio de cicatrização que pode variar de 24 horas ou se prolongar por até 28 dias, (6) de modo que são extremamente dolorosas e se não forem manejadas corretamente podem interferir diretamente no processo de amamentar, contribuindo inclusive para o desmame precoce. (7) Alternativas de tratamentos são amplamente utilizados em todo mundo para a cicatrização e analgesia das LM, os quais incluem uso de medicamentos, pomadas, curativos, conchas protetoras, o uso do próprio leite materno, bem como correção da pega e posicionamento. Apesar dos estudos possuírem boa qualidade metodológica, não foi possível estabelecer evidências científicas robustas sobre a eficácia dos mesmos para recomendação clínica.…”