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Journal of Human Lactation, Vol. 21, No. 2, 151-162 (2005)
DOI: 10.1177/0890334405275447

The Cup-Versus-Bottle Debate: A Theme From an Ethnographic Study of the Supplementation of Breastfed Infants in Hospital in the United Kingdom

Michele Cloherty, MSc, BSc

University College Medical School, London, United Kingdom

Jo Alexander, PhD, RGN, RM, MTD

Immy Holloway, PhD, MA, BEd

Kate Galvin, PhD, BSc (Hons), RGN

Institute of Health and Community Studies at Bournemouth University, Dorset, United Kingdom

Sally Inch, SRN, SCM

Women’s Centre, Oxford, United Kingdom

This article reports 1 theme from an ethnographic study that aimed to describe the experiences, expectations, and beliefs of mothers and health care professionals concerning supplementation in a UK maternity unit. Observation was conducted on the postnatal ward and the newborn infant unit, and 30 mothers, 17 midwives, 4 neonatal nurses, 3 health care assistants, 3 senior house officers, and 3 senior pediatricians gave in-depth interviews during a 9-month period in 2002. One of the major themes that emerged was the cup-versus-bottle debate. There were 3 categories strongly linked to this theme: difficulties returning to the breast, ease of use, and necessary skills and knowledge. It appears there is an urgent need to determine which is the best method of giving supplementary feeds, so that full, accurate information can be given to mothers, appropriate policies be devised, and the necessary resources and staff training be provided. Journal of Human Lactation. 21(2):151-162.

Key Words: breastfeeding • supplementation • cup feeding • bottle-feeding • nipple confusion


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