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Barriers to Best Outcomes in Breastfeeding for M ori: Mothers' Perceptions, Wh nau Perceptions, and Services
Marewa Glover, PhD
Auckland Tobacco Control Research Centre, University of Auckland, New Zealand, m.glover{at}auckland.ac.nz
John Waldon, BSc, MPH
Research Centre for M ori Health & Development, Massey University, and HRC doctoral scholar in M ori Health
Harangi Manaena-Biddle
School of Population Health, University of Auckland
Maureen Holdaway, RGON, PhD
Research Centre for M ori Health & Development, Massey University
Chris Cunningham, BSc Hons, PhD
M ori health and director of the Research Centre for M ori Health & Development, Massey University
This research explores the perceptions of New Zealand M ori women and their wh nau (customary M ori extended family) toward barriers to achieving best outcomes in infant feeding: exclusively breastfed infants at 6 months. Interviews are undertaken with 59 M ori women who have given birth in the previous 3 years and 27 wh nau members. Although mothers and wh nau members feel positively toward breastfeeding and generally expect to breastfeed exclusively, these expectations are unmet in many cases because of lack of support when establishing breastfeeding; lack of support when life circumstances change; lack of timely, culturally relevant, and comprehensible information; confusion about smoking while breastfeeding; uncertainty about the safety of bed-sharing, and perceived lack of acceptability of breastfeeding in public. The relatively high rates of tobacco use by M ori create a tension for breastfeeding mothers, cited by some as a reason for ending breastfeeding prematurely. J Hum Lact. 25(3):307-316.
Key Words: M ori breastfeeding smoking
This version was published on August
1, 2009
Journal of Human Lactation, Vol. 25, No. 3,
307-316 (2009)
DOI: 10.1177/0890334409332436

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