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Journal of Human Lactation
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*Breast Feeding
*Smoking
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Barriers to Best Outcomes in Breastfeeding for Maori: Mothers' Perceptions, Whanau 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 Maori Health & Development, Massey University, and HRC doctoral scholar in Maori Health

Harangi Manaena-Biddle

School of Population Health, University of Auckland

Maureen Holdaway, RGON, PhD

Research Centre for Maori Health & Development, Massey University

Chris Cunningham, BSc Hons, PhD

Maori health and director of the Research Centre for Maori Health & Development, Massey University

This research explores the perceptions of New Zealand Maori women and their whanau (customary Maori extended family) toward barriers to achieving best outcomes in infant feeding: exclusively breastfed infants at 6 months. Interviews are undertaken with 59 Maori women who have given birth in the previous 3 years and 27 whanau members. Although mothers and whanau 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 Maori 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: Maori • 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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