Rapid ethnographic assessment of breastfeeding practices in periurban Mexico City

M. L. Guerrero, R. C. Morrow, J. J. Calva, H. Ortega-Gallegos, Susan Weller, G. M. Ruiz-Palacios, A. L. Morrow

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

Before carrying out a breastfeeding promotion programme in a periurban area of Mexico City, we conducted a rapid ethnographic study to determine the factors associated with absence of exclusive breastfeeding. The responses to pilot interviews were used to develop a standardized questionnaire regarding reasons for infant feeding choice, sources of advice, and barriers to breastfeeding. We interviewed a random sample of 150 mothers with a child <5 years of age; 136 (91%) of them had initiated breastfeeding; but only 2% exclusively breastfed up to 4 months. The mothers consistently stated that the child's nutrition, health, growth, and hygiene were the main reasons for the type of feeding selected; cost, comfort, and the husband's opinion were less important. Physicians were ranked as the most important source of advice. Reduction or cessation of breastfeeding occurred on the doctor's advice (68%); or when the mothers encountered local folk illnesses such as 'coraje'(52%) or 'susto'(54%), which are associated with anger or fright; or had 'not enough milk' (62%) or 'bad milk' (56%); or because of illness of the mother (56%) or child (43%). During childhood illnesses and conditions, breastfeeding was reduced and the use of supplementary foods was increased. This study emphasizes the importance of cultural values in infant feeding choices, defines specific barriers to breastfeeding, and provides a basis for interventions to promote exclusive breastfeeding in the study population.

Original languageEnglish (US)
Pages (from-to)323-330
Number of pages8
JournalBulletin of the World Health Organization
Volume77
Issue number4
StatePublished - 1999

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Mexico
Breast Feeding
Mothers
Milk
Anger
Hygiene
Spouses
Interviews
Physicians
Costs and Cost Analysis
Food
Growth
Population

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Guerrero, M. L., Morrow, R. C., Calva, J. J., Ortega-Gallegos, H., Weller, S., Ruiz-Palacios, G. M., & Morrow, A. L. (1999). Rapid ethnographic assessment of breastfeeding practices in periurban Mexico City. Bulletin of the World Health Organization, 77(4), 323-330.

Rapid ethnographic assessment of breastfeeding practices in periurban Mexico City. / Guerrero, M. L.; Morrow, R. C.; Calva, J. J.; Ortega-Gallegos, H.; Weller, Susan; Ruiz-Palacios, G. M.; Morrow, A. L.

In: Bulletin of the World Health Organization, Vol. 77, No. 4, 1999, p. 323-330.

Research output: Contribution to journalArticle

Guerrero, ML, Morrow, RC, Calva, JJ, Ortega-Gallegos, H, Weller, S, Ruiz-Palacios, GM & Morrow, AL 1999, 'Rapid ethnographic assessment of breastfeeding practices in periurban Mexico City', Bulletin of the World Health Organization, vol. 77, no. 4, pp. 323-330.
Guerrero ML, Morrow RC, Calva JJ, Ortega-Gallegos H, Weller S, Ruiz-Palacios GM et al. Rapid ethnographic assessment of breastfeeding practices in periurban Mexico City. Bulletin of the World Health Organization. 1999;77(4):323-330.
Guerrero, M. L. ; Morrow, R. C. ; Calva, J. J. ; Ortega-Gallegos, H. ; Weller, Susan ; Ruiz-Palacios, G. M. ; Morrow, A. L. / Rapid ethnographic assessment of breastfeeding practices in periurban Mexico City. In: Bulletin of the World Health Organization. 1999 ; Vol. 77, No. 4. pp. 323-330.
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