Abstract

This monograph represents 15 years of personal experience and research into the medical and anthropological literature of giving birth and breast feeding. Factors which determine success and warn of the path that leads to failure of breast feeding are explained. The period of transition to childbirth for mothers is termed matrescence. Over 250 cultures were surveyed for their types of ceremonies used during the matrescence transition period. The results indicate that this period is one when support for the mothers well-being is central to her ability to breast feed. The support comes from the doula a woman who assists a newly delivered mother by aiding her during the perinatal period. In another study it was found that the incidence of postpartum breakdown increased with the actual distance in miles of the new mother from her own mother sister or close friend. Misconceptions about breast feeding are discussed as well as the physical nature of breast feeding. Advantages and disadvantages of breast feeding are discussed in terms of the relationship between mother and baby initiation of breast milk infection and convenience of breast feeding. Examples of breast feeding adopted babies are emphasized from the authors own experience. From several studies and surveys the common denominater for success in breast feeding is the assurance of some degree of help from some specific person for a definite period of time after childbirth. The use of a doula is emphatically emphasized and guidelines are given for their responsibilities and training. Referral services for mothers who are planning to breast feed are listed and discussed as to their value to new mothers.

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