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Background

Pakistan has a higher infant mortality rate than countries with comparable economies, with around half of all under-5 deaths occurring in the first month of life. Breastfeeding is known to improve infant morbidity and mortality, but rates of formula feeding in Pakistan are increasing. Maternal employment is recognised globally as a major barrier to the continuation of breastfeeding.

Aim

To describe the attitudes and experiences of breastfeeding mothers returning to full-time work as nurses in a tertiary hospital in Pakistan.

Methods

A qualitative study was conducted using semi-structured interviews with seven purposively sampled participants who were breastfeeding at the time of return to work. Interviews were audio recorded, transcribed and analysed thematically.

Results

Three major themes were identified: belief in a child’s right to breastfeed, conflict with institutional power and the importance of family support in maintaining breastfeeding. Antenatally mothers described breastfeeding as the preferred infant feeding option and the child’s right. When returning to work mothers encountered rigid hospital policies and practices, such as a short and non-negotiable period of maternity leave, inflexible shift patterns, and lack of childcare provision. Parents’ strategies to continue breastfeeding included some mothers bringing babies to hospital wards while they worked, and babies’ fathers bringing the baby to the hospital for feeds.

Conclusion

This study highlighted the barriers to breastfeeding experienced by mothers working as hospital nurses in Pakistan. Babies can be put at risk due to the strategies parents adopt to reconcile continued breastfeeding with maternal employment.  相似文献   
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This paper uses a computable general equilibrium model to analyze the growth path of the Chilean economy during 1977–1981. During that period a comprehensive package of reforms liberalized international trade and removed restrictive labor legislation. As a result of the reforms, there were large changes in relative prices and in the structure of production and demand, and the economy enjoyed unprecedented growth with declining inflation. But large macroeconomic imbalance become evident toward the end of the period and in 1982 Chile experienced an abrupt and severe recession. Taking the real exchange rate as an exogenous policy variable, and using the observed levels of employment growth and foreign capital inflows, this paper compares model-generated growth paths with those of the economy. First, the benchmark simulation path is used to estimate the magnitude and pattern of growth and productivity change during the 1971–1981 period. Next, counter-factual simulations are used to assess how Chile's economic performance would have differed if (a) external events had been different; and (b) foreign capital inflows had been different. The analysis suggests that the macroeconomic imbalances that led to the crisis in 1982 were exacerbated by the large capital inflows and real exchange rate appreciation that resulted from the use of the exchange rate as a stabilization device.  相似文献   
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ABSTRACT

Little is known about the experiences and inner worlds of infants who live with their parents in prison-based residential programs. Infant observation and qualitative methods were used to study the experiences of seventeen infants living with their incarcerated mothers in a women’s correctional facility. Glimpses into their inner worlds provide insights into factors that hearten and hinder early relational health. Practitioners and parents can use a relational health approach to recognize and cultivate budding capacities in infant-parent relationships. The researcher discusses the usefulness and relevance of infants’ accounts for communities of practice and research.  相似文献   
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Over the past 30 years, there has been increasing recognition that pregnancy constitutes a crisis, not only for the pregnant woman, but also for the expectant father and siblings. The tasks facing the “expectant family” and the associated stresses are outlined. Expectant families present when one or more members find the stresses overwhelming, and a range of presenting problems is described. Guidelines for the therapist working with the expectant family are developed, highlighting the importance of acknowledging the existence of the foetus as a “family member” who can already exert a powerful influence on family system dynamics.  相似文献   
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