title: The education of health practitioners supporting breastfeeding women: time for critical reflection.
abstract: The protection, promotion and support of breastfeeding has now become a major international priority as emphasized in the Global Strategy for Infant and Young Child Feeding. Health practitioners, such as midwives, nurses and doctors, have a key role to play in providing support to breastfeeding women. This paper provides a critical discussion of educational requirements of health practitioners to equip them for their supportive role. The effective integration of embodied, vicarious, practice-based and theoretical knowledge requires opportunities for deep critical reflection. This approach should facilitate personal reflection and critical engagement with broader socio-political issues, thus allowing for collective understandings and change. Practitioners also need to understand breastfeeding as a biopsychosocial process that is dynamic, relational and changes over time. Recommendations are outlined with regards to multidisciplinary undergraduate education; mentorship schemes with knowledgeable role models supporting student practitioners; involvement of voluntary and peer supporters; post-registration education; setting of national standards for breastfeeding education; tailored education for specific groups; designated funding; and involvement of breastfeeding specialists.
authors.affiliation: Maternal and Infant Nutrition and Nurture Unit (MAINN), Faculty of Health, University of Central Lancashire, Preston, UK. fcdykes@uclan.ac.uk
authors.forename: Fiona
authors.initials: F
authors.lastname: Dykes
mesh_terms: D001942:Breast Feeding / Q000208:ethnology / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000193:education* / Q000523:psychology*; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration; D006801:Humans; D020380:Needs Assessment; D010348:Patient Care Team; D011787:Quality of Health Care; D020377:Self Efficacy; D006113:United Kingdom