Medical influences on birth spacing in rural Mexico.
Fertil Determ Res Notes
; (23): 12-4, 1988 Sep.
Article
em En
| MEDLINE
| ID: mdl-12283511
PIP: In order to determine the impact of the available health services in rural areas on women's reproductive decisions, researchers documented fertility changes in rural Mexico from 1969-1981, determined rates of contraceptive use and breastfeeding, and examined medical personnel attitudes towards these 2 factors. Figures showed that the marital fertility rate of Mexico's rural population dropped from 10.6 children/per woman in 1969 to 8.1 in 1981; the same period saw a drop in the total fertility rate from 7.8 to 5.3. Researchers also noted a reduction in the mean length of breastfeeding, from 17.9 months to 15.1 months, and a rise in the use of contraception, from 1.9% to 33.8%. Knowledge about contraception increased significantly during the period, with doctors becoming an important vehicle for the its promulgation. Though doctors favored breastfeeding over bottlefeeding, they usually recommended shorter breastfeeding periods and early supplementation. Traditional midwives, however, recommended longer breastfeeding duration and later supplementation. This indicates the effects of health services in rural areas: where it is present, there is a significant positive impact on contraceptive use and some negative impact on breastfeeding. Overall, researchers conclude that Mexico's family planning program is working among its rural population, but point out some weaknesses, such as the lack of medical attention at delivery, medical personnel's ignorance over the possible adverse effects of early suspension of lactation and early supplementation. This suggests the need for some reeducation of the medical personnel.^ieng
Palavras-chave
Americas; Birth Rate; Breast Feeding; Contraception; Contraceptive Usage; Delivery Of Health Care; Demographic Factors; Developing Countries; Family Planning; Fertility; Fertility Decline; Fertility Measurements; Fertility Rate; Health; Health Personnel; Infant Nutrition; Knowledge; Latin America; Longitudinal Studies; Marital Fertility; Mexico; Midwives; North America; Nutrition; Physicians; Population; Population Characteristics; Population Dynamics; Research Methodology; Rural Population; Studies; Supplementary Feeding; Time Factors; Total Fertility Rate
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Médicos
/
População Rural
/
Fatores de Tempo
/
Aleitamento Materno
/
Coeficiente de Natalidade
/
Estudos Longitudinais
/
Pessoal de Saúde
/
Comportamento Contraceptivo
/
Conhecimento
/
Fertilidade
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Aspecto:
Determinantes_sociais_saude
País/Região como assunto:
Mexico
Idioma:
En
Revista:
Fertil Determ Res Notes
Ano de publicação:
1988
Tipo de documento:
Article
País de publicação:
Estados Unidos