Infant feeding choices: experience, self-identity and lifestyle
Infant feeding choices: experience, self-identity and lifestyle
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DOI：
10.1111/j.1740-8709.2009.00222.x
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发表时间：
2011-01-01
影响因子：
3.4
通讯作者：
Harvey, Kate
中科院分区：
文献类型：
--
作者：
Andrew, Naomi;Harvey, Kate
在英格兰，78%的母亲开始母乳喂养，在英国，尽管世界卫生组织（世卫组织）建议在6个月前进行纯母乳喂养，但只有不到1%的母亲这样做。本研究通过对12位7-18周婴儿的母亲进行深度访谈，调查了妇女对婴儿喂养的选择。通过内容分析，出现了四个主题：(1)信息、知识和决策；(2)身体能力；(3)家庭和社会影响；(4)生活方式、独立和自我认同。虽然女性知道“母乳是最好的”这一信息，但如果她们自己没有接受过母乳喂养，有些人表示不相信这一信息。女性认为，她们自己的婴儿喂养选择受到家庭和朋友的认知规范的影响。妇女们描述了母乳喂养如何阻碍了她们在母亲身份之外保持自我身份的能力，因为它限制了她们的独立性。一些二胎母亲在母乳喂养第二个婴儿时感到缺乏卫生专业人员的支持，即使她们以前遇到过母乳喂养困难。研究表明，母乳喂养的经历和对与之相关的健康益处的信念是开始母乳喂养的重要因素，而独立性和自我认同的降低可能会影响母乳喂养的持续时间。干预和支持计划应该针对所有母亲，而不仅仅是第一次母亲。
In England, 78% of mothers initiate breastfeeding and, in the UK, less than 1% exclusively breastfeed until 6 months, despite World Health Organization (WHO) recommendations to do so. This study investigated women's infant feeding choices using in-depth interviews with 12 mothers of infants aged 7-18 weeks. Using content analysis, four themes emerged: (1) information, knowledge and decision making, (2) physical capability, (3) family and social influences, (4) lifestyle, independence and self-identity. While women were aware of the 'Breast is Best' message, some expressed distrust in this information if they had not been breastfed themselves. Women felt their own infant feeding choice was influenced by the perceived norm among family and friends. Women described how breastfeeding hindered their ability to retain their self-identities beyond motherhood as it limited their independence. Several second-time mothers felt they lacked support from health professionals when breastfeeding their second baby, even if they had previously encountered breastfeeding difficulties. The study indicates that experience of breastfeeding and belief in the health benefits associated with it are important factors for initiation of breastfeeding, while decreased independence and self-identity may influence duration of breastfeeding. Intervention and support schemes should tackle all mothers, not just first-time mothers.