“I Have Faith in My Milk”

“I Have Faith in My Milk”
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“我对我的牛奶有信心”

DOI:
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发表时间:
2013
影响因子:
2.6
通讯作者:
P. Meier
P. Meier
中科院分区:
医学4区
文献类型:
--
作者:
B. Rossman;A. Kratovil;M. Greene;J. Engstrom;P. Meier

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背景:分娩早产儿的母亲通常选择母乳喂养,因为这是“只有母亲才能做的一件事”,可以优化婴儿的结果,帮助母亲感受到与婴儿的联系,并有助于减轻与早产有关的内疚感。目的:本研究的目的是描述母乳对于在新生儿重症监护病房(NICU)住院的极低出生体重(VLBW; < 1500 g)婴儿提供母乳的母亲的意义。方法:采用定性描述设计,对23名在三级NICU住院的VLBW婴儿母亲进行深度半结构化访谈。母亲们被要求分享她们对提供母乳对她们意味着什么的看法。结果:母亲们相信母乳的治疗特性,并将提供母乳等同于“赋予婴儿生命”,减轻并发症的影响,保持婴儿的健康和稳定,并帮助自己解决与早产相关的失败感和内疚感。母亲们相信自己的乳汁能达到这些效果,这是一种继续吸吮母乳的母性动力,即使对于那些本来就不打算喂奶的母亲,或者那些经历过不喜欢吸吮但又想喂奶的矛盾的母亲来说也是如此。结论:这些母亲的经历反映了承认母亲对母乳愈合特性的信念作为维持哺乳的激励因素的重要性,同时应对婴儿在新生儿重症监护病房住院期间固有的压力和焦虑。
Background: Mothers who deliver a premature infant often choose to provide milk because it is the “one thing that only the mother can do” to optimize her infant’s outcome, helps mothers feel a connection with their infants, and helps relieve the guilt associated with the preterm birth. Objective: The purpose of this study was to describe the meaning of milk for mothers who are providing milk for their very low birth weight (VLBW; < 1500 g) infants hospitalized in the neonatal intensive care unit (NICU). Methods: Using a qualitative descriptive design, in-depth semistructured interviews were conducted with 23 mothers of VLBW infants hospitalized in a level III NICU. Mothers were asked to share their perceptions about what providing milk meant to them. Results: Mothers had faith in the healing properties of their milk and equated providing milk with “giving life” to their infants, mitigating the effects of complications, keeping their infants healthy and stable, and helping themselves address the feelings of failure and guilt associated with the premature birth. Mothers’ faith in their milk to achieve these outcomes was a maternal motivator to continue pumping, even for mothers who had not intended to provide milk or who experienced the paradox of disliking pumping but wanting to provide their milk. Conclusion: The experiences of these mothers reflect the importance of acknowledging mothers’ faith in the healing properties of their milk as a motivating factor for sustaining lactation while coping with the stress and anxiety inherent during the infant’s NICU hospitalization.
支持新生儿重症监护病房的母乳喂养:Rush Mothers Milk Club 作为循证护理的案例研究。
DOI: 10.1016/j.pcl.2012.10.007
发表时间: 2013
影响因子: 2.6
作者:
Meier,PaulaP;Patel,AlokaL;Bigger,HaroldR;Rossman,Beverly;Engstrom,JanetL
通讯作者: Engstrom,JanetL