Complex decisions: theorizing women's infant feeding decisions in the first 6 weeks after birth
Complex decisions: theorizing women's infant feeding decisions in the first 6 weeks after birth
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DOI：
10.1111/j.1365-2648.2009.05194.x
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发表时间：
2010-02-01
影响因子：
3.8
通讯作者：
Barclay, Lesley
中科院分区：
文献类型：
--
作者：
Sheehan, Athena;Schmied, Virginia;Barclay, Lesley
标题。复杂的决定：理论化妇女在出生后的前6周喂养婴儿的决定。本文是一项关于妇女在出生后6周内喂养婴儿的经验和决定的理论研究报告。母乳喂养被认为是婴儿喂养的最佳方法。研究已经确定了许多与婴儿喂养决定有关的因素。尚未探索的是社会人口、生物医学和社会心理因素影响婴儿喂养决定的机制。研究强调需要进一步调查母乳喂养和配方奶喂养妇女的经验和决策过程。数据收集和分析采用了建构主义扎根理论方法。这项研究的数据是在2003年至2004年间收集和分析的。2000年之前的一项研究收集了进一步的数据，并在2005年进行了理论上的抽样和分析。对来自澳大利亚新南威尔士州不同社会人口领域的37名妇女进行了深入访谈，提供了数据。核心类别是“解构最佳”。“解构最佳”是婴儿出生后6周内的喂养决策过程。“解构最佳”的过程包括七个阶段：计划、期待、实现、质疑、继续前进、捍卫和晋级。四个主要类别——“母乳喂养真的是最好的”，“这是未知的”，“这不是唯一的事情”，以及“每个人的最好都是不同的”——构成了解构最佳发生的背景。妇女喂养婴儿的决定不能与其他产后经历和需要分开看待。只有将婴儿喂养的决定与妇女的生活环境、其直接的社会文化背景和个人经验联系起来看待，才会得到理解和适当的支持。
Title. Complex decisions: theorizing women's infant feeding decisions in the first 6 weeks after birth.Aim. This paper is a report of a grounded theory study of woman's infant feeding experiences and decisions in the first 6 weeks after birth.Background. Breastfeeding is considered the optimum method of infant feeding. Studies have identified numerous factors associated with infant feeding decisions. What remains unexplored are the mechanisms by which socio-demographic, biomedical and psychosocial factors influence infant feeding decisions. Research highlights the need for further investigation of the experiences and decision-making processes of both breastfeeding and formula-feeding women.Method. A constructionist grounded theory approach to data collection and analysis was used. Data for this study were collected and analysed between 2003 and 2004. Further data, collected in a previous study in 2000, were theoretically sampled and analysed in 2005. In-depth interviews with 37 women from various socio-demographic areas in New South Wales, Australia provided data.Findings. The core category was "deconstructing best'. "Deconstructing best' was the infant feeding decision-making process in the first 6 weeks after birth. The process of "deconstructing best' involved seven phases: planning, expecting, realizing, questioning, getting on with it, defending and qualifying. Four main categories - 'it's really best to breastfeed', 'it's the unknown', 'it's not the only thing going on', and 'everybody's best is different' - comprised the context within which deconstructing best occurred.Conclusion. Woman's infant feeding decisions cannot be viewed in isolation from other post-natal experiences and needs. Infant feeding decisions will only be understood and appropriately supported when they are seen in relation to the circumstances of a woman's life, her immediate sociocultural context and individual experience.