Healthcare professionals' and mothers' perceptions of factors that influence decisions to breastfeed or formula feed infants: a comparative study

Healthcare professionals' and mothers' perceptions of factors that influence decisions to breastfeed or formula feed infants: a comparative study
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DOI:
10.1111/j.1365-2648.2011.05647.x
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发表时间:
2011-09-01
影响因子:
3.8
通讯作者:
Lee, Michelle
Lee, Michelle
中科院分区:
医学3区
文献类型:
--
作者:
Brown, Amy;Raynor, Peter;Lee, Michelle

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目的。本文是一项研究报告,比较了医疗保健专业人员和母亲对影响母乳喂养或配方奶喂养婴儿决定的因素的看法。背景。世界卫生组织建议母亲在出生后的前 6 个月内应进行纯母乳喂养,然后在出生后的前 2 岁及以后继续辅食辅食。然而,英国的母乳喂养水平低于建议的目标。实际或感知的专业支持和理解水平低与配方使用有关。方法。二十名与幼儿母亲密切合作的专业人士完成了一次半结构化访谈,探讨了他们认为母亲选择使用配方奶的原因。 23 名 6 至 12 个月婴儿的母亲也反思了她们的母乳喂养经历。数据收集于 2007 年至 2008 年期间。结果。专业人士描述了对母亲母乳喂养或配方奶喂养决定的一系列影响,包括缺乏知识、支持和困难帮助。这些在母亲们给出的使用配方奶粉的原因中得到了强烈呼应,表明对母乳喂养相关挑战有清晰的专业理解。尽管专业人士热衷于提供进一步的支持,但他们提出了缺乏时间和资源来支持母亲的问题。结论。与母亲对专业理解不足的看法相反,专业人士对影响早期母乳喂养选择的因素有着清晰的认识。与新妈妈一起工作的医疗保健专业人员需要更多的资源和认可,使他们能够提供更多的支持,以延长母乳喂养的时间。
Aim. This article is a report of a study comparing healthcare professionals' and mothers' perceptions of factors that influence the decision to breastfeed or formula feed an infant.Background. The World Health Organisation recommends that mothers should breastfeed exclusively for the first 6 months of age and then continue to do so alongside complementary foods for the first 2 years and beyond. However, levels of breastfeeding in the United Kingdom are below the recommended targets. Low levels of actual or perceived professional support and understanding are associated with formula use.Methods. Twenty professionals working closely with mothers of young infants completed a semi-structured interview exploring the reasons they believed mothers chose to use formula milk. Twenty-three mothers with an infant aged 6-12 months also reflected on their experiences of milk feeding. The data were collected during 2007-2008.Results. Professionals described a range of influences on maternal decisions to breastfeed or formula feed including lack of knowledge, support and help with difficulties. These were strongly echoed in the reasons mothers gave for formula use, suggesting clear professional understanding of the challenges relating to breastfeeding. Although keen to give further support, professionals raised issues of lack of time and resources to support mothers.Conclusion. Contrary to maternal beliefs of poor professional understanding, professionals had a clear perception of influences affecting early milk feeding choice. Further resources and recognition are needed for healthcare professionals working with new mothers to enable them to offer increased support, with the aim of increasing breastfeeding duration.