Shattered expectations: when mothers' confidence in breastfeeding is undermined - a metasynthesis

Shattered expectations: when mothers' confidence in breastfeeding is undermined - a metasynthesis
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DOI:
10.1111/j.1471-6712.2007.00572.x
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发表时间:
2008-12-01
影响因子:
1.9
通讯作者:
Aagaard, Hanne
Aagaard, Hanne
中科院分区:
医学3区
文献类型:
--
作者:
Larsen, Jette Schilling;Hall, Elisabeth O. C.;Aagaard, Hanne

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破碎的期望:当母亲对母乳喂养的信心被削弱时--一个元理论为什么母亲放弃母乳喂养,即使母乳喂养对她们很重要?这项研究探讨了当母亲放弃母乳喂养时,是什么影响了她对母乳喂养的信心。使用Noblit和Hare的方法论方法对七项关于母亲母乳喂养经历的研究进行了综合集成。综合集成表明,对母乳喂养的信心是由期望破灭所塑造的,并受到母亲期望的直接影响,该网络和母乳喂养专家,并在话语一级的话语:母乳喂养的性质,女性的身体作为一个机器和注意事项。福柯的话语概念被用来讨论这些话语是如何影响母亲对母乳喂养的信心,通过赋予母乳喂养专家话语权,通过隔离不母乳喂养的母亲,并以某种方式组织有关母乳喂养的知识。个别母亲对母乳喂养的成功负责,而这些话语掩盖了母乳喂养的普遍看法破坏了母乳喂养的成功。母亲对母乳喂养的信心,并导致期望破灭。
Shattered expectations: when mothers' confidence in breastfeeding is undermined - a metasynthesisWhy do mothers give up breastfeeding, even though breastfeeding has great importance to them? This study examines what has affected mother's confidence in breastfeeding when she gives up breastfeeding.A metasynthesis of seven studies on mothers' experiences with breastfeeding was conducted using Noblit and Hare's methodological approach.The metasynthesis shows that confidence in breastfeeding is shaped by shattered expectations and is affected on an immediate level by mothers' expectations, the network and the breastfeeding experts and on a discourse level by the discourses: breastfeeding as nature, the female body as a machine and the note of caution. Foucault's concept of discourse is used to discuss how these discourses affect mothers' confidence in breastfeeding by giving the right to speak about breastfeeding to the breastfeeding experts, by isolating the mothers who do not breastfeed and by organizing knowledge about breastfeeding in a certain way.The individual mother is responsible for the success of breastfeeding and the discourses are hiding that general perceptions of breastfeeding undermines the mothers' confidence in breastfeeding and leads to shattered expectations.