Receiving screened donor human milk for their infant supports parental wellbeing: a mixed-methods study.
Receiving screened donor human milk for their infant supports parental wellbeing: a mixed-methods study.
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接受筛选的供捐赠人牛奶的婴儿为父母的福祉：一项混合方法研究。
DOI：
10.1186/s12884-022-04789-7
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发表时间：
2022-05-31
影响因子：
3.1
通讯作者：
中科院分区：
文献类型：
--
作者：
获得捐赠母乳（DHM）主要是基于早产儿的健康和发育结果，但很少检查接受母乳的婴儿对父母心理健康的更广泛影响。母乳喂养和心理健康与母乳喂养困难或无法实现母乳喂养目标的妇女密切相关，这些妇女往往会感到内疚，悲伤和愤怒，同时产后抑郁症的风险增加。本研究的目的是探讨为婴儿接受DHM的经历如何影响父母的幸福感。英国0 - 12个月婴儿的父母从母乳银行（通常在新生儿病房或在某些情况下在社区）接受了筛查的DHM，完成了一份在线问卷调查，探索他们的经验。调查问卷包括Likert量表项目，检查对婴儿健康，自身福祉和家庭功能的影响，以及开放式问题，探索如何接受DHM影响福祉的看法。几乎所有的107名参与者（妇女= 102）都同意，接受DHM对婴儿的健康和发展，他们自己的身心健康，他们的家庭的福祉产生了积极的影响。父母感到宽慰的是，他们的婴儿接受DHM是出于健康原因，但也由于被倾听，支持和促进他们的婴儿喂养决定的经验。接受DHM帮助母亲处理无法母乳喂养的一些情绪，部分原因是知道他们的婴儿正在被喂养，这给了他们专注于恢复和与婴儿建立联系的空间。一些父母确实遇到了挑战，在接受DHM时感到内疚，当他们不能喂养婴儿时，另一个女人能够喂养他们的婴儿，或者来自家庭的负面反应。虽然没有衡量接受DHM对母乳喂养的影响，但一些正在努力建立自己的牛奶供应的妇女指出，这有助于激励她们继续母乳喂养。DHM不仅可以在保护婴儿健康和发育方面发挥重要作用，而且可以在支持母亲的心理健康和福祉方面发挥重要作用，因为婴儿接受母乳对母亲很重要。
Access to donor human milk (DHM) has primarily been based on the health and development outcomes of premature infants but there has been little examination of the broader impact of an infant receiving it upon parental mental health. Breastfeeding and mental health are closely tied with women who experience breastfeeding difficulties or are unable to meet their own breastfeeding goals often experiencing feelings of guilt, sadness and anger, alongside an increased risk of postnatal depression. The aim of the current study was to explore how experience of receiving DHM for their baby affected the wellbeing of parents. UK parents of infants aged 0 – 12 months who had received screened DHM from a milk bank (typically on the neonatal unit or in some cases in the community) completed an online questionnaire exploring their experiences. The questionnaire included Likert scale items examining perceived impact upon infant health, own wellbeing and family functioning alongside open-ended questions exploring perceptions of how receiving DHM affected wellbeing. Almost all of the 107 participants (women = 102) agreed that receiving DHM had a positive impact upon infant health and development, their own mental and physical health, and their family’s wellbeing. Parents felt relieved that their infant was receiving DHM for health reasons but also due to the experience of being listened to, supported and having their infant feeding decisions facilitated. Receiving DHM helped mothers to process some of their emotions at not being able to breastfeed, in part because knowing their baby was being fed gave them the space to focus on recovery and bonding with their baby. Some parents did experience challenges, feeling guilty at receiving DHM, insecure that another woman was able to feed their baby when they could not, or negative reactions from family. Although the impact of receiving DHM upon breastfeeding was not measured, some women who were working to build their own milk supply noted that it helped motivate them to continue. DHM may play an important role not only in protecting infant health and development but in supporting the mental health and wellbeing of mothers for whom their infant receiving human milk is important.
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影响因子：
3.8
作者：
Brown A;Rance J;Bennett P
通讯作者：
Bennett P
DOI：
10.1177/0890334415617939
发表时间：
2016-02
期刊：
Journal of human lactation : official journal of International Lactation Consultant Association
影响因子：
--
作者：
Esquerra-Zwiers A;Rossman B;Meier P;Engstrom J;Janes J;Patel A
通讯作者：
Patel A
影响因子：
3.4
作者：
Bramer S;Boyle R;Weaver G;Shenker N
通讯作者：
Shenker N
影响因子：
4.2
作者：
Hegney, Desley;Fallon, Tony;O'Brien, Maxine L.
通讯作者：
O'Brien, Maxine L.
影响因子：
2.7
作者：
Brown, Amy
通讯作者：
Brown, Amy