Early breastfeeding problems: A mixed method study of mothers' experiences
Early breastfeeding problems: A mixed method study of mothers' experiences
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DOI：
10.1016/j.srhc.2018.04.003
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发表时间：
2018-06-01
影响因子：
1.8
通讯作者：
Kronborg, Hanne
中科院分区：
文献类型：
--
作者：
Feenstra, Maria Monberg;Kirkeby, Mette Jorgine;Kronborg, Hanne
目的：母乳喂养问题是常见的，并与早期停止。产后住院时间也有所缩短。这使得新妈妈们在家里母乳喂养，而卫生保健专业人员的支持较少。目的是探讨母亲的观点，母乳喂养的问题是最具挑战性的和突出的产后早期。其目的也是为了确定可能的因素与母乳喂养problems.Methods：在一项横断面研究中，混合方法的方法被用来分析邮政调查数据，从1437名母亲与足月单胎婴儿。内容分析被用来分析母亲们对她们最具挑战性的母乳喂养问题的公开文本描述。采用多元Logistic回归计算优势比为早期母乳喂养的问题，根据社会人口学和社会心理factors.Results：高达40%的母亲经历了早期母乳喂养的问题。这些问题与母亲、婴儿以及缺乏卫生保健专业人员的支持有关。最突出的问题是婴儿无法抓住（40%）和母亲有疼痛，受伤和破裂的乳头（38%）。疼痛经常发生在经历母乳喂养问题时。与问题相关的因素是产次过轻、自我效能感较低和自我感知的母乳喂养知识较低。没有或短期教育的母亲报告较少母乳喂养problems.Conclusions：母乳喂养问题经常发生在产后早期，往往导致母乳喂养是痛苦的。卫生保健专业人员应准备母亲处理可能的母乳喂养问题。应在产后早期出院时审查新的支持选择。
Objectives: Breastfeeding problems are common and associated with early cessation. Still length of postpartum hospital stay has been reduced. This leaves new mothers to establish breastfeeding at home with less support from health care professionals. The objective was to explore mothers' perspectives on when breastfeeding problems were the most challenging and prominent early postnatal. The aim was also to identify possible factors associated with the breastfeeding problems.Methods: In a cross-sectional study, a mixed method approach was used to analyse postal survey data from 1437 mothers with full term singleton infants. Content analysis was used to analyse mothers' open text descriptions of their most challenging breastfeeding problem. Multiple logistic regression was used to calculate odds ratios for early breastfeeding problems according to sociodemographic- and psychosocial factors.Results: Up to 40% of the mothers had experienced early breastfeeding problems. The problems were associated with the mother, the infant and to lack of support from health care professionals. Most prominent problems were infant's inability to latch on (40%) and mothers having sore, wounded and cracked nipples (38%). Pain often occurred when experiencing breastfeeding problems. Factors associated with the problems were primiparity, lower self-efficacy and lower self-perceived knowledge, of breastfeeding. Mothers with no or short education reported less frequently breastfeeding problems.Conclusions: Breastfeeding problems occurred frequently in the early postnatal period and often caused breastfeeding to be painful. Health care professionals should prepare mothers to deal with possible breastfeeding problems. New support options should be reviewed in an early postnatal discharge setting.