Human Milk Provision Experiences, Goals, and Outcomes for Teen Mothers with Low-Birth-Weight Infants in the Neonatal Intensive Care Unit.
Human Milk Provision Experiences, Goals, and Outcomes for Teen Mothers with Low-Birth-Weight Infants in the Neonatal Intensive Care Unit.
复制标题
新生儿重症监护病房中低出生体重婴儿的青少年母亲的母乳供应经验、目标和结果。
DOI：
10.1089/bfm.2017.0035
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
Patel,AlokaL
中科院分区：
文献类型：
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作者：
Rossman,Beverly;Meier,PaulaP;Janes,JudyE;Lawrence,Christie;Patel,AlokaL
导言：低出生体重(2500 gm)婴儿在新生儿重症监护病房(Nicu)住院的青少年母亲的母乳喂养率几乎是未知的。该研究的目的是调查LBW婴儿的青少年母亲的喂养经历、目标和结局。方法：我们采用定性研究设计、调查和婴儿病历进行多方法研究。主要数据来源是对在三级NICU住院的LBW婴儿的青少年母亲进行的个人访谈。结果：15名青少年母亲(12名黑人，3名西语裔)都希望得到对婴儿最好的东西，并通过吸奶器开始哺乳。然而，维持哺乳是具有挑战性的，并确定了以下障碍：害怕被评判；身体形象问题；外祖母的影响；以及将抽水与重返学校或工作结合起来的杂乱无章的思维过程。尽管存在这些障碍，50%的青少年母亲在NICU出院时达到了母乳供应的目标。结论：大多数青少年母亲的哺乳障碍反映了她们的青春期发育阶段。确定了潜在的干预措施，包括与十几岁的母亲和外祖母组成的焦点小组，以及由以NICU为基础的青少年母乳喂养同伴顾问提供的哺乳支持。
Introduction:Breastfeeding rates are virtually unknown for teen mothers whose low-birth-weight (LBW; <2500 gm) infants are hospitalized in the neonatal intensive care unit (NICU). The objective was to examine the infant feeding experiences, goals, and outcomes of teen mothers of LBW infants.Methods:We conducted a multimethod study using a qualitative research design, survey, and infant medical records. The primary data source was individual interviews conducted with teen mothers of LBW infants hospitalized in a tertiary NICU. Content analysis and descriptive statistics were used for data analysis.Results:All 15 teen mothers (12 black, 3 Hispanic) wanted what was best for their infants and initiated lactation by breast pump. However, maintaining lactation was challenging and the following barriers were identified: fear of being judged; body image issues; influence of the maternal grandmother; and disorganized thought processes about combining pumping with returning to school or work. Despite these barriers, 50% of the teen mothers met their goals for human milk provision at NICU discharge.Conclusion:Most of the teen mothers' lactation barriers reflected their adolescent developmental stage. Potential interventions are identified and include focus groups with teen mothers and maternal grandmothers and lactation support by NICU-based teen breastfeeding peer counselors.