The experience of nursing women with breastfeeding support: a qualitative inquiry.
The experience of nursing women with breastfeeding support: a qualitative inquiry.
复制标题
DOI：
10.9778/cmajo.20140113
复制
发表时间：
2015-07-01
期刊：
影响因子：
--
通讯作者：
Tough, Suzanne C
中科院分区：
文献类型：
--
作者：
Chaput, Kathleen H;Adair, Carol E;Tough, Suzanne C
背景：母乳喂养困难是常见的，是高度个人化的，对于任何母亲来说，每个婴儿的情况都是不同的。哺乳母亲可获得多种来源的母乳喂养支持、帮助和建议。有证据表明，对母乳喂养支持质量的体验可能对产后产妇的心理健康和福祉发挥重要作用。我们试图探索哺乳母亲在母乳喂养方面的经验，以便更好地了解和优化现有的母乳喂养支持和干预措施。方法：对哺乳母亲在母乳喂养帮助、建议和支持方面的经历进行定性调查。要求参与者提供不限成员名额的书面叙述，说明他们在卡尔加里生下一名健康足月婴儿后6个月内获得的所有母乳喂养支助来源的经历。我们进行了定性的专题分析，使用持续的比较技术。结果：样本包括86名母亲。我们的分析揭示了对母乳喂养支持的感知质量有贡献的4个新兴主题：知识、有效性、敏感性/情感支持和寻求时的可及性。解释：我们的研究提供了一个更好的理解母亲如何看待母乳喂养支持的质量，以及什么质量的母乳喂养支持被视为有益或消极的。有助于感知母乳喂养支持的品质对于告知和优化围产期护理非常重要，并可能降低母亲负面心理健康结果的风险。
BACKGROUND: Breastfeeding difficulties are a common occurrence, are highly personal and can vary from one infant to the next for any mother. Multiple sources of support, help and advice for breastfeeding are available to nursing mothers. Evidence suggests that the experience of the quality of breastfeeding supports may play an important role in maternal mental health and well-being in the postpartum period. We sought to explore the experiences of nursing mothers with support they received for breastfeeding in order to better inform and optimize existing breastfeeding supports and interventions.METHODS: We conducted a qualitative inquiry of nursing mothers' experiences with help, advice and support for breastfeeding. Participants were asked to provide open-ended, written accounts of their experiences with all sources of breastfeeding support received in the 6months following the delivery of a healthy full-term infant in Calgary. We conducted qualitative thematic analysis, using constant comparison techniques.RESULTS: The sample included 86mothers. Our analyses uncovered 4emergent themes that contributed to the perceived quality of breastfeeding support: knowledge, effectiveness, sensitivity/emotional support and accessible when sought.INTERPRETATION: Our study provides a greater understanding of how mothers perceive the quality of the breastfeeding support that they receive, as well as what qualities of breastfeeding support are seen as beneficial or negative. The qualities contributing to the perception of breastfeeding support are important to inform and optimize perinatal care, and potentially reduce the risk of negative mental health outcomes for mothers.