Cricco-Lizza Roberta
Center for Health Disparities Research, University of Pennsylvania School of Nursing, Philadelphia, PA 19104, USA.
J Obstet Gynecol Neonatal Nurs. 2006 Mar-Apr;35(2):173-80. doi: 10.1111/j.1552-6909.2006.00033.x.
To describe reports of low-income Black non-Hispanic women about the promotion of infant-feeding methods by nurses and physicians.
Ethnographic research conducted over 18 months with interviewing and participant observation of informants.
The study took place in a Special Supplemental Nutrition Program for Women, Infants, and Children clinic and neighborhood in the New York metropolitan area.
130 Black non-Hispanic mothers enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children were general informants. From this group, 11 primiparous key informants were selected for close follow-up during pregnancy and the 1st postpartum year.
Audiotaped interviews and field notes were analyzed for mothers' descriptions of infant-feeding education and support from nurses and physicians.
The informants reported limited breastfeeding education and support during pregnancy, childbirth stay in neonatal intensive care unit, postpartum, and recovery in the community. They also expressed trust/distrust concerns and varying degrees of anxiety about the ways they were treated by nurses and physicians.
To decrease disparities in breastfeeding, this research suggests that health care professionals should focus their efforts on the development of trusting relationships and continuity of care along with clear, consistent breastfeeding education and support.
描述低收入非西班牙裔黑人女性关于护士和医生对婴儿喂养方法推广的报告。
通过对受访者进行为期18个月的访谈和参与观察开展人种志研究。
该研究在纽约大都市地区的一个妇女、婴儿和儿童特别补充营养项目诊所及社区进行。
130名参加妇女、婴儿和儿童特别补充营养项目的非西班牙裔黑人母亲为一般受访者。从这个群体中，挑选了11名初产妇作为关键受访者，在孕期及产后第一年进行密切随访。
对录音访谈和现场记录进行分析，了解母亲们对护士和医生提供的婴儿喂养教育及支持的描述。
受访者报告称，在孕期、新生儿重症监护病房分娩期间、产后以及社区康复阶段，她们接受的母乳喂养教育和支持有限。她们还表达了对护士和医生对待她们方式的信任/不信任问题以及不同程度的焦虑。
为减少母乳喂养方面的差异，本研究表明，医疗保健专业人员应致力于建立信任关系、提供持续护理，并开展清晰、一致的母乳喂养教育及支持。
