Sacco Lisa M, Caulfield Laura E, Gittelsohn Joel, Martínez Homero
University of North Carolina, Chapel Hill, USA.
J Hum Lact. 2006 Aug;22(3):277-86. doi: 10.1177/0890334406287817.
This study sought to provide a comprehensive picture of maternal conceptualization of Perceived Insufficient Milk (PIM) using qualitative methods (semistructured interviews, free lists, and rankings) in Mexico. Two hundred and seven first-time mothers of infants younger than 6 months and mothers-to-be who were (or intended to be) breastfeeding were interviewed in waiting areas at a hospital and a health clinic in Mexico City, Mexico, from September 2000 to January 2001. Pattern searching and triangulation of the 3 qualitative methods indicated that women viewed crying as the chief symptom of PIM. Maternal diet and liquid intake were cited as both the most salient causes and treatments for PIM. The main coping strategy in the event of PIM was formula feeding. These findings highlight the need for addressing maternal concerns in relation to PIM, especially regarding the role of crying as the initiator of the PIM cycle.
本研究旨在运用定性方法（半结构化访谈、自由列举法和排序法），全面呈现墨西哥母亲对感知乳汁不足（PIM）的认知情况。2000年9月至2001年1月期间，在墨西哥城的一家医院和一家健康诊所的候诊区，对207名6个月以下婴儿的初产妇以及正在（或打算）进行母乳喂养的准妈妈进行了访谈。对这三种定性方法的模式搜索和三角互证表明，女性将哭闹视为PIM的主要症状。母亲的饮食和液体摄入量被认为既是PIM最显著的原因，也是其治疗方法。出现PIM时的主要应对策略是配方奶喂养。这些发现凸显了应对母亲对PIM相关担忧的必要性，尤其是关于哭闹作为PIM循环引发因素的作用。
