Racine Elizabeth F, Frick Kevin D, Strobino Donna, Carpenter Laura M, Milligan Renee, Pugh Linda C
J Hum Lact. 2009 May;25(2):173-81. doi: 10.1177/0890334408328129. Epub 2009 Jan 28.
In-depth interviews were conducted with 44 low-income breastfeeding women to explore the incentives and disincentives to breastfeeding experienced within 6 months postpartum. Using an individual net benefit maximization (INBM) framework based on economic theory, we assessed women's motivations, incentives, and disincentives for breastfeeding. Based on the framework and their experience breastfeeding, women fell into 3 groups: intrinsically motivated, extrinsically motivated, and successfully experienced with both intrinsic and extrinsic motivation. Successfully experienced women were most likely to breastfeed to 6 months. Intrinsically motivated women valued breastfeeding but often required information and instruction to reach breastfeeding goals. Extrinsically motivated women were least likely to continue breastfeeding even with support and instruction. Providers can screen women to determine their experience and motivation then tailor interventions accordingly. Intrinsically motivated women may need support and instruction, extrinsically motivated women may benefit from motivational interviewing, and successfully experienced women may need only minimal breastfeeding counseling.
我们对44名低收入哺乳期妇女进行了深入访谈，以探究她们在产后6个月内母乳喂养所面临的促进因素和阻碍因素。基于经济理论，我们采用个体净收益最大化（INBM）框架，评估了妇女母乳喂养的动机、促进因素和阻碍因素。根据该框架以及她们的母乳喂养经历，妇女被分为三组：内在动机组、外在动机组以及同时具备内在和外在动机且母乳喂养成功的组。母乳喂养成功的妇女最有可能坚持母乳喂养到6个月。有内在动机的妇女重视母乳喂养，但往往需要信息和指导才能实现母乳喂养目标。即使得到支持和指导，有外在动机的妇女继续母乳喂养的可能性最小。医护人员可以对妇女进行筛查，以确定她们的经历和动机，然后据此调整干预措施。有内在动机的妇女可能需要支持和指导，有外在动机的妇女可能会从动机访谈中受益，而母乳喂养成功的妇女可能只需要最少的母乳喂养咨询。
