SEAMEO Regional Center for Food and Nutrition, University of Indonesia, Central Jakarta, Indonesia.
Breastfeed Med. 2012 Feb;7(1):54-9. doi: 10.1089/bfm.2011.0017. Epub 2011 Jul 21.
Exclusive breastfeeding practice is generally low because of multifaceted factors internally within mothers themselves and also the surroundings. In addition, studies have consistently found that maternal employment outside the home is related to shorter duration of exclusive breastfeeding. With all these challenges, it is interesting that there are some mothers who manage to exclusively breastfeed their infants. Therefore, this report aims at exploring the characteristics of working mothers who are able to practice exclusive breastfeeding. The original study population was non-working and working mothers who have infants around 1 to 6 months old. The study design is an observational study with a mixed methods approach using a quantitative study (survey) and qualitative methods (in-depth interview) in sequential order. In addition, in-depth interviews with family members, midwives, supervisors at work, and community health workers were also included to accomplish a holistic picture of the situation. The study concludes that self-efficacy and confidence of the breastfeeding mothers characterize the practice of exclusive breastfeeding. Good knowledge that was acquired way before the mothers got pregnant suggests a predisposing factor to the current state of confidence. Home support from the father enhances the decision to sustain breastfeeding.
纯母乳喂养实践普遍较低,原因是多方面的,既有母亲自身内部因素,也有外部环境因素。此外,研究一致发现,母亲外出就业与纯母乳喂养时间较短有关。面对所有这些挑战,有趣的是,有些母亲能够成功地对婴儿进行纯母乳喂养。因此,本报告旨在探讨能够进行纯母乳喂养的工作母亲的特征。原始研究人群是非工作和有 1 至 6 个月大婴儿的工作母亲。研究设计是一种观察性研究,采用混合方法,首先进行定量研究(调查),然后进行定性方法(深入访谈)。此外,还包括对家庭成员、助产士、工作主管和社区卫生工作者的深入访谈,以全面了解情况。研究得出的结论是,母乳喂养母亲的自我效能感和信心是纯母乳喂养实践的特征。母亲在怀孕前获得的良好知识表明她们目前有信心是有倾向因素的。来自父亲的家庭支持增强了维持母乳喂养的决定。