Department of Sociology, Franklin and Marshall College, P.O. Box 3003, Lancaster, PA 17604-3003, USA.
Matern Child Health J. 2012 Dec;16(9):1926-32. doi: 10.1007/s10995-011-0939-x.
This qualitative study analyzes mothers' reports of breastfeeding care experiences from pregnancy through infancy. Most research on medical support for breastfeeding examines a specific practice or intervention during an isolated phase of care. Little is know about how mothers experience breastfeeding education and support from the prenatal period through their child's first year. A convenience sample of 75 black and white WIC participants with infants was recruited at three Maryland WIC agencies. In-depth interviews covered mothers' comprehensive experiences of breastfeeding education and support from pregnancy through the interview date. Most mothers received education or support from a medical professional prenatally, at the hospital, or during the child's infancy, but most also reported receiving no education or support at one or more of these stages. Mothers often felt provided education and support was cursory and inadequate. Some mothers received misinformation or encountered practitioners who were hostile or indifferent to breastfeeding. Mothers were not given referrals to available resources, even after reporting breastfeeding challenges. Mothers received inconsistent messages regarding breastfeeding within and across institutions. Mothers need consistent, sustained information and support to develop and meet personal breastfeeding goals. Medical professionals should follow guidelines issued by their own organizations as well as those from the US Surgeon General, Healthy People 2020, and the Baby Friendly Hospital Initiative. Prenatal, postnatal, and pediatric care providers should coordinate to provide consistent messages and practices within and across sites of care.
本定性研究分析了母亲从怀孕到婴儿期的母乳喂养护理体验报告。大多数关于母乳喂养医疗支持的研究都考察了护理特定阶段的特定实践或干预措施。很少有人了解母亲在产前到孩子一岁期间如何体验母乳喂养教育和支持。在马里兰州的三个 WIC 机构，便利抽样了 75 名黑白肤色的 WIC 参与者及其婴儿。深入访谈涵盖了母亲从怀孕到访谈日期的全面母乳喂养教育和支持体验。大多数母亲在产前、医院或婴儿期接受过医疗专业人员的教育或支持，但大多数人也报告在一个或多个阶段没有接受过教育或支持。母亲们经常感到提供的教育和支持是草率和不足够的。一些母亲收到错误的信息，或者遇到对母乳喂养持敌对或冷漠态度的从业者。即使在报告母乳喂养挑战后，母亲也没有被转介到可用资源。母亲在不同机构内收到的关于母乳喂养的信息不一致。母亲需要一致的、持续的信息和支持，以制定和实现个人的母乳喂养目标。医疗专业人员应遵循其组织以及美国外科医生总干事、《健康人民 2020》和“爱婴医院倡议”发布的指南。产前、产后和儿科护理提供者应协调一致，在护理场所内和跨场所提供一致的信息和实践。
