School of Health Sciences, University of Borås, Borås, Sweden.
Int J Qual Stud Health Well-being. 2012;7. doi: 10.3402/qhw.v7i0.10846. Epub 2012 Feb 3.
A majority of women in Sweden initiate breastfeeding but almost a quarter stop or wean the infant in the first few weeks after birth because of difficulties. In order to develop care that facilitates initiation of breastfeeding and enables mothers to realize their expectations concerning breastfeeding, it is necessary to understand what having severe breastfeeding difficulties means for women who experience them. The aim of this study is to describe the lived experiences of initiating breastfeeding under severe difficulties. A reflective lifeworld research design was used. Eight women, seven primiparous and one multipara, were interviewed within 2 months of giving birth. The essential meaning of the phenomenon is described as "Existential lostness as a mother forcing oneself into a constant fight". This pattern is further explicated through its constituents; shattered expectations, a lost time for closeness, being of no use to the infant, being forced to expose oneself, and gaining strength through sharing. The results show that mothers with severe breastfeeding difficulties feel alone and exposed because of their suffering and are lost in motherhood. Thus, adequate care for mothers should enhance the forming of a caring relationship through sharing rather than exposing.
大多数瑞典女性会开始母乳喂养，但由于困难，近四分之一的女性会在产后几周内停止或断奶。为了发展促进母乳喂养的护理，并使母亲能够实现她们对母乳喂养的期望，有必要了解经历严重母乳喂养困难的女性的感受。本研究旨在描述在严重困难下开始母乳喂养的生活体验。采用反思性生活世界研究设计。在分娩后 2 个月内，对 8 名女性（7 名初产妇和 1 名多产妇）进行了访谈。该现象的本质意义被描述为“作为母亲的存在性迷失，迫使自己不断奋斗”。通过其组成部分进一步阐明这一模式：期望破灭、亲密关系的时间流逝、对婴儿无用、被迫暴露自己以及通过分享获得力量。研究结果表明，患有严重母乳喂养困难的母亲因痛苦而感到孤独和暴露，并在母性中迷失。因此，为母亲提供充足的护理应该通过分享而不是暴露来增强关怀关系的形成。
