Cottrell Barbara H, Detman Linda A
Florida State University College of Nursing, Tallahassee, FL, USA.
MCN Am J Matern Child Nurs. 2013 Sep-Oct;38(5):297-304. doi: 10.1097/NMC.0b013e31829a5606.
To explore the perinatal experiences of African American women in Florida for obtaining information about breastfeeding and also their breastfeeding experiences.
This qualitative study utilized convenience sampling of 253 African American women 18 to 35 years old in three Florida counties. Data were derived from the Healthy Futures Perinatal Research and System Design study. One month after giving birth, face-to face interviews were conducted using an interview schedule. Questions about breastfeeding education and experiences were explored. Taped responses were transcribed and analyzed qualitatively. Through subject-level content analysis, key themes were identified.
Most women received some information about breastfeeding during prenatal care. Mothers who chose to breastfeed were usually aware of some of the benefits for the baby and occasionally benefits for themselves. Mothers who did not breastfeed were concerned about pain associated with breastfeeding, time constraints, returning to work or school, personal health choices, or felt uncomfortable with the idea of breastfeeding. Factors facilitating breastfeeding included healthcare providers that encouraged the practice, knowing the advantages, attending a breastfeeding class or support group, breastfeeding in the birth or recovery room, latch assistance, rooming-in, nesting, and the availability of a breast pump. Reasons for supplementation and cessation were latch problems, pain, concerns the baby wasn't getting enough, mother-infant separation, and medical complications.
Intensified prenatal and postpartum efforts to support breastfeeding are needed to increase breastfeeding initiation and duration for African American mothers.
探究佛罗里达州非裔美国女性在围产期获取母乳喂养信息的经历以及她们的母乳喂养经历。
这项定性研究采用便利抽样法，选取了佛罗里达州三个县的253名年龄在18至35岁之间的非裔美国女性。数据来源于“健康未来围产期研究与系统设计”研究。产后一个月，使用访谈提纲进行面对面访谈。探讨了有关母乳喂养教育和经历的问题。对录音回复进行转录并进行定性分析。通过主题层面的内容分析，确定了关键主题。
大多数女性在产前护理期间获得了一些关于母乳喂养的信息。选择母乳喂养的母亲通常了解母乳喂养对婴儿的一些益处，偶尔也知道对自己的益处。不进行母乳喂养的母亲担心母乳喂养带来的疼痛、时间限制、重返工作或学校、个人健康选择，或者对母乳喂养的想法感到不舒服。促进母乳喂养的因素包括鼓励母乳喂养的医疗服务提供者、了解其优势、参加母乳喂养课程或支持小组、在产房或恢复室进行母乳喂养、获得 latch 协助、母婴同室、母婴亲近以及有吸奶器可用。补充喂养和停止母乳喂养的原因包括 latch 问题、疼痛、担心婴儿摄入不足、母婴分离以及医疗并发症。
需要加强产前和产后支持母乳喂养的努力，以提高非裔美国母亲的母乳喂养开始率和持续时间。
