Hinsliff-Smith Kathryn, Spencer Rachael, Walsh Denis
The University of Nottingham, School of Health Sciences, Queen's Medical Centre, Nottingham NG7 2HA, UK.
Midwifery. 2014 Jan;30(1):e14-9. doi: 10.1016/j.midw.2013.10.001. Epub 2013 Oct 9.
to develop an understanding of primiparous women's experiences and challenges of breast feeding in the early postpartum period at two BFI accredited hospitals in the East Midlands in the UK that has lower rates of sustained breast feeding.
a hermeneutic or interpretive phenomenology study was conducted across two hospitals in the East Midlands, UK.
22 primigravid women completed a daily written diary maintained for six weeks post birth. In addition, interviews were conducted with 13 women, nine who had completed a diary and four who did not return a diary but wanted to be interviewed, providing 26 different women's perspectives on their breast feeding experiences either from a diary or interview.
three main themes emerged from the interviews and written diaries: (1) mothers experience a 'roller coaster' of emotions in relation to trying to establish breast feeding, (2) mothers perceive health care professionals as the 'experts' on breast feeding and (3) mothers had difficulties in breast feeding their infants in public, including in front of family and family and when away from their homes.
women were ill prepared for the realities of breast feeding despite their antenatal intention to breast feed. Mothers had a preconceived idea that breast feeding would be 'natural' and without difficulty. When problems occurred, they perceived this to be a breast feeding problem and so choose artificial milk. Mothers require ongoing support to breast feed, especially in the early postpartum period, but more realistic messages about breast feeding need to be included.
there is a clear need for antenatal education to focus on preparing women for the realities of breast feeding, including newborn behaviour, which may affect women's perceptions of breast feeding. Local health care professionals need to draw upon national breast feeding strategies but develop a localised approach in order to address the regional variance.
了解在英国东米德兰兹地区两家获得英国母乳喂养倡议组织（BFI）认证但母乳喂养持续率较低的医院中，初产妇在产后早期母乳喂养的经历和挑战。
在英国东米德兰兹地区的两家医院开展了一项诠释学或解释性现象学研究。
22名初产妇完成了产后六周的每日书面日记。此外，对13名女性进行了访谈，其中9名完成了日记，4名未交回日记但希望接受访谈，从而从日记或访谈中提供了26名不同女性对其母乳喂养经历的看法。
访谈和书面日记中出现了三个主要主题：（1）母亲们在尝试建立母乳喂养的过程中经历了情绪的“过山车”；（2）母亲们将医疗保健专业人员视为母乳喂养的“专家”；（3）母亲们在公共场合，包括在家人面前以及离家外出时，给婴儿喂奶存在困难。
尽管产妇在产前有母乳喂养的意愿，但她们对母乳喂养的现实准备不足。母亲们 preconceived idea认为母乳喂养会是“自然的”且毫无困难。当出现问题时，她们认为这是母乳喂养的问题，因此选择人工喂养。母亲们在母乳喂养方面需要持续的支持，尤其是在产后早期，但需要纳入关于母乳喂养的更现实的信息。
产前教育显然需要专注于让女性为母乳喂养的现实做好准备，包括新生儿的行为，这可能会影响女性对母乳喂养的认知。当地医疗保健专业人员需要借鉴国家母乳喂养策略，但要制定本地化方法以应对地区差异。 （注：原文中“preconceived idea”未准确翻译，可根据语境意译为“先入为主的观念”等更合适的表述，但按要求保留了原英文表述）
