Tully Kristin P, Ball Helen L
Center for Developmental Science, Carolina Global Breastfeeding Institute, University of North Carolina at Chapel Hill, 100 East Franklin Street, Suite 200, Campus Box 8115, Chapel Hill, NC 27599, United States.
Department of Anthropology, Wolfson Research Institute for Health and Wellbeing, Durham University, Durham, United Kingdom.
Midwifery. 2014 Jun;30(6):712-9. doi: 10.1016/j.midw.2013.10.014. Epub 2013 Oct 26.
breast-feeding outcomes are often worse after caesarean section compared to vaginal childbirth.
this study characterises mothers' breast-feeding intentions and their infant feeding experiences after caesarean childbirth.
data are from 115 mothers on a postnatal unit in Northeast England during February 2006-March 2009. Interviews were conducted an average of 1.5 days (range 1-6 days) after the women underwent unscheduled or scheduled caesarean.
thematic analysis of the data suggested was mostly considered the 'right thing to do,' preferable, natural, and 'supposedly healthier,' but tiring and painful. Advantages of supplementation involved more satiated infants, feeding ease, and longer sleep bouts. The need for 'thinking about yourself' was part of caesarean recovery. Infrequent feeding was concerning but also enabled maternal rest. Other breast-feeding obstacles were maternal mobility limitations, positioning difficulties, and frustration at the need for assistance. Participants were confused about nocturnal infant wakings, leading many to determine that they had insufficient milk. Mothers were surprised that sub-clinically poor infant condition was common following caesarean section. Some breast-feeding difficulty stemmed from 'mucus' expulsion that had to occur before the infants could be 'interested' in feeding. Women who cited motivations for breast feeding that included benefit to themselves were more likely to exclusively breast feed on the postnatal unit after their caesareans than those who reported infant-only motivations.
for the majority of mothers, breast feeding after a caesarean is affected by interrelated and compounding difficulties. Provision of more relational breast-feeding information may enable families to better anticipate early feeding experiences after caesarean section childbirth.
与阴道分娩相比，剖宫产术后的母乳喂养结果往往更差。
本研究描述了剖宫产术后母亲的母乳喂养意愿及其婴儿喂养经历。
数据来自2006年2月至2009年3月在英格兰东北部一家产后病房的115名母亲。在这些女性接受计划外或计划内剖宫产术后平均1.5天（范围1 - 6天）进行访谈。
对数据的主题分析表明，母乳喂养大多被认为是“正确的做法”，更可取、自然且“据说更健康”，但很累且痛苦。补充喂养的优点包括婴儿更有饱腹感、喂养轻松以及睡眠时间更长。“为自己着想”的需求是剖宫产恢复的一部分。喂养次数少令人担忧，但也能让母亲休息。其他母乳喂养障碍包括母亲行动不便、体位困难以及因需要帮助而感到沮丧。参与者对夜间婴儿醒来感到困惑，导致许多人认为自己奶水不足。母亲们惊讶地发现剖宫产术后亚临床状态不佳的婴儿很常见。一些母乳喂养困难源于婴儿在“对喂养感兴趣”之前必须排出“黏液”。与那些仅提及婴儿相关动机的母亲相比，那些提到母乳喂养对自己有益等动机的女性在剖宫产术后更有可能在产后病房进行纯母乳喂养。
对于大多数母亲来说，剖宫产术后的母乳喂养受到相互关联且复杂的困难影响。提供更多关于母乳喂养关系的信息可能使家庭能够更好地预期剖宫产术后的早期喂养经历。
