Oosterhoff Alberta, Hutter Inge, Haisma Hinke
Population Research Centre, Department of Demography, Faculty of Spatial Sciences, University of Groningen, Landleven 1, 9747 AD Groningen, Netherlands; Research and Innovation Group in Health Care and Nursing, School of Health, Hanze University of Applied Sciences, Eyssoniusplein 18, 9714 CE Groningen, Netherlands.
Population Research Centre, Department of Demography, Faculty of Spatial Sciences, University of Groningen, Landleven 1, 9747 AD Groningen, Netherlands.
Women Birth. 2014 Dec;27(4):e43-50. doi: 10.1016/j.wombi.2014.08.003. Epub 2014 Sep 8.
In the Netherlands, 81% of mothers initiate breastfeeding. After one month the percentage of mothers still breastfeeding drops, despite positive intentions. Little is known about women's perceptions of breastfeeding during the period of intention.
This qualitative study aimed to gain insight into these perceptions among first-time mothers from middle and high socioeconomic backgrounds in the northern part of the Netherlands.
We used the theory of planned behaviour as the deductive model. In 2008, 16 in-depth interviews were conducted with 8 mothers who intended to breastfeed. The interviews were conducted at two time points (prepartum and postpartum) and covered the same period (that is, from the time when the intention was formed until after childbirth). The interviews were transcribed verbatim and analysed using grounded theory.
Five inductive themes were identified: combining breastfeeding with work, learning about breastfeeding, making arrangements for childbirth, reflecting on the intention, and becoming a mother. During the extended period of intention, the women anticipated breastfeeding, but were cautious in expressing their intentions. They felt that the experience of becoming a mother would be critical to their breastfeeding outcomes.
The theory of planned behaviour has been widely used in breastfeeding research. However, the period of intention is relatively long for breastfeeding. Rather than recommending an intensification of antenatal breastfeeding education, recommendations must incorporate the awareness that practising breastfeeding should not be considered the continuous outcome of the intention to do so - it takes a mother to practise breastfeeding.
在荷兰，81%的母亲开始进行母乳喂养。尽管有积极的意愿，但一个月后仍在进行母乳喂养的母亲比例会下降。对于女性在有母乳喂养意愿期间对母乳喂养的看法，人们了解甚少。
这项定性研究旨在深入了解荷兰北部社会经济背景中高的初为人母者的这些看法。
我们将计划行为理论用作演绎模型。2008年，对8位打算进行母乳喂养的母亲进行了16次深度访谈。访谈在两个时间点（产前和产后）进行，涵盖相同时间段（即从形成意愿之时到分娩后）。访谈逐字记录，并采用扎根理论进行分析。
确定了五个归纳主题：母乳喂养与工作相结合、了解母乳喂养、安排分娩、思考意愿以及成为母亲。在较长的意愿期内，这些女性期待进行母乳喂养，但在表达意愿时较为谨慎。她们认为成为母亲的经历对其母乳喂养结果至关重要。
计划行为理论已在母乳喂养研究中广泛应用。然而，母乳喂养的意愿期相对较长。与其建议加强产前母乳喂养教育，不如建议必须认识到进行母乳喂养不应被视为有此意愿的必然结果——进行母乳喂养需要一位母亲付诸实践。
