Whelan Barbara, Kearney John M
1School of Health and Related Research,University of Sheffield,Regent Court,30 Regent Street,Sheffield S1 4DA,UK.
2School of Biological Sciences,Dublin Institute of Technology,Dublin,Republic of Ireland.
Public Health Nutr. 2015 Aug;18(12):2274-82. doi: 10.1017/S1368980014002626. Epub 2014 Dec 1.
To examine women's experience of professional support for breast-feeding and health-care professionals' experience of providing support.
We conducted semi-structured qualitative interviews among women with experience of breast-feeding and health-care professionals with infant feeding roles. Interviews with women were designed to explore their experience of support for breast-feeding antenatally, in hospital and postnatally. Interviews with health-care professionals were designed to explore their views on their role and experience in providing breast-feeding support. Interview transcripts were analysed using content analysis and aspects of Grounded Theory. Overarching themes and categories within the two sets were identified.
Urban and suburban areas of North Dublin, Ireland.
Twenty-two women all of whom had experience of breast-feeding and fifty-eight health-care professionals.
Two overarching themes emerged and in each of these a number of categories were developed: theme 1, facilitators to breast-feeding support, within which being facilitated to breast-feed, having the right person at the right time, being discerning and breast-feeding support groups were discussed; and theme 2, barriers to breast-feeding support, within which time, conflicting information, medicalisation of breast-feeding and the role of health-care professionals in providing support for breast-feeding were discussed.
Breast-feeding is being placed within a medical model of care in Ireland which is dependent on health-care professionals. There is a need for training around breast-feeding for all health-care professionals; however, they are limited in their support due to external barriers such as lack of time. Alternative support such as peer support workers should be provided.
探讨女性接受母乳喂养专业支持的经历以及医疗保健专业人员提供支持的经历。
我们对有母乳喂养经历的女性以及承担婴儿喂养工作的医疗保健专业人员进行了半结构化定性访谈。对女性的访谈旨在探究她们在产前、住院期间及产后接受母乳喂养支持的经历。对医疗保健专业人员的访谈旨在探究他们对自身在提供母乳喂养支持方面的角色和经历的看法。使用内容分析法和扎根理论的方法对访谈记录进行了分析。确定了两组中的总体主题和类别。
爱尔兰都柏林北部的城市和郊区。
22名均有母乳喂养经历的女性和58名医疗保健专业人员。
出现了两个总体主题，每个主题下又衍生出若干类别：主题1为母乳喂养支持的促进因素，其中讨论了促进母乳喂养、在合适的时间遇到合适的人、有辨别力以及母乳喂养支持小组等内容；主题2为母乳喂养支持的障碍，其中讨论了时间、相互矛盾的信息、母乳喂养的医学化以及医疗保健专业人员在提供母乳喂养支持方面的作用等内容。
在爱尔兰，母乳喂养被置于依赖医疗保健专业人员的医疗护理模式中。所有医疗保健专业人员都需要接受关于母乳喂养的培训；然而，由于时间不足等外部障碍，他们提供的支持有限。应提供同伴支持工作者等替代支持方式。
