Kair Laura R, Flaherman Valerie J, Newby Kathryn A, Colaizy Tarah T
1 Stead Family Department of Pediatrics, Carver College of Medicine, University of Iowa , Iowa City, Iowa.
Breastfeed Med. 2015 Mar;10(2):102-6. doi: 10.1089/bfm.2014.0121. Epub 2015 Feb 3.
Breastfeeding confers several health advantages to both infants and mothers. For reasons that are multifactorial, infants born even a few weeks prematurely are less likely to initiate breastfeeding, and those who breastfeed do so for a shorter duration than term infants.
Qualitative analysis of structured telephone interviews was used to examine the breastfeeding experience of mothers of late preterm infants.
Our study found that, among mothers of late preterm infants, breastfeeding is both a positive bonding experience and a challenging experience, fraught with physical and medical struggles and feelings of guilt and failure. When looking back at the breastfeeding experience, many mothers recount negative experiences of milk supply concerns and breast pumping and report aspiring to be able to feed at breast more and pump less with their next child.
Mothers of late preterm infants reported that breastfeeding was a bonding experience for themselves and their infants, and many plan to do it again if they have future children. However, these mothers also reported that their breastfeeding experience included challenges with latching and milk supply, inadequate lactation support from providers after hospital discharge, and feelings of failure. Interventions with the potential to improve the breastfeeding experience of mothers of late preterm infants include (1) nipple shields and other devices to assist with latching, (2) hand expression or supplementation with small volumes of donor milk or formula to help limit the burden of pumping, (3) provider education to improve lactation support after hospital discharge, and (4) peer support groups.
母乳喂养对婴儿和母亲都有诸多健康益处。由于多种因素,即使早产几周的婴儿开始母乳喂养的可能性也较小,而且母乳喂养的时间比足月儿短。
采用结构化电话访谈的定性分析方法,研究晚期早产儿母亲的母乳喂养经历。
我们的研究发现,在晚期早产儿母亲中,母乳喂养既是一种积极的情感联结体验,也是一种具有挑战性的经历,充满了身体和医疗方面的挣扎以及内疚和失败感。回顾母乳喂养经历时,许多母亲讲述了乳汁供应问题和吸奶器使用方面的负面经历,并表示希望下一胎能更多地进行亲喂,减少使用吸奶器。
晚期早产儿母亲表示,母乳喂养对她们自己和婴儿来说是一种情感联结体验,许多人计划如果未来再生育还会选择母乳喂养。然而,这些母亲也表示,她们的母乳喂养经历包括衔乳和乳汁供应方面的挑战、出院后医护人员提供的泌乳支持不足以及失败感。有可能改善晚期早产儿母亲母乳喂养体验的干预措施包括:(1)乳头保护罩和其他辅助衔乳的器具;(2)手挤奶或补充少量捐赠母乳或配方奶,以减轻吸奶器的负担;(3)对医护人员进行培训,以改善出院后的泌乳支持;(4)同伴支持小组。