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有不孕史的初产妇:她们母乳喂养的内在压力。

First-Time Mothers with a History of Infertility: Their Internalized Pressure to Breastfeed.

作者信息

Ladores Sigrid, Aroian Karen

机构信息

School of Nursing, The University of Alabama at Birmingham, Birmingham, AL, USA

College of Nursing, University of Central Florida, Orlando, FL, USA.

出版信息

J Hum Lact. 2015 Aug;31(3):504-10. doi: 10.1177/0890334415585511. Epub 2015 May 5.

Abstract

BACKGROUND

The meaning of breastfeeding and breastfeeding experiences has been studied extensively in general and specific populations. However, there is little research about the meaning of breastfeeding and breastfeeding experiences in first-time mothers who were previously infertile.

OBJECTIVE

This article aims to understand the breastfeeding experiences of new mothers with a history of infertility.

METHODS

Twelve women who were first-time mothers and conceived their infants through fertility treatments were interviewed about their early postpartum experiences as part of a larger phenomenological study. Interview transcripts were reviewed, and data about breastfeeding were extracted and analyzed using thematic analysis.

RESULTS

One main theme from the breastfeeding data emerged, "Internalized Pressure to Breastfeed," with 3 subthemes: "My Only Chance to Breastfeed," "The One Natural Thing I Should Be Able to Do," and "Not Breastfeeding Means Failing at Motherhood." New mothers who have undergone fertility treatment equated breastfeeding with being the perfect mother and attached special meanings to the act of breastfeeding.

CONCLUSION

This study demonstrated that mothers who were previously infertile have unique breastfeeding experiences. Health care professionals need to be sensitized to these women's internalized pressure to breastfeed. Additional research is needed to fully explore the breastfeeding experiences of this group of women.

摘要

背景

母乳喂养的意义及母乳喂养经历已在普通人群和特定人群中得到广泛研究。然而,对于曾患不孕症的初产妇而言,关于母乳喂养的意义及母乳喂养经历的研究却很少。

目的

本文旨在了解有不孕史的初产妇的母乳喂养经历。

方法

作为一项更大规模现象学研究的一部分,对12名通过生育治疗受孕的初产妇进行了访谈,询问她们产后早期的经历。对访谈记录进行了审查,并使用主题分析法提取和分析了有关母乳喂养的数据。

结果

从母乳喂养数据中浮现出一个主要主题,即“母乳喂养的内化压力”,并有3个次主题:“我唯一的母乳喂养机会”、“我应该能够做到的一件自然之事”以及“不进行母乳喂养意味着育儿失败”。接受过生育治疗的初产妇将母乳喂养等同于成为完美母亲,并赋予母乳喂养行为特殊的意义。

结论

本研究表明,曾患不孕症的母亲有独特的母乳喂养经历。医护人员需要对这些女性母乳喂养的内化压力保持敏感。需要进行更多研究以充分探索这组女性的母乳喂养经历。

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