Sulaiman Zaharah, Liamputtong Pranee, Amir Lisa H
School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia.
Department of Public Health, School of Psychology and Public Health, College of Science, Health and Engineering, La Trobe University, Bundoora, Victoria, Australia.
J Adv Nurs. 2016 Apr;72(4):825-35. doi: 10.1111/jan.12884. Epub 2016 Jan 7.
To describe the enablers and barriers working women experience in continuing breast milk feeding after they return to work postpartum in urban Malaysia.
In Malaysia, urban working women have low rates of breastfeeding and struggle to achieve the recommended 6 months exclusive breastfeeding.
A qualitative enquiry based on a phenomenological framework and multiple methods were used to explore women's experiences in depth.
Multiple qualitative methods using face-to-face interview and participant diary were used. Data collection took place in urban suburbs around Penang and Klang Valley, Malaysia from March-September 2011. Participants were 40 employed women with infants less than 24 months.
Only 11 of the participants worked from home. Based on the women's experiences, we categorized them into three groups: 'Passionate' women with a strong determination and exclusively breastfed for 6 months, 'Ambivalent' women who initiated breastfeeding, but were unable to sustain exclusive breastfeeding after returning to work and 'Equivalent' women who introduced infant formula prior to returning to work.
Passion and to a lesser extent intention, influenced women's choice. Women's characteristics played a greater role in their infant feeding outcomes than their work environment.
描述马来西亚城市地区职业女性产后重返工作岗位后继续母乳喂养所面临的促进因素和障碍。
在马来西亚，城市职业女性的母乳喂养率较低，难以达到推荐的6个月纯母乳喂养。
基于现象学框架进行定性调查，并采用多种方法深入探究女性的经历。
采用面对面访谈和参与者日记等多种定性方法。2011年3月至9月在马来西亚槟城和巴生谷周边的城市郊区进行数据收集。参与者为40名有不满24个月婴儿的职业女性。
只有11名参与者在家工作。根据女性的经历，我们将她们分为三组：“热情型”女性，有强烈的决心，纯母乳喂养6个月；“矛盾型”女性，开始进行母乳喂养，但重返工作岗位后无法维持纯母乳喂养；“等同型”女性，在重返工作岗位前就开始使用婴儿配方奶粉。
热情以及在较小程度上的意愿影响了女性的选择。女性的个人特质对其婴儿喂养结果的影响大于工作环境。
