Goodman Laurel R, Majee Wilson, Olsberg Joshua E, Jefferson Urmeka T
Laurel R. Goodman is a Project Coordinator, Promotional Program Grant, Columbia Farmer's Market, Columbia, MO. Wilson Majee is an Assistant Professor, Department of Health Sciences and Public Health, University of Missouri, Columbia, MO. Joshua E. Olsberg is an Assistant Professor, Interdisciplinary Studies, National University, Porterville, CA. Urmeka T. Jefferson is an Assistant Professor, University of Missouri, Sinclair School of Nursing, Columbia, MO. The author can be reached via e-mail at
MCN Am J Matern Child Nurs. 2016 Mar-Apr;41(2):98-103. doi: 10.1097/NMC.0000000000000212.
Although various breastfeeding interventions have proven effective in increasing breastfeeding initiation and duration, there has been less success in rural areas. This article describes breastfeeding barriers and support in a rural setting.
A community needs assessment was conducted with a sample of healthcare providers and breastfeeding mothers in a rural area of Missouri. In-depth interviews with 10 healthcare providers and 3 breastfeeding mothers and a focus group of 10 mothers who were breastfeeding or had recently breastfed were conducted. Interview and focus group questions were designed to capture a holistic perspective of breastfeeding issues.
Gaps in hospital and community breastfeeding support were observed in the emerging themes: lack of realistic information about the breastfeeding experience, breastfeeding time constraint, and lack of continued support.
From a community practice perspective, gaps in breastfeeding support illustrate an essential need for collective engagement of local stakeholders as the cornerstone to implement effective breastfeeding interventions.
尽管各种母乳喂养干预措施已被证明在增加母乳喂养的开始率和持续时间方面有效,但在农村地区取得的成功较少。本文描述了农村地区母乳喂养的障碍和支持。
对密苏里州农村地区的医疗服务提供者和母乳喂养母亲样本进行了社区需求评估。对10名医疗服务提供者和3名母乳喂养母亲进行了深入访谈,并对10名正在母乳喂养或最近母乳喂养的母亲进行了焦点小组访谈。访谈和焦点小组问题旨在全面了解母乳喂养问题。
在新出现的主题中观察到医院和社区母乳喂养支持方面的差距:缺乏关于母乳喂养经历的现实信息、母乳喂养时间限制以及缺乏持续支持。
从社区实践的角度来看,母乳喂养支持方面的差距表明,当地利益相关者的集体参与作为实施有效母乳喂养干预措施的基石至关重要。