Froh Elizabeth B, Spatz Diane L
2 The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
1 University of Pennsylvania School of Nursing, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
J Hum Lact. 2016 Nov;32(4):689-694. doi: 10.1177/0890334416663475. Epub 2016 Sep 26.
The Surgeon General's Call to Action to Support Breastfeeding details the need for comprehensive employer lactation support programs. Our institution has an extensive employee lactation program, and our breastfeeding initiation and continuation rates are statistically significantly higher than state and national data, with more than 20% of our employees breastfeeding for more than 1 year.
The objective of this research was complete secondary data analysis of qualitative data collected as part of a larger study on breastfeeding outcomes. In the larger study, 545 women who returned to work full or part time completed an online survey with the ability to provide free text qualitative data and feedback regarding their experiences with breastfeeding after return to work.
Qualitative data were pulled from the online survey platform. The responses to these questions were analyzed using conventional content analysis by the research team (2 PhD-prepared nurse researchers trained and experienced in qualitative methodologies and 1 research assistant) in order to complete a thematic analysis of the survey data.
Analysis of the data yielded 5 major themes: (1) positive reflections, (2) nonsupportive environment/work culture, (3) supportive environment/work culture, (4) accessibility of resources, and (5) internal barriers. The themes that emerged from this research clearly indicate that even in a hospital with an extensive employee lactation program, women have varied experiences-some more positive than others.
Returning to work while breastfeeding requires time and commitment of the mother, and a supportive employee lactation program may ease that transition of return to work.
美国卫生局局长发起的支持母乳喂养行动呼吁详细阐述了全面的雇主哺乳支持计划的必要性。我们的机构拥有广泛的员工哺乳计划，我们的母乳喂养启动率和持续率在统计学上显著高于州和国家数据，超过20%的员工母乳喂养超过1年。
本研究的目的是对作为一项关于母乳喂养结果的更大规模研究的一部分收集的定性数据进行二次数据分析。在更大规模的研究中，545名全职或兼职重返工作岗位的女性完成了一项在线调查，能够提供关于她们重返工作岗位后母乳喂养经历的自由文本定性数据和反馈。
从在线调查平台提取定性数据。研究团队（2名接受过定性方法培训且经验丰富的拥有博士学位的护士研究人员和1名研究助理）使用传统内容分析法对这些问题的回答进行分析，以便对调查数据进行主题分析。
数据分析得出5个主要主题：（1）积极反馈，（2）不支持的环境/工作文化，（3）支持性的环境/工作文化，（4）资源可及性，以及（5）内部障碍。这项研究中出现的主题清楚地表明，即使在一个拥有广泛员工哺乳计划的医院，女性的经历也各不相同——有些比其他的更积极。
母乳喂养期间重返工作岗位需要母亲投入时间和精力，一个支持性的员工哺乳计划可能会缓解重返工作岗位的过渡过程。
