马来西亚瓜拉慕达地区儿童保育工作者支持纯母乳喂养的经历：一项定性研究
Childcare workers' experiences of supporting exclusive breastfeeding in Kuala Muda District, Malaysia: a qualitative study.
作者信息
Mohd Suan Mohd Azri, Ayob Azrina, Rodzali Maheran
机构信息
Clinical Research Centre, Sultanah Bahiyah Hospital, Alor Setar, Kedah Malaysia.
Sultan Abdul Halim Hospital, Sungai Petani, Kedah Malaysia.
出版信息
Int Breastfeed J. 2017 Jan 6;12:2. doi: 10.1186/s13006-016-0095-4. eCollection 2016.
BACKGROUND
The role of childcare workers at registered nurseries in supporting exclusive breastfeeding practice is important, as many newborn babies are placed in nurseries during working hours. To increase exclusive breastfeeding rates among working mothers, understanding childcare workers' experiences and needs relating to supporting these mothers is crucial. This study aimed to explore childcare workers' experiences of supporting breastfeeding at registered nurseries.
METHODS
We used a qualitative design to conduct in-depth, semi-structured interviews with ten childcare workers at seven registered nursery centres in Kuala Muda District, Malaysia. Attitudes towards exclusive breastfeeding practice, experiences of breastfeeding training and information, and experiences supporting exclusive breastfeeding at the nursery were explored. Participants were asked to suggest improvements for exclusive breastfeeding practice at their nursery. All interviews were audio recorded, transcribed verbatim, and translated before analysis.
RESULTS
All participants demonstrated a positive attitude in supporting and promoting exclusive breastfeeding practice, mainly centred on the advantages of breastfeeding. Various supports have been found such as labelling bottled breastmilk, allowing the mother to come to the nursery during breaks, and providing reading materials. However, several issues emerged that include parents' choice on infant feeding practice, insufficient content on breastfeeding topics during training, and adherence to the (not recommended) practice of bottle feeding expressed breastmilk. Recommendations to enhance breastfeeding were also suggested by participants.
CONCLUSION
Childcare workers may serve as another potential resource for sustaining exclusive breastfeeding at registered nurseries.
背景
注册托儿所的育儿工作者在支持纯母乳喂养方面发挥着重要作用，因为许多新生儿在工作日期间都被安置在托儿所。为了提高职业母亲的纯母乳喂养率，了解育儿工作者在支持这些母亲方面的经验和需求至关重要。本研究旨在探讨注册托儿所中育儿工作者支持母乳喂养的经验。
方法
我们采用定性设计，对马来西亚瓜拉姆达区七个注册托儿所中心的十名育儿工作者进行了深入的半结构化访谈。探讨了对纯母乳喂养的态度、母乳喂养培训和信息的经验，以及在托儿所支持纯母乳喂养的经验。参与者被要求就其托儿所的纯母乳喂养实践提出改进建议。所有访谈均进行了录音，逐字转录，并在分析前进行了翻译。
结果
所有参与者在支持和促进纯母乳喂养实践方面都表现出积极的态度，主要集中在母乳喂养的优势上。发现了各种支持措施，如给瓶装母乳贴上标签、允许母亲在休息时间到托儿所来以及提供阅读材料。然而，出现了几个问题，包括父母对婴儿喂养方式的选择、培训期间母乳喂养主题的内容不足，以及坚持（不推荐的）用奶瓶喂挤出的母乳的做法。参与者还提出了加强母乳喂养的建议。
结论
育儿工作者可能是注册托儿所维持纯母乳喂养的另一个潜在资源。
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