Edwards Rosann, Peterson Wendy E, Noel-Weiss Joy, Shearer Fortier Cathryn
1 School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
2 Community Action Program for Children/Canada Prenatal Nutrition Program, Ottawa, ON, Canada.
J Hum Lact. 2017 May;33(2):359-367. doi: 10.1177/0890334416681496. Epub 2017 Jan 18.
Young mothers have the lowest breastfeeding rates in Canada. Young mothers and their infants who access maternity shelters are especially at risk for poor outcomes, some of which breastfeeding may help to mitigate, yet little is known of the breastfeeding practices of this population. Research aim: The purpose of this study was to answer the research question, "What factors influence the breastfeeding practices of young mothers who live or have lived in a maternity shelter?"
The study was conducted using interpretive description methodology and inductive content analysis. Data were collected by means of one-on-one interviews, with the participants recruited from a maternity shelter in Ontario, Canada.
Nine young mothers ages 17 to 24 years, who had initiated breastfeeding and resided at a maternity shelter, were interviewed. The five themes that emerged from the data were as follows: (a) choice, (b) special, (c) importance of early postpartum support, (d) being part of the "in crowd," and (e) importance of ongoing supports. The participants in this study took ownership of their choice to breastfeed. Hospital postpartum nurses and lactation consultants had a critical role in the establishment of early breastfeeding, and ongoing, accessible, and nonjudgmental peer, family, and community support were important to breastfeeding duration.
A combination of emotional and practical supports from multiple trusted sources, including professional and peer supports on an ongoing basis, enabled young mothers to reach their breastfeeding goals.
在加拿大，年轻母亲的母乳喂养率最低。入住产妇庇护所的年轻母亲及其婴儿尤其面临不良后果的风险，其中一些后果母乳喂养可能有助于缓解，但对于这一人群的母乳喂养做法知之甚少。研究目的：本研究的目的是回答研究问题，“哪些因素影响居住或曾居住在产妇庇护所的年轻母亲的母乳喂养做法？”
本研究采用解释性描述方法和归纳性内容分析。通过一对一访谈收集数据，参与者从加拿大安大略省的一个产妇庇护所招募。
对9名年龄在17至24岁之间、已开始母乳喂养并居住在产妇庇护所的年轻母亲进行了访谈。从数据中得出的五个主题如下：（a）选择，（b）特殊，（c）产后早期支持的重要性，（d）成为“圈内人”的一部分，以及（e）持续支持的重要性。本研究中的参与者对自己选择母乳喂养负责。医院产后护士和哺乳顾问在早期母乳喂养的建立中起着关键作用，持续、可及且无评判的同伴、家庭和社区支持对母乳喂养持续时间很重要。
来自多个可靠来源的情感和实际支持相结合，包括持续的专业和同伴支持，使年轻母亲能够实现她们的母乳喂养目标。
