Region Halland Hospital of Varberg, Box 510, 432 81 Varberg, Sweden.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare, 501 90 Borås, Sweden.
Sex Reprod Healthc. 2017 Jun;12:9-15. doi: 10.1016/j.srhc.2016.12.003. Epub 2017 Jan 7.
The aim of this study is to obtain a deeper understanding of midwives' lived experiences of caring for new mothers with initial breastfeeding difficulties.
A reflective lifeworld approach was used. Six midwives were recruited from a hospital in western Sweden. Data were collected via individual lifeworld interviews and analysed using phenomenological methods.
The essential meaning can be described as a midwife's wish to help new mothers reach their breastfeeding goals by trying to interact with them as individual women in unique breastfeeding situations. This wish constitutes a contradiction to the midwife's own desire to succeed in enabling mothers to breastfeed and the perceived risk of failure as a midwife if the mothers decide not to breastfeed. This is further described by five constituents: striving to provide individualised care, collegial and personal responsibility both enables and prevents care, a struggle to be sufficient, an uphill struggle and mutual joy becomes the motivation to care.
Caring for new mothers with initial breastfeeding difficulties is a balancing act between the midwife's personal desire to succeed in enabling mothers to breastfeed, the mothers' wishes, the infants' needs, the importance of collective collegial competence and the limitations in the health care organisation. This makes the midwife's efforts to provide individualised care frustrating and demanding as well as motivating.
本研究旨在更深入地了解助产士在照顾初产妇母乳喂养困难时的亲身经历。
采用反思生活世界的方法。从瑞典西部的一家医院招募了 6 名助产士。通过个人生活世界访谈收集数据，并采用现象学方法进行分析。
基本含义可以描述为助产士希望通过尝试与处于独特母乳喂养情境中的个体产妇进行互动，帮助新妈妈实现母乳喂养的目标。这种愿望与助产士自己成功地使母亲进行母乳喂养的愿望以及如果母亲决定不进行母乳喂养，助产士可能会面临失败的风险相矛盾。这进一步由五个要素描述：努力提供个性化的护理、同事关系和个人责任既可以促进也可以阻碍护理、努力做到足够、艰难的奋斗和相互的喜悦成为护理的动力。
照顾初产妇母乳喂养困难是一个平衡的行为，涉及到助产士个人成功地使母亲进行母乳喂养的愿望、母亲的愿望、婴儿的需求、集体同事能力的重要性以及医疗保健组织的局限性。这使得助产士提供个性化护理的努力既令人沮丧又充满挑战，同时也具有激励性。
