Dosani Aliyah, Hemraj Jena, Premji Shahirose S, Currie Genevieve, Reilly Sandra M, Lodha Abhay K, Young Marilyn, Hall Marc
School of Nursing and Midwifery, Mount Royal University, 4825 Mount Royal Gate SW, Calgary, AB T3E 6K6 Canada.
O'Brien Institute of Public Health, University of Calgary, Calgary, AB Canada.
Int Breastfeed J. 2017 May 8;12:23. doi: 10.1186/s13006-017-0114-0. eCollection 2016.
The promotion and maintenance of breastfeeding with late preterm infants (LPIs) remain under examined topics of study. This dearth of research knowledge, especially for this population at-risk for various health complications, requires scientific investigation. In this study, we explore the experiences of mothers and the perceptions of public health nurses (PHNs) about breastfeeding late preterm infants in Calgary, Alberta, Canada.
We used an exploratory mixed methods design with a convenience sample of 122 mothers to gather quantitative data about breastfeeding. We collected qualitative data by means of individual face-to-face interviews with 11 mothers and 10 public health nurses. Data were collected from April 2013 to June 2014. We then employed an interpretive thematic analysis to identify central themes and relationships across narratives.
We collected 74 complete data sets about breastfeeding. During the first 6-8 weeks postpartum, 61 mothers breastfed their infants. Of these, 51 partially breastfed and 10 exclusively breastfed. For qualitative purposes, the researchers interviewed 11 mothers with late preterm babies and three themes emerged: significant difficulty with breastfeeding, failing to recognize the infant's feeding distress and disorganized behavior, and the parental stress caused by the multiple feeding issues. The public health nurses' comments reinforced and expanded on what the mothers reported. The themes for the nurses included: challenges with initiating breastfeeding, challenges during breastfeeding, and the need for stimulation during breastfeeding.
Mothers face challenges when breastfeeding their late preterm infants and public health nurses can guide them through this experience. Families with a late preterm infant need to be informed about the challenges associated with breastfeeding a late preterm infant. It is necessary for all health care professionals to receive proper training on safe and effective breastfeeding of late preterm infants. It is essential for public health nurses to communicate effectively with families of late preterm infants to provide anticipatory guidance about potential challenges and strategies to resolve any breastfeeding problems.
晚期早产儿母乳喂养的促进与维持仍是研究不足的课题。这种研究知识的匮乏，尤其是针对这一有各种健康并发症风险的人群，需要进行科学调查。在本研究中，我们探讨了加拿大艾伯塔省卡尔加里市母亲们关于晚期早产儿母乳喂养的经历以及公共卫生护士（PHNs）的看法。
我们采用探索性混合方法设计，以122名母亲为便利样本收集关于母乳喂养的定量数据。我们通过对11名母亲和10名公共卫生护士进行个人面对面访谈来收集定性数据。数据收集时间为2013年4月至2014年6月。然后我们采用解释性主题分析来确定核心主题以及各叙述之间的关系。
我们收集了74份关于母乳喂养的完整数据集。在产后最初的6 - 8周内，61名母亲对婴儿进行母乳喂养。其中，51名母亲部分母乳喂养，10名母亲完全母乳喂养。出于定性研究目的，研究人员采访了11名有晚期早产婴儿的母亲，出现了三个主题：母乳喂养存在重大困难、未能识别婴儿的喂养困扰和行为紊乱，以及多种喂养问题导致的父母压力。公共卫生护士的评论强化并扩展了母亲们的报告内容。护士们提到的主题包括：开始母乳喂养的挑战、母乳喂养期间的挑战以及母乳喂养期间的刺激需求。
母亲们在对晚期早产儿进行母乳喂养时面临挑战，公共卫生护士可以在这一过程中为她们提供指导。有晚期早产婴儿的家庭需要了解与晚期早产儿母乳喂养相关的挑战。所有医护人员都有必要接受关于晚期早产儿安全有效母乳喂养的适当培训。公共卫生护士与晚期早产婴儿家庭进行有效沟通，为其提供关于潜在挑战的预期指导以及解决任何母乳喂养问题的策略至关重要。
