Primary Care Clinical Unit, Faculty of Medicine, The University of Queensland, Australia.
School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Australia.
Appetite. 2018 Feb 1;121:228-236. doi: 10.1016/j.appet.2017.11.095. Epub 2017 Nov 16.
Given the lifelong associations between infant diet and weight, understanding maternal transitional infant feeding decisions can assist efforts to establish healthy eating habits early in life. Feeding experiences were explored using semi-structured interviews with 15 first-time mothers who were selected based on their concerns about their infants' weight in an infant feeding survey. Thematic synthesis of the interview transcripts identified three main themes: (1) Expectations of a "responsible mother", (2) Trusting oneself and trust in others, and (3) From stress to successful feeding. Dominant social ideals of motherhood and infant behaviour influenced feeding practices, some of which are associated with obesity. Judgments of mothers' infant feeding practices and infant size alongside feeding and weight gain 'checklists' undermines maternal transitional feeding knowledge. Family-centred, non-judgmental guidance from peers, family members and health professionals would better support mothers to navigate the day-to-day reality of feeding and caring for an infant throughout the first year of life that is based on achievable personal goals rather than societal ideals.
鉴于婴儿期饮食与体重之间存在终身关联,了解产妇过渡性婴儿喂养决策有助于尽早建立健康的饮食习惯。通过对 15 名首次当母亲的人进行半结构化访谈,探索了喂养经验,这些人是根据她们在婴儿喂养调查中对婴儿体重的担忧而选择的。对访谈记录的主题分析确定了三个主要主题:(1)“负责任的母亲”的期望,(2)相信自己和相信他人,(3)从压力到成功喂养。母性和婴儿行为的主导社会观念影响了喂养行为,其中一些与肥胖有关。对母亲喂养行为和婴儿大小的判断,以及喂养和体重增加的“检查表”,削弱了产妇过渡性喂养知识。以家庭为中心、不评判的同龄人和家庭成员以及卫生专业人员的指导,可以更好地支持母亲在第一年的日常生活中喂养和照顾婴儿,这些指导是基于可实现的个人目标,而不是社会观念。