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美国肢体残疾女性的母乳喂养情况。

Breastfeeding Among Women With Physical Disabilities in the United States.

机构信息

1 The Lurie Institute for Disability Policy, The Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USA.

2 Center for Nursing Research, Villanova University, Villanova, PA, USA.

出版信息

J Hum Lact. 2018 May;34(2):253-261. doi: 10.1177/0890334417739836. Epub 2017 Nov 22.

Abstract

BACKGROUND

The benefits of breastfeeding are well established, and breastfeeding is now widely practiced in the United States. Although increasing numbers of women with physical disabilities are having children, little information is available about breastfeeding practices among these women. Nonetheless, the children of women with physical disabilities should benefit from breastfeeding just as children of nondisabled mothers do. Research aim: This study aimed to explore the facilitators and barriers to breastfeeding among women with physical disabilities.

METHODS

This study involved semistructured telephone interviews with a convenience sample of women ( N = 25) with diverse physical disabilities from across the United States. All participants had given birth within the past 10 years. Interviews were audio-recorded, professionally transcribed, and analyzed using content analysis.

RESULTS

Analyses found four broad themes indicating facilitators to breastfeeding: (a) adaptations and equipment, (b) use of breast pump, (c) physical assistance from others, and (d) peer support. We also found five broad themes suggesting barriers to breastfeeding: (a) lack of supports, (b) disability-related health considerations, (c) limited information, (d) difficulties with milk production, and (e) difficulties latching.

CONCLUSION

The need for greater supports for women with physical disabilities who desire to breastfeed as well as information for women and their clinicians about facilitating breastfeeding.

摘要

背景

母乳喂养的益处已得到充分证实,目前在美国已广泛实施母乳喂养。尽管越来越多的身体残疾女性在生育子女,但有关这些女性母乳喂养实践的信息却很少。尽管如此,身体残疾女性的孩子应该像非残疾母亲的孩子一样受益于母乳喂养。研究目的:本研究旨在探讨身体残疾女性母乳喂养的促进因素和障碍。

方法

本研究采用半结构式电话访谈,对来自美国各地的 25 名不同身体残疾的女性(N=25)进行了便利抽样。所有参与者均在过去 10 年内分娩。访谈进行了录音,专业转录,并使用内容分析法进行分析。

结果

分析发现了四个广泛的主题,表明了母乳喂养的促进因素:(a)适应和设备,(b)使用吸奶器,(c)他人的身体协助,以及(d)同伴支持。我们还发现了五个广泛的主题,表明了母乳喂养的障碍:(a)缺乏支持,(b)与残疾相关的健康考虑,(c)信息有限,(d)产奶困难,以及(e)哺乳困难。

结论

需要为希望母乳喂养的身体残疾女性提供更多支持,以及为女性及其临床医生提供有关促进母乳喂养的信息。

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