“我只想做对每件事”：基于应用程序日记的初产妇母乳喂养体验描述。
"I Just Want to Do Everything Right:" Primiparous Women's Accounts of Early Breastfeeding via an App-Based Diary.
出版信息
J Pediatr Health Care. 2018 Mar-Apr;32(2):163-172. doi: 10.1016/j.pedhc.2017.09.010. Epub 2017 Dec 21.
INTRODUCTION
Our objective was to describe the early breastfeeding experience of primiparous women.
METHODS
Healthy, primiparous women intending to exclusively breastfeed downloaded a commercial infant feeding mobile application (app) during their postpartum hospitalization. Women free-texted breastfeeding thoughts and experiences through 8 weeks postpartum in the app's diary. Diary content was qualitatively coded.
RESULTS
Thirty-five participants completed diaries and were included in analyses. The overarching theme was Seeking sustainability and validation. Mothers felt overwhelmed, anxious, and frustrated with the intensity and unpredictability of breastfeeding and inconsistent professional breastfeeding support. The ability to exclusively breastfeed was seen as a bellwether of maternal competence. Breastfeeding progress was primarily measured through external feedback (e.g., weight checks) and managed through strict adherence to provider feeding plans. As breastfeeding problems and intensity abated, women exhibited optimism and assumed greater independence in feeding decisions.
DISCUSSION
The primiparous breastfeeding experience is fraught with internally imposed and externally reinforced pressure to produce and persevere despite inadequate breastfeeding support infrastructure.
简介
我们的目的是描述初产妇的早期母乳喂养体验。
方法
健康的初产妇在产后住院期间下载了一款商业婴儿喂养手机应用程序（app）。在 app 的日记中，女性通过 8 周的产后时间自由地记录母乳喂养的想法和经验。日记内容进行了定性编码。
结果
35 名参与者完成了日记并被纳入分析。主要主题是寻求可持续性和验证。母亲们对母乳喂养的强度和不可预测性以及不一致的专业母乳喂养支持感到不知所措、焦虑和沮丧。能够进行纯母乳喂养被视为母亲能力的晴雨表。母乳喂养的进展主要通过外部反馈（例如，体重检查）来衡量，并通过严格遵守提供者的喂养计划来管理。随着母乳喂养问题和强度的减轻，女性表现出乐观，并在喂养决策方面表现出更大的独立性。
讨论
初产妇的母乳喂养体验充满了内在的和外在的压力，即使在缺乏母乳喂养支持基础设施的情况下，也要坚持生产和坚持母乳喂养。
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