婴儿配方奶粉喂养实践以及建议与支持的作用：一项探索性定性研究。
Infant formula feeding practices and the role of advice and support: an exploratory qualitative study.
作者信息
Appleton Jessica, Laws Rachel, Russell Catherine Georgina, Fowler Cathrine, Campbell Karen J, Denney-Wilson Elizabeth
机构信息
Faculty of Health, University of Technology Sydney, Broadway, P.O. Box 123, Sydney, NSW, 2007, Australia.
Sydney Children's Hospital Network, Sydney, Australia.
出版信息
BMC Pediatr. 2018 Jan 24;18(1):12. doi: 10.1186/s12887-017-0977-7.
BACKGROUND
Infant formula feeding practices are an important consideration for obesity prevention. An infant's diet is influential on their later risk of developing overweight or obesity, yet very little is known about infant formula feeding practices. It is plausible that certain modifiable practices may put children at higher risk of developing overweight or obesity, for example how much and how often a baby is fed. Understanding how parents use infant formula and what factors may influence this practice is therefore important. Moreover, parents who feed their infants formula have identified a lack of support and access to resources to guide them. Therefore this study aimed to explore parents' infant formula feeding practices to understand how parents use infant formula and what factors may influence this practice.
METHODS
Using an explorative qualitative design, data were collected using semi-structured telephone interviews and analysed using a pragmatic inductive approach to thematic analysis.
RESULTS
A total of 24 mothers from across Australia were interviewed. Mothers are influenced by a number of factors in relation to their infant formula feeding practice. These factors include information on the formula tin and marketing from formula manufacturers, particularly in relation to choosing the type of formula. Their formula feeding practices are also influenced by their interpretation of infant cues, and the amount of formula in the bottle. Many mothers would like more information to aid their practices but barriers exist to accessing health professional advice and support, so mothers may rely on informal sources. Some women reported that the social environment surrounding infant feeding wherein breastfeeding is promoted as the best option leads a feeling of stigma when formula feeding.
CONCLUSIONS
Additional support for parents' feeding their infants with formula is necessary. Health professionals and policy around infant formula use should include how formula information may be provided to parents who use formula in ways that do not undermine breastfeeding promotion. Further observational research should seek to understand the interaction between advice, interpretation of cues and the amount formula fed to infants.
背景
婴儿配方奶粉喂养方式是预防肥胖的重要考量因素。婴儿期的饮食会影响其日后超重或肥胖的风险，但人们对婴儿配方奶粉喂养方式却知之甚少。某些可改变的喂养方式可能会使儿童面临更高的超重或肥胖风险，比如婴儿的喂食量和喂食频率。因此，了解父母如何使用婴儿配方奶粉以及哪些因素可能影响这种喂养方式很重要。此外，用配方奶粉喂养婴儿的父母表示缺乏指导他们的支持和资源。因此，本研究旨在探究父母的婴儿配方奶粉喂养方式，以了解父母如何使用婴儿配方奶粉以及哪些因素可能影响这种喂养方式。
方法
采用探索性定性设计，通过半结构化电话访谈收集数据，并采用务实归纳法进行主题分析。
结果
共采访了来自澳大利亚各地的24位母亲。母亲们在婴儿配方奶粉喂养方式上受到多种因素的影响。这些因素包括配方奶粉罐上的信息以及配方奶粉制造商的营销，尤其是在选择配方奶粉类型方面。她们的配方奶粉喂养方式还受到对婴儿暗示的解读以及奶瓶中配方奶粉量的影响。许多母亲希望获得更多信息来辅助她们的喂养方式，但获取健康专业人士的建议和支持存在障碍，所以母亲们可能依赖非正式来源。一些女性报告称，婴儿喂养的社会环境将母乳喂养宣传为最佳选择，这使得用配方奶粉喂养时会有一种耻辱感。
结论
有必要为用配方奶粉喂养婴儿的父母提供更多支持。围绕婴儿配方奶粉使用的健康专业人士和政策应包括如何以不破坏母乳喂养推广的方式向使用配方奶粉的父母提供配方奶粉信息。进一步的观察性研究应致力于了解建议、暗示解读与婴儿喂食配方奶粉量之间的相互作用。
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