Michaels Nichole L, McKenzie Lara B, Anderson Sarah E, Katz Mira L
Center for Injury Research and Policy of the Research Institute at Nationwide Children's Hospital, 700 Children's Drive, RB3, Columbus, OH, 43205, USA.
The Ohio State University College of Medicine, Columbus, OH, USA.
Matern Child Health J. 2018 Aug;22(8):1111-1117. doi: 10.1007/s10995-018-2495-0.
Objectives The purpose of this qualitative study was to explore the infant safe sleep beliefs and occupational practices of lactation consultants and to determine if lactation consultants give advice to clients that is consistent with the American Academy of Pediatrics' recommendations on this topic. Methods Focus groups were conducted with certified lactation consultants in two cities in Ohio. Participants discussed the role of lactation consultants, the infant sleep advice they provide to women, their views on the American Academy of Pediatrics' infant safe sleep recommendations and related policies, and perceived benefits and barriers associated with providing infant safe sleep education as part of their work. A member-checking session was held to ensure the credibility of the findings. Results Four focus groups were conducted with 22 certified lactation consultants between September and November 2015. Major themes that emerged included: lactation consultants' beliefs regarding the importance of bedsharing for supporting breastfeeding success; their disagreement with the infant safe sleep recommendations of the American Academy of Pediatrics; their frustration with policies that restrict consultants' ability to discuss bedsharing; and the impact of infant safe sleep policies on their work and the advice they provide. Conclusions for Practice Lactation consultants interact with mothers of newborns at a critical time for infant safe sleep decision-making and may influence a woman's choices related to this topic. Women may not be receiving messages from lactation consultants that are consistent with the infant safe sleep recommendations of the American Academy of Pediatrics.
目标 本定性研究的目的是探究泌乳顾问关于婴儿安全睡眠的观念和职业行为，并确定泌乳顾问向客户提供的建议是否与美国儿科学会关于该主题的建议一致。方法 在俄亥俄州的两个城市与认证泌乳顾问进行焦点小组访谈。参与者讨论了泌乳顾问的角色、他们向女性提供的婴儿睡眠建议、他们对美国儿科学会婴儿安全睡眠建议及相关政策的看法，以及作为工作一部分提供婴儿安全睡眠教育所感知到的益处和障碍。举行了成员核对会议以确保研究结果的可信度。结果 在2015年9月至11月期间，与22名认证泌乳顾问进行了四个焦点小组访谈。出现的主要主题包括：泌乳顾问关于同床睡眠对支持母乳喂养成功的重要性的观念；他们对美国儿科学会婴儿安全睡眠建议的不同意见；他们对限制顾问讨论同床睡眠能力的政策的不满；以及婴儿安全睡眠政策对他们的工作和所提供建议的影响。实践结论 泌乳顾问在婴儿安全睡眠决策的关键时期与新生儿母亲互动，可能会影响女性在该主题上的选择。女性可能没有从泌乳顾问那里收到与美国儿科学会婴儿安全睡眠建议一致的信息。
