Department of Health Promotion and Development, University of Pittsburgh School of Nursing, 440 Victoria Building, Pittsburgh, PA, 15261, USA.
Department of Pediatrics, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
J Perinatol. 2018 Jun;38(6):708-717. doi: 10.1038/s41372-018-0077-z. Epub 2018 Feb 27.
To describe the experience of breastfeeding (inclusive of breast milk expression/pumping, provision of breast milk via devices, and at-breastfeeding) among mothers of newborns with complex congenital surgical anomalies and the contexts under which pro-breastfeeding behaviors and attitudes are facilitated or compromised.
We used qualitative description to analyze 23 interviews conducted with 15 mothers of newborns undergoing surgery for gastrointestinal, cardiac, or neural tube defects.
Breastfeeding experiences were characterized by naivety regarding the importance and rationale for exclusive breast milk feedings and best practices to facilitate milk supply maintenance and transition to at-breast feeds. Maternal breastfeeding views and behaviors were impacted by indeterminate prenatal plans to breastfeed/provide breast milk, limited prior breastfeeding exposure and knowledge, and gaps in postnatal lactation support.
Future research should investigate methods to improve exclusive breast milk feeding and facilitate transitions to at-breast feeds among mothers of newborns with surgical congenital anomalies, with consideration of identified barriers.
描述先天性复杂外科畸形新生儿母亲的母乳喂养（包括母乳挤出/泵出、通过器具提供母乳和亲喂）经历，以及促进或妨碍亲喂行为和态度的背景。
我们采用定性描述的方法，分析了 23 名接受胃肠道、心脏或神经管缺陷手术的新生儿母亲的 15 次访谈。
母乳喂养经历的特点是对纯母乳喂养的重要性和合理性以及促进母乳供应维持和过渡到亲喂的最佳实践缺乏了解。母亲的母乳喂养观点和行为受到产前母乳喂养/提供母乳计划的不确定性、有限的先前母乳喂养经历和知识以及产后哺乳支持方面的差距的影响。
未来的研究应该调查改善有先天性外科畸形新生儿母亲的纯母乳喂养和促进其过渡到亲喂的方法，同时考虑到已确定的障碍。
