Melin Amanda, Björklund Philicia, Zwedberg Sofia
Karolinska Institute, Department of Women's and Children's Health, Division of Reproductive Health, Retzius väg 13 A-B, SE-171 77 Stockholm, Sweden.
Sophiahemmet University, Department of Health-Promoting Sciences, PO Box 5605, SE-114 86 Stockholm, Sweden.
Sex Reprod Healthc. 2018 Jun;16:218-223. doi: 10.1016/j.srhc.2018.02.008. Epub 2018 Feb 20.
The aim of the study was to investigate pediatricians' experiences of working with breastfeeding.
Semi-structured interviews were conducted with 12 pediatricians working at hospitals in Stockholm County. The interviews were recorded, transcribed and analyzed using content analysis and an inductive approach.
All pediatricians saw their role in working with breastfeeding as an important one, but their primary role as pediatricians was to ensure that infants received good nutrition. They delegated the practical aspects of breastfeeding to midwives, who were seen as experts, although the pediatricians believed they had a greater understanding of the necessity for supplemental feeding than did midwives. They also expressed the need for a common strategy regarding supplemental feeding and better teamwork with the midwives. Some respondents noted that it was difficult to advocate for breastfeeding without seeming critical of mothers who experienced problems with it or who did not want to do it. The results comprised a general theme, that breastfeeding is a genuine and difficult task, and five categories: factors decreasing breastfeeding, competence, roles of the professionals, supplemental feeding, the health-care system's responsibility.
Pediatricians have an interest in breastfeeding. However, they perceive inadequate communication with midwives and a need for better collaboration with them regarding breastfeeding. The study also identified a need for a national breastfeeding strategy and for improved conditions that create a breastfeeding-friendly environment.
本研究旨在调查儿科医生在母乳喂养工作方面的经历。
对在斯德哥尔摩县医院工作的12名儿科医生进行了半结构化访谈。访谈进行了录音、转录，并采用内容分析和归纳法进行分析。
所有儿科医生都认为他们在母乳喂养工作中的角色很重要，但作为儿科医生，他们的主要职责是确保婴儿获得良好的营养。他们将母乳喂养的实际工作委托给助产士，助产士被视为专家，尽管儿科医生认为他们比助产士更了解补充喂养的必要性。他们还表示需要制定关于补充喂养的共同策略，并与助产士更好地开展团队合作。一些受访者指出，在不显得批评有母乳喂养问题或不想进行母乳喂养的母亲的情况下，很难倡导母乳喂养。结果包括一个总体主题，即母乳喂养是一项真实且困难的任务，以及五个类别：减少母乳喂养的因素、能力、专业人员的角色、补充喂养、医疗保健系统的责任。
儿科医生对母乳喂养感兴趣。然而，他们认为与助产士的沟通不足，并且在母乳喂养方面需要与助产士更好地合作。该研究还确定需要制定国家母乳喂养策略，并改善条件以营造有利于母乳喂养的环境。
