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“他们天生就是要母乳喂养的”- 父亲如何看待母乳喂养:一项混合方法研究。

'They're born to get breastfed'- how fathers view breastfeeding: a mixed method study.

机构信息

School of Social Sciences, University of Tasmania, Private bag 22, Hobart, TAS, 7001, Australia.

Public Health, College of Health and Medicine, University of Tasmania, Private Bag 135, Hobart, TAS, 7001, Australia.

出版信息

BMC Pregnancy Childbirth. 2018 Jun 18;18(1):238. doi: 10.1186/s12884-018-1827-9.

Abstract

BACKGROUND

Fathers' attitudes and actions can positively or negatively affect mothers' intentions to breastfeed, breastfeeding duration and exclusivity. In-depth information about fathers' perspectives on breastfeeding are largely absent in the literature about infant feeding. The objective of this research was to investigate how fathers view breastfeeding.

METHODS

This mixed method study recruited Tasmanian fathers with children < 24 months of age. Fathers completed a questionnaire and participated in either semi structured one-on-one or group interviews. Transcripts were analysed using a process of iterative thematic analysis.

RESULTS

Twenty-six fathers participated in the study. They had a mean age of 34 years and just over half were first time fathers. A total of 13 fathers lived in areas classified by SEIFA as disadvantaged. Twenty-one reported they had decided as a couple to breastfeed their current child. Fathers' views on breastfeeding are complex, multi-layered and change over time: as babies get older, as fathers get more familiar with feeding babies, when feeding practices change and when family circumstances change. Four thematic categories related to how fathers view breastfeeding were identified; Breastfeeding as healthy and natural, the value of breast feeding and breastmilk, a pragmatic approach to breastfeeding and Breastfeeding as something achieved or imposed.

CONCLUSION

Fathers in our study valued breastfeeding and saw it as healthy and natural for babies. However, many of the fathers in our study had seen their partners struggle with breastfeeding. As a result some also viewed breastfeeding as a potentially harmful practice for mothers. Their accounts demonstrated that breastfeeding problems affect families, not just mothers and infants. There is scope for improvement in the care of women during and after birth to reduce breastfeeding problems and for fathers to learn more about breastfeeding prior to the birth of their child.

摘要

背景

父亲的态度和行为可能会积极或消极地影响母亲的母乳喂养意愿、母乳喂养持续时间和纯母乳喂养率。关于婴儿喂养的文献中,大量缺乏关于父亲观点的深入信息。本研究的目的是调查父亲如何看待母乳喂养。

方法

本混合方法研究招募了塔斯马尼亚州 24 个月以下儿童的父亲。父亲完成了一份问卷,并参加了一对一或小组访谈。使用迭代主题分析的过程对转录本进行了分析。

结果

26 位父亲参与了这项研究。他们的平均年龄为 34 岁,超过一半是初为人父。共有 13 位父亲居住在 SEIFA 分类为劣势的地区。21 位父亲报告说,他们已经决定与伴侣一起用母乳喂养他们现在的孩子。父亲对母乳喂养的看法是复杂的、多层次的,并且随着时间的推移而变化:随着婴儿年龄的增长,随着父亲对喂养婴儿越来越熟悉,当喂养方式发生变化和家庭情况发生变化时。确定了四个与父亲如何看待母乳喂养相关的主题类别:母乳喂养是健康和自然的,母乳喂养和母乳的价值,对母乳喂养的务实方法和母乳喂养是一种实现或强加的方式。

结论

我们研究中的父亲重视母乳喂养,并认为母乳喂养对婴儿是健康和自然的。然而,我们研究中的许多父亲看到他们的伴侣在母乳喂养方面挣扎。因此,一些父亲也认为母乳喂养对母亲来说可能是一种有害的做法。他们的说法表明,母乳喂养问题会影响家庭,而不仅仅是母亲和婴儿。在女性分娩期间和之后,可以改善护理,以减少母乳喂养问题的发生,并且父亲可以在孩子出生前更多地了解母乳喂养。

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Engaging Inner-City Fathers in Breastfeeding Support.让市中心区的父亲参与母乳喂养支持工作。
Breastfeed Med. 2016 Jan-Feb;11(1):15-20. doi: 10.1089/bfm.2015.0092. Epub 2015 Nov 13.

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