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未亲喂母乳:“要是我在分娩前能多了解一下纯泵奶就好了”。

Breastfeeding Without Nursing: "If Only I'd Known More about Exclusively Pumping before Giving Birth".

机构信息

1 College of Information Studies, University of Maryland, College Park, MD, USA.

出版信息

J Hum Lact. 2019 May;35(2):272-283. doi: 10.1177/0890334418784562. Epub 2018 Jul 6.

DOI:10.1177/0890334418784562
PMID:29979622
Abstract

BACKGROUND

Human milk is understood to be the optimal nutrition for infants, yet many women struggle to nurse. Although exclusively pumping human milk can provide a solution, women may be unaware of this possibility and, thus, experience unnecessary frustration.

RESEARCH AIM

This study aimed to (a) determine the proportion of respondents who had heard of exclusive pumping prenatally; (b) describe sources that respondents turned to and/or received breastfeeding-related information from prenatally; (c) explore the ways in which respondents learned prenatally about exclusive pumping; (d) describe how useful respondents found various information sources when learning about exclusive pumping; and (e) describe the differences between respondents who first heard the term exclusive pumping prenatally versus postpartum.

METHODS

A cross-sectional, self-report, mixed-methods survey was administered online to a convenience sample of current and/or past exclusive pumpers ( N = 1,215). Descriptive statistics were produced (Research aims 1-4), and chi-square tests (Research aims 1, 2, and 5) and a Mann-Whitney U test (Research aim 5) were conducted, to identify trends and compare respondents.

RESULTS

Seventy-one percent ( n = 864) of respondents had not heard of exclusive pumping until after giving birth. Respondents reported that very few prenatal breastfeeding information sources mentioned or explained exclusive pumping. Women who had heard about exclusive pumping prior to giving birth ( n = 291, 24%) reported feeling more knowledgeable about how to exclusively pump and less frustrated, insecure, depressed, rejected, embarrassed, envious, burdened, guilty, and disappointed while exclusively pumping.

CONCLUSION

For postpartum knowledge and affective outcomes to improve, prenatal infant feeding information and education must include information about exclusive pumping.

摘要

背景

人乳被认为是婴儿的最佳营养来源,但许多女性在哺乳方面存在困难。虽然完全吸奶器吸奶可以提供解决方案,但许多女性可能不知道这一点,因此会经历不必要的挫折。

目的

本研究旨在:(a)确定受访者中听说过产前纯吸奶的比例;(b)描述受访者在产前寻求或接受母乳喂养相关信息的来源;(c)探讨受访者在产前学习纯吸奶的方式;(d)描述受访者在产前学习纯吸奶时发现各种信息来源的有用程度;(e)描述在产前首次听说纯吸奶的受访者与产后首次听说纯吸奶的受访者之间的差异。

方法

采用横断面、自我报告、混合方法的在线调查,对当前和/或过去的纯吸奶者(N=1215)进行了便利抽样。(研究目的 1-4)采用描述性统计方法,并进行卡方检验(研究目的 1、2 和 5)和曼-惠特尼 U 检验(研究目的 5),以确定趋势并比较受访者。

结果

71%(n=864)的受访者在分娩后才听说过纯吸奶。受访者报告称,很少有产前母乳喂养信息来源提到或解释过纯吸奶。在分娩前听说过纯吸奶的女性(n=291,24%)表示,她们对如何进行纯吸奶更有信心,而且在纯吸奶期间感到不那么沮丧、不安、抑郁、被拒绝、尴尬、嫉妒、负担过重、内疚和失望。

结论

为了改善产后的知识和情感结果,产前婴儿喂养信息和教育必须包括有关纯吸奶的信息。

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