作为养育者融入澳大利亚：移民妇女母乳喂养经验的元分析。
"Fitting-in Australia" as nurturers: Meta-synthesis on infant feeding experiences among immigrant women.
机构信息
Primary Care Clinical Unit, University of Queensland, Australia.
Primary Care Clinical Unit, University of Queensland, Australia.
出版信息
Women Birth. 2019 Dec;32(6):533-542. doi: 10.1016/j.wombi.2018.12.002. Epub 2018 Dec 21.
PROBLEM
Migration or resettlement to western nations frequently alters breastfeeding and complementary feeding practices.
BACKGROUND
Infant feeding practices in traditional societies (originally from non-white countries) are ingrained within customary beliefs and practices.
AIM
To understand maternal infant feeding experiences pre- and post-resettlement for the benefit of policy and healthcare practice.
METHODS
This meta-synthesis of qualitative studies on infant feeding experiences of migrant and refugee women in Australia adopted the Noblit and Hare aproach. CINAHL, ScienceDirect, MEDLINE, Social Sciences, SCOPUS and PubMed databases from 1980 to 2018 were searched. Fourteen papers of the 218 retrieved met the inclusion criteria. The Critical Appraisal Skills Programme (CASP) tool was used to assess the quality of papers and data were synthesised through reciprocal translation.
RESULTS
One overarching theme emerged: "Fitting-in" to nurture a healthy child in a new homeland. This theme composed of two major themes: beliefs about breast milk and breastfeeding; and beliefs about complementary feeding. In Australia, manufactured foods such as infant formula were often associated with modernism. Western hospital policies were seen as a deterrent to lactation, while familial disconnections and unfamiliarity with healthcare and societal norms undermined maternal infant feeding confidence. New to the scope of migratory infant feeding literature, this synthesis uncovers how migrants and refugees negotiated the western hierarchical structures differently due to issues of power differences.
CONCLUSION
The 'Fitting-in' notion is best described through the socio-ecological model and maternal capital possessions. This paper calls for a proper 'balancing' between traditional beliefs and the safeguarding of infant health.
问题
移民或重新安置到西方国家常常改变母乳喂养和补充喂养的做法。
背景
传统社会（最初来自非白人国家）的婴儿喂养方式深深地根植于习惯的信仰和实践中。
目的
了解移民和难民妇女重新安置前后的母婴喂养经验，以制定政策和改善医疗保健实践。
方法
对澳大利亚移民和难民妇女婴儿喂养经验的定性研究进行元分析，采用 Noblit 和 Hare 方法。从 1980 年到 2018 年，在 CINAHL、ScienceDirect、MEDLINE、社会科学、SCOPUS 和 PubMed 数据库中进行了搜索。在 218 篇检索到的论文中，有 14 篇符合纳入标准。使用批判性评估技能计划（CASP）工具评估论文的质量，并通过相互翻译对数据进行综合。
结果
出现了一个总体主题：“融入”新的家园，哺育健康的孩子。这个主题由两个主要主题组成：关于母乳和母乳喂养的信念；以及关于补充喂养的信念。在澳大利亚，婴儿配方奶粉等加工食品通常与现代主义联系在一起。西方医院的政策被视为抑制哺乳的因素，而家庭的脱节和对医疗保健和社会规范的不熟悉则削弱了母婴喂养的信心。由于权力差异的问题，这种综合方法揭示了移民和难民如何以不同的方式协商西方的等级结构。
结论
“融入”的概念通过社会生态模型和产妇资本财产得到了最好的描述。本文呼吁在传统信仰和保护婴儿健康之间进行适当的“平衡”。
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