James Cook University College of Medicine and Dentistry, Mackay, Queensland, Australia.
Women's Health Unit, Mackay Base Hospital, Mackay, Queensland, Australia.
BMJ Open. 2019 Jan 3;9(1):e021513. doi: 10.1136/bmjopen-2018-021513.
To explore and describe the experiences and perspectives of collecting and storing colostrum in the antenatal period in women who have had diabetes in pregnancy.
Face-to-face, semistructured interviews analysed with purposive sampling and thematic analysis.
A regional hospital in North Queensland with a high prevalence of diabetes in pregnancy.
Six women with a previous pregnancy complicated by diabetes who were advised to collect and store colostrum in pregnancy.
Six themes were identified: wariness of medicalisation (adjusting to an 'abnormal' pregnancy, seeking continuity of care, determination to reduce formula, fear of invasive intervention); underlying altruism (providing the best for baby, preparing for complications, eager for milk donation); internal pressure to succeed (coping with confronting information, disheartened by failures, constant fear of insufficient supply, overwhelming guilt, concern for future breastfeeding success); self-management and ownership (adapting to awkwardness, developing strategies for success, actively seeking education, gaining confidence to request help, accepting personal limitations); frustrated by waste (encroaching on time, squandering a precious resource, ambiguous about necessity) and building fortitude for motherhood (physically preparing for breast feeding, symbolic of the imminent infant, establishing early relationships with supports, approaching challenges with realistic optimism).
Women with diabetes in pregnancy experience guilt and stress about the added risk of hypoglycaemia to their babies and strive to provide the best for their babies by collecting and storing colostrum, even if this leads to distress to themselves. It is crucial that these women be provided accurate, realistic advice about the benefits and disadvantages of collecting colostrum in the antenatal period.
探索和描述患有妊娠糖尿病的女性在产前收集和储存初乳的经验和观点。
面对面、半结构化访谈，采用目的性抽样和主题分析进行分析。
北昆士兰州的一家区域医院，该地区妊娠糖尿病的患病率较高。
六名曾患有妊娠糖尿病的女性，她们在怀孕期间被建议收集和储存初乳。
确定了六个主题：对医学化的警惕（适应“异常”妊娠，寻求连续护理，决心减少配方奶，害怕侵入性干预）；潜在的利他主义（为婴儿提供最好的，为并发症做准备，渴望捐赠母乳）；成功的内在压力（应对令人不安的信息，因失败而灰心，对供应不足的持续恐惧，强烈的内疚感，对未来母乳喂养成功的担忧）；自我管理和所有权（适应尴尬，为成功制定策略，积极寻求教育，获得请求帮助的信心，接受个人局限性）；对浪费的沮丧（占用时间，浪费宝贵资源，对必要性感到模棱两可）和为母亲身份建立坚韧（为母乳喂养做身体准备，象征着即将到来的婴儿，与支持建立早期关系，以现实乐观的态度迎接挑战）。
患有妊娠糖尿病的女性对婴儿低血糖风险增加感到内疚和压力，她们通过收集和储存初乳来努力为婴儿提供最好的，即使这会给自己带来痛苦。至关重要的是，这些女性应获得有关在产前收集初乳的利弊的准确、现实的建议。
