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母乳喂养的早期中断。一项定性研究。

Early interruption of breastfeeding. A qualitative study.

作者信息

Cortés-Rúa Laura, Díaz-Grávalos Gabriel J

机构信息

Escuela Universitaria de Enfermería de Ourense, Universidad de Vigo, Ourense, España.

Escuela Universitaria de Enfermería de Ourense, Universidad de Vigo, Ourense, España; Centro de Salud Cea, SERGAS, Cea, Ourense, España.

出版信息

Enferm Clin (Engl Ed). 2019 Jul-Aug;29(4):207-215. doi: 10.1016/j.enfcli.2018.11.003. Epub 2019 Jan 9.

Abstract

OBJECTIVE

The aim of this study was to discover the personal experience and feelings of primiparous women who had to abandon breastfeeding (BF) before the expected time, as well as the causes of abandonment and the role of health professionals.

METHOD

A qualitative study through semi-structured interview was carried out. A purposive sampling by key informants was conducted, until saturation of the information was reached. Qualitative content analysis was carried out to generate codes and assign categories.

RESULTS

We interviewed 15 women aged 33.1 (SD 5.4) years. Ambivalent feelings were found, while BF was considered a satisfying experience, it was also sacrificial and painful. They refer to a lack of knowledge, and insecurity about nourishing their infant and physical pain seem to be the most important reasons for giving up. There is also a duality of feelings between the peace of mind afforded by artificial feeding, knowing that their child is well nourished, and the feeling of guilt for not having maintained BF. They believe that professionals do not adequately perform their work to promote BF, referring to numerous occasions when health professionals themselves have performed practices contrary to its establishment and maintenance.

CONCLUSIONS

In the mothers' account, emotional training and emotional support needs are insufficiently covered. Nursing professionals involved in the care of these women should systematically explore these needs.

摘要

目的

本研究旨在了解初产妇在预期时间之前不得不放弃母乳喂养的个人经历和感受,以及放弃的原因和卫生专业人员所起的作用。

方法

通过半结构式访谈进行定性研究。采用关键 informant 的目的抽样法,直至信息饱和。进行定性内容分析以生成代码并分配类别。

结果

我们采访了 15 名年龄为 33.1(标准差 5.4)岁的女性。发现她们存在矛盾的感受,母乳喂养虽被视为一种令人满意的经历,但也是一种牺牲且痛苦的过程。她们提到缺乏知识、对喂养婴儿的不安全感以及身体疼痛似乎是放弃的最重要原因。人工喂养带来孩子营养良好的安心感与未坚持母乳喂养的内疚感之间也存在情感上的矛盾。她们认为专业人员在促进母乳喂养方面工作做得不够,提到卫生专业人员自己多次做出与建立和维持母乳喂养相悖的行为。

结论

在母亲们的叙述中,情感培训和情感支持需求未得到充分满足。参与照顾这些女性的护理专业人员应系统地探索这些需求。

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