MirMohamadaliIe Mandana, Khani Jazani Reza, Sohrabizadeh Sanaz, Nikbakht Nasrabadi Alireza
1Department of Health in Disasters and Emergencies,School of Public Health and Safety,Shahid Beheshti University of Medical Sciences,Tehran,Iran.
2School of Nursing and Midwifery,Tehran University ofMedical Sciences,Tehran,Iran.
Prehosp Disaster Med. 2019 Feb;34(1):20-24. doi: 10.1017/S1049023X18001243.
IntroductionNatural disasters have many effects on vulnerable groups, especially infants and children. Protecting breastfeeding in disasters is important, because artificial feeding puts a lot of risk to the child. In disasters, artificial nutrition is dangerous to children and its supplementation requires special equipment. There is little information on the nutritional status of infants after disasters in Iran.ProblemThe purpose of this study was to explore the barriers to appropriate lactation after disasters in Iran.
This was a qualitative study using a content analysis method. A total of 19 midwives with disaster-relief experiences were approached for interview. Data were collected using semi-structured interviews. Data analysis was performed using the Graneheim's approach.
The categories of maternal factors, neonatal factors, management factors, and context-base factors were extracted from the data.
The challenges of social support, mothers' self-efficacy, educated staff for disasters, and privacy for breastfeeding can be considered as important barriers to breastfeeding in disasters. Training programs, as well as health system support, can help overcome the breastfeeding barriers in disasters. MirMohamadaliIeM, Khani JazaniR, SohrabizadehS, Nikbakht NasrabadiA. Barriers to breastfeeding in disasters in the context of Iran. Prehosp Disaster Med. 2019;34(1):20-24.
引言
自然灾害对弱势群体，尤其是婴幼儿有诸多影响。在灾害中保护母乳喂养很重要，因为人工喂养会给儿童带来诸多风险。在灾害中，人工营养对儿童有危险，且其补充需要特殊设备。关于伊朗灾害后婴儿的营养状况，相关信息很少。
问题
本研究的目的是探讨伊朗灾害后适宜哺乳的障碍。
方法
这是一项采用内容分析法的定性研究。共联系了19名有救灾经验的助产士进行访谈。使用半结构化访谈收集数据。采用格兰海姆方法进行数据分析。
结果
从数据中提取了母亲因素、新生儿因素、管理因素和基于环境的因素等类别。
结论
社会支持、母亲的自我效能感、受过灾害相关培训的工作人员以及母乳喂养的隐私等方面的挑战可被视为灾害中母乳喂养的重要障碍。培训项目以及卫生系统的支持有助于克服灾害中的母乳喂养障碍。米尔·穆罕默达利·伊·M、哈尼·贾扎尼·R、索拉比扎德·S、尼克巴克特·纳斯拉巴迪·A。伊朗背景下灾害中母乳喂养的障碍。《院前灾难医学》。2019；34(1)：20 - 24。
