Family physician whose scope of practice includes intrapartum care in Calgary, Alta.
Family physician in Calgary.
Can Fam Physician. 2019 Mar;65(3):204-211.
To investigate new mothers' perceptions about the role of maternal diet in infant fuss-cry behaviour, and to explore patterns of food restriction in breastfeeding women.
Qualitative study.
Calgary, Alta.
Twenty-one mothers of healthy singleton infants aged 6 months and younger.
Focus groups and one-on-one interviews with a semistructured interview guide, followed by content analysis.
Most respondents believed that infant cry-fuss behaviour was related to abdominal pain linked to feeding and had eliminated items from their diet in an attempt to change infant behaviour. Typical targets of elimination were caffeine, cruciferous vegetables (eg, broccoli and cabbage), garlic and onions, spicy foods, gluten, and beans. Women commonly viewed elimination diets as an extension of neutral or benign choices made during pregnancy, even when it led to extreme diet restrictions. Participants reported feeling appraised by society for their infant-feeding choices, and often harshly judged. Many women reported feeling confused by conflicting sources of reliable information on breastfeeding and preferred advice from trusted friends and family to that from health care providers or the Internet.
The breastfeeding women in this study believed that maternal diet influenced infant cry-fuss behaviour, in spite of scientific evidence demonstrating the contrary. An understandable desire for a calm baby, as well as to be favourably judged by friends and family, can drive breastfeeding women to restrict their diet, often to the point of hardship.
调查新妈妈对母亲饮食在婴儿哭闹行为中作用的看法，并探讨母乳喂养妇女限制食物摄入的模式。
定性研究。
加拿大阿尔伯塔省卡尔加里。
21 位健康的单胎婴儿（年龄在 6 个月及以下）的母亲。
采用半结构式访谈指南进行焦点小组和一对一访谈，并进行内容分析。
大多数受访者认为婴儿哭闹行为与与喂养相关的腹痛有关，并已从饮食中消除某些食物以试图改变婴儿的行为。常见的消除目标是咖啡因、十字花科蔬菜（如西兰花和白菜）、大蒜和洋葱、辛辣食物、麸质和豆类。女性普遍认为消除饮食是怀孕期间做出的中性或良性选择的延伸，即使这导致了极端的饮食限制。参与者表示感到受到社会对其母乳喂养选择的评判，而且经常受到严厉的评判。许多女性表示感到困惑，因为有关母乳喂养的可靠信息来源相互矛盾，她们更愿意接受可信赖的朋友和家人的建议，而不是来自医疗保健提供者或互联网的建议。
尽管有科学证据表明并非如此，但这项研究中的母乳喂养女性认为母亲的饮食会影响婴儿的哭闹行为。母亲们渴望婴儿安静，以及希望得到朋友和家人的好评，这可能促使母乳喂养女性限制饮食，常常达到困难的程度。
