1 Division of Nutritional Sciences, University of Illinois at Urbana-Champaign, Urbana, Illinois.
2 Department of Human Development and Family Studies, University of Illinois at Urbana-Champaign, Urbana, Illinois.
Breastfeed Med. 2019 Jun;14(5):313-319. doi: 10.1089/bfm.2018.0091. Epub 2019 Mar 21.
The childcare setting remains largely unexplored as a potential barrier to breastfeeding continuation and, therefore, the lack of interventions targeting childcare providers may be a missed opportunity for improved breastfeeding support. This article explores the perceptions of 25 first-time breastfeeding mothers on navigating the critical transition to childcare and the role of childcare providers regarding breastfeeding support. Mothers were selected if they indicated an intent to breastfeed on a prenatal questionnaire and had enrolled their child in childcare. Semistructured interviews guided by Bronfenbrenner's bioecological model were conducted to capture mothers' experiences. Responses were analyzed utilizing thematic analysis to generate themes rooted in mothers' experiences with childcare and breastfeeding. A thematic analysis resulted in three key themes: , , and , These themes indicated that although mothers intended to continue breastfeeding during and after the transition to childcare, they had not previously given much consideration to the childcare setting beyond that of a service provider. Findings illustrate new considerations to support modern breastfeeding mothers through the transition to work and childcare are needed such as basic and practical education and training to prepare childcare providers to support breastfeeding mothers in the way that best meets their needs, enhanced education for mothers on how to seek and evaluate providers for breastfeeding competence, and policy initiatives focused on fostering engagement between mothers and providers. By taking mothers' perceptions into consideration, researchers, practitioners, and policymakers can offer breastfeeding support that mothers will be receptive to and more likely to engage with, thereby advancing the health of both mothers and infants.
儿童保育环境在很大程度上尚未被探索为母乳喂养持续的潜在障碍，因此，缺乏针对儿童保育提供者的干预措施可能是改善母乳喂养支持的一个错失的机会。本文探讨了 25 名初次母乳喂养母亲对儿童保育关键过渡的看法，以及儿童保育提供者在母乳喂养支持方面的作用。如果母亲在产前问卷调查中表示有意母乳喂养，并为孩子注册了儿童保育，那么就会选择她们进行采访。采访采用布伦芬布伦纳的生物生态模型进行半结构化引导，以捕捉母亲的经验。利用主题分析对回答进行分析，以产生根植于母亲与儿童保育和母乳喂养经验的主题。主题分析产生了三个关键主题：、、。这些主题表明，尽管母亲打算在过渡到儿童保育期间和之后继续母乳喂养，但她们之前对儿童保育环境的考虑仅限于服务提供商。研究结果表明，需要通过工作和儿童保育过渡来为现代母乳喂养母亲提供新的考虑因素，例如基本和实用的教育和培训，以使儿童保育提供者能够以最符合母亲需求的方式支持母乳喂养母亲，增强母亲寻找和评估提供者母乳喂养能力的教育，以及关注促进母亲和提供者之间互动的政策举措。通过考虑母亲的看法，研究人员、从业者和政策制定者可以提供母亲愿意接受并更有可能参与的母乳喂养支持，从而促进母亲和婴儿的健康。
