Department of Nursing, Ching Kuo Institute of Management and Health, Keelung, Taiwan.
Institute of Community Health Care, National Yang-Ming University, Taipei, Taiwan.
Asian Nurs Res (Korean Soc Nurs Sci). 2019 May;13(2):154-160. doi: 10.1016/j.anr.2019.04.003. Epub 2019 Apr 25.
The purpose was to explore the breastfeeding experiences of mothers of infants with breastfeeding or breast milk jaundice.
In-depth qualitative interviews and content analysis were conducted with nine mothers of newborns with breastfeeding and/or breast milk jaundice who breastfed their babies during the first year postpartum.
Mothers' experiences can be described in four phases and six themes. (1) Prenatal stage: build breastfeeding belief, i.e., breastfeeding is best and a natural behavior, without awareness of neonatal jaundice; (2) stage after neonatal jaundice started to appear: include two themes, questioning beliefs in breastfeeding and happiness in being a mother. Mothers lacked knowledge and ignored the threat of neonatal jaundice, mainly focused on their physical discomforts and worried about insufficient breast milk; they also felt an intimate mother-infant bond through breastfeeding; (3) stage when newborns had confirmed diagnosis of breastfeeding or breast milk jaundice that required medical attention: include two themes, diagnosis of breastfeeding or breast milk jaundice and phototherapy caused negative emotions and regaining original beliefs about breastfeeding. They struggled through emotional swings and inconsistent advices about whether phototherapy and formula supplementation are needed. Then, they decided breastfeeding or breast milk jaundice is only temporary and retrieved initial beliefs of breastfeeding. (4) Stage after neonatal jaundice faded and mothers continued breastfeeding: insisting and adapting.
Breastfeeding mothers were unaware of neonatal jaundice until medical attention was required; they experienced physical and mental distress and gradually learned to manage jaundice while insisting on breastfeeding through their breastfeeding beliefs and happiness in being mothers.
探讨母乳喂养或母乳性黄疸婴儿母亲的母乳喂养经历。
对 9 名产后 1 年内纯母乳喂养或混合喂养患有母乳喂养或母乳性黄疸新生儿的母亲进行深入的定性访谈和内容分析。
母亲的经历可以描述为四个阶段和六个主题。（1）产前阶段：建立母乳喂养的信念，即母乳喂养是最好的和自然的行为，对新生儿黄疸没有意识；（2）新生儿黄疸开始出现后的阶段：包括两个主题，质疑母乳喂养的信念和做母亲的快乐。母亲缺乏知识，忽视了新生儿黄疸的威胁，主要关注自己的身体不适和担心母乳不足；她们还通过母乳喂养感受到了亲密的母婴关系；（3）新生儿被确诊为需要医疗关注的母乳喂养或母乳性黄疸的阶段：包括两个主题，即母乳喂养或母乳性黄疸的诊断和光疗引起的负面情绪以及重新获得对母乳喂养的原始信念。她们在情绪波动和是否需要光疗和配方奶补充的不一致建议中挣扎。然后，他们决定母乳喂养或母乳性黄疸只是暂时的，并恢复了最初的母乳喂养信念。（4）新生儿黄疸消退后母亲继续母乳喂养的阶段：坚持和适应。
母乳喂养的母亲直到需要医疗关注才意识到新生儿黄疸；她们经历了身心痛苦，通过母乳喂养的信念和做母亲的快乐，逐渐学会了在坚持母乳喂养的同时管理黄疸。
