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加纳纯母乳喂养和补充喂养的产妇挑战。

Maternal challenges of exclusive breastfeeding and complementary feeding in Ghana.

机构信息

Department of Environment and Resource Studies, Faculty of Integrated Development Studies, Wa Campus, University for Development Studies, Tamale, Ghana.

Department of Population and Health, College of Humanities and Legal Studies, University of Cape Coast, Cape Coast, Ghana.

出版信息

PLoS One. 2019 May 2;14(5):e0215285. doi: 10.1371/journal.pone.0215285. eCollection 2019.

Abstract

Mothers are recommended to exclusively breastfeed their infants for the first six months of their lives. Also, after the sixth month, breastfeeding should continue with added complementary foods to the diets of children. Studies designed to sought the views of mothers on breastfeeding practices are limited. The aim of this study was to explore challenges to breastfeeding practices by considering spatial, societal and maternal characteristics in Ghana. Twenty mothers aged 15-49 years were interviewed purposively in selected communities within two regions of the country. Thematic content analytical procedures were applied to interpret and present findings. Challenges (to both exclusive breastfeeding and complementary feeding) spanned across spatial (home and work places), societal, and maternal characteristics. Key themes identified were in relation to household chores, work schedules, family influence, low breast milk production, swollen breasts or sore nipples, access to food items and preparation or giving foods. Addressing these challenges would require co-creation of supportive environments between couples and significant others as well as tackling institutional barriers that obstruct adequate breastfeeding among mothers. On complementary feeding, there is the need to form community health volunteers help educate mothers more on how to appropriately use local foods to feed their children.

摘要

建议母亲在婴儿生命的头六个月中进行纯母乳喂养。此外,在第六个月后,应继续母乳喂养,并在儿童饮食中添加补充食物。旨在寻求母亲对母乳喂养实践的看法的研究是有限的。本研究旨在探讨加纳在空间、社会和产妇特征方面对母乳喂养实践的挑战。在该国两个地区的选定社区中,对 20 名 15-49 岁的母亲进行了有针对性的访谈。采用主题内容分析程序来解释和呈现研究结果。挑战(包括纯母乳喂养和补充喂养)跨越了空间(家庭和工作场所)、社会和产妇特征。确定的主要主题与家务、工作安排、家庭影响、母乳产量低、乳房肿胀或乳头疼痛、获得食物和准备或给予食物有关。解决这些挑战需要夫妻和其他重要人员共同创造支持性环境,同时解决阻碍母亲充分母乳喂养的制度障碍。在补充喂养方面,需要组建社区卫生志愿者,帮助母亲更多地了解如何使用当地食物来喂养孩子。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d7/6497241/8b231806b2cd/pone.0215285.g001.jpg

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