Fernández Medina Isabel María, Fernández-Sola Cayetano, López-Rodríguez María Mar, Hernández-Padilla José Manuel, Jiménez Lasserrotte María Del Mar, Granero-Molina José
Department of Nursing, Physiotherapy and Medicine, University of Almeria, Almería, Spain (Drs Fernández Medina, López-Rodríguez, Jiménez Lasserrotte, and Granero-Molina); Faculty of Health Sciences, Universidad Autónoma de Chile, Temuco, Chile (Drs Fernández-Sola and Granero-Molina); and Adult, Child and Midwifery Department, School of Health and Education, Middlesex University, London, United Kingdom (Dr Hernández-Padilla).
Adv Neonatal Care. 2019 Oct;19(5):349-360. doi: 10.1097/ANC.0000000000000652.
Mothers' own milk (MOM) has more than nutritional benefits for extremely preterm infants (<28 weeks). However, mothers encounter barriers that make it difficult to provide their own milk to their extremely preterm infants.
The aim of this study was to describe and understand the experiences of mothers of extremely preterm infants regarding barriers to providing their own milk during infant hospital stay in the neonatal intensive care unit (NICU).
This study followed a qualitative, interpretative design using Gadamer's hermeneutic approach and included 15 in-depth semistructured interviews. The data were analyzed using a modified form of the steps described by Fleming.
Fifteen mothers of extremely preterm infants participated in the study. The following themes were extracted from the data analysis: (1) "unexpected and unusual lactation," including the subthemes "the extremely preterm birth and the decision to provide MOM," "the battle to produce milk," and "my job was to make milk"; and (2) "providing MOM to a tiny infant in an unknown technological environment," with the subthemes "the limitations of providing MOM in the NICU" and "the difficulties of having an extremely preterm infant."
To provide MOM to an extremely preterm infant, there is a need for informational and practical counseling by neonatal nurses educated in breastfeeding according to mothers' requirements and emotional needs.
Future research may analyze the parents' and neonatal nurses' experience about facilitators to improve MOM provision and the influence of women's sociodemographic characteristics in providing MOM to the extremely preterm infants.
对于极早产儿（<28周）而言，母乳具有诸多益处，远不止提供营养。然而，母亲们面临诸多障碍，难以向极早产儿提供自己的母乳。
本研究旨在描述并了解极早产儿母亲在新生儿重症监护病房（NICU）婴儿住院期间提供母乳所面临障碍的经历。
本研究采用定性、解释性设计，运用伽达默尔的诠释学方法，包括15次深入的半结构式访谈。数据采用弗莱明所描述步骤的改良形式进行分析。
15位极早产儿母亲参与了本研究。数据分析得出以下主题：（1）“意想不到且不同寻常的泌乳”，包括子主题“极早产与提供母乳的决定”“产奶之战”以及“我的工作就是产奶”；（2）“在未知技术环境中向微小婴儿提供母乳”，包括子主题“在NICU提供母乳的限制”以及“拥有极早产儿的困难”。
为向极早产儿提供母乳，需要接受母乳喂养培训的新生儿护士根据母亲的需求和情感需要提供信息及实际指导。
未来研究可分析父母和新生儿护士在促进母乳提供方面的经历，以及女性社会人口学特征对向极早产儿提供母乳的影响。
Zotero 插件