母乳喂养是一种平衡行为 - 瑞典孕妇对母乳喂养的声音。
Breastfeeding as a balancing act - pregnant Swedish women's voices on breastfeeding.
机构信息
Department of Women's and Children's Health, Uppsala University Hospital, 751 85, Uppsala, Sweden.
Department of Neuroscience, Psychiatry, Uppsala University Hospital, 751 85, Uppsala, Sweden.
出版信息
Int Breastfeed J. 2020 Mar 5;15(1):16. doi: 10.1186/s13006-020-00257-0.
BACKGROUND
Breastfeeding provides health benefits to both women and children. The rationale behind an individual woman's decision to breastfeed or not can depend on several factors, either independently or in combination. The aim of the current study was to explore attitudes towards breastfeeding among pregnant women in Sweden who intend to breastfeed.
METHODS
Eleven mothers-to-be, one of whom had previous breastfeeding experience, participated in the study. The women were interviewed either by telephone or face-to-face during late pregnancy, with the aim of exploring their attitudes towards breastfeeding. A semi-structured interview-guide was used, and the transcripts of the interviews were analyzed using thematic analysis. The social ecological model of health is the theory-based framework underpinning this study. The model provides a comprehensive approach to understanding the factors that influence breastfeeding intention.
RESULTS
When interviewed during pregnancy, women described breastfeeding as a balancing act between societal norms and personal desires. The women perceived a societal pressure to breastfeed, however it was accompanied by boundaries and mixed messages. This perceived pressure was balanced by their own knowledge of breastfeeding, in particular their knowledge of other women's experience of breastfeeding. When envisioning their future breastfeeding, the women made uncertain and preliminary plans, and negotiated the benefits and drawbacks of breastfeeding. There was a wish for individual breastfeeding support and information.
CONCLUSIONS
Pregnant Swedish women perceive their future breastfeeding as a balancing act between societal norms and personal desires. These findings suggest that while discussing breastfeeding during pregnancy, it could be of interest to collect information from pregnant women on their knowledge of breastfeeding and from where they have gained this knowledge, since stories from family and friends may make them question their own capacity to breastfeed. A thorough review of the woman's experiences and attitudes of breastfeeding is important in order to offer the best evidence-based breastfeeding support.
TRIAL REGISTRATION
Ethical approval for the study was obtained from the Regional Ethical Review Board in Uppsala (Dnr: 2017/256).
背景
母乳喂养对妇女和儿童都有健康益处。女性决定是否母乳喂养的背后的原因可能取决于几个因素，这些因素可以单独存在，也可以组合存在。本研究的目的是探讨瑞典计划母乳喂养的孕妇对母乳喂养的态度。
方法
11 名孕妇参与了研究，其中 1 名孕妇有过母乳喂养的经验。在妊娠晚期，通过电话或面对面的方式对这些孕妇进行访谈，以探讨她们对母乳喂养的态度。使用半结构化访谈指南，对访谈的文字记录进行主题分析。本研究的理论基础是健康的社会生态模型。该模型提供了一种全面的方法来理解影响母乳喂养意愿的因素。
结果
在妊娠期间接受访谈时，女性将母乳喂养描述为社会规范和个人愿望之间的平衡行为。女性感受到了社会对母乳喂养的压力，但同时也伴随着界限和矛盾的信息。这种感知到的压力与她们自己对母乳喂养的了解相平衡，特别是她们对其他女性母乳喂养经历的了解。当设想自己未来的母乳喂养时，女性做出了不确定和初步的计划，并权衡了母乳喂养的利弊。她们希望得到个性化的母乳喂养支持和信息。
结论
瑞典孕妇认为她们未来的母乳喂养是社会规范和个人愿望之间的平衡行为。这些发现表明，在妊娠期间讨论母乳喂养时，从孕妇那里收集他们对母乳喂养的了解以及他们从哪里获得这些知识的信息可能会很有趣，因为来自家人和朋友的故事可能会让他们质疑自己的母乳喂养能力。全面审查女性对母乳喂养的经历和态度对于提供最佳的基于证据的母乳喂养支持很重要。
试验注册
该研究获得了乌普萨拉地区伦理审查委员会的伦理批准（编号：2017/256）。
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