Programa de Pós-graduação em Enfermagem, Universidade Federal do Paraná, Curitiba, PR, Brazil.
Departamento de Enfermagem em Saúde Coletiva, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
Rev Esc Enferm USP. 2020;54:e03563. doi: 10.1590/s1980-220x2018034303564. Epub 2020 May 8.
To describe the strengthening and weakening factors for breastfeeding.
This is a descriptive multiple case qualitative study, conducted in Curitiba, Parana, with members of 17 families with children between 6 and 12 months old, through semi-structured interview and construction of genograms, analyzed by the strategy of cross case synthesis.
28 people participated in the study. Strengthening factors for breastfeeding were: the desire to breastfeed; child with facility for breastfeeding; mother with time available to the child; previous breastfeeding experience and family history of breastfeeding; the support and encouragement to breastfeed. Weakening factors were: negative expectations; the myth of weak milk; child's disease; maternal illness; negative experiences of the mother; the absence of family history of breastfeeding; lack of a support network.
Breastfeeding is a family and social phenomenon. Therefore, practices that go beyond the mother-baby dyad are necessary. The care process should include the social and subjective dimension, strengthening the support network of nursing mothers, in order to obtain more satisfactory professional practices that promote breastfeeding.
描述母乳喂养的增强和减弱因素。
这是一项描述性的多案例定性研究，在巴拉那州库里蒂巴进行，研究对象为 17 个家庭的成员，这些家庭的孩子年龄在 6 至 12 个月之间，通过半结构化访谈和系谱图的构建，采用跨案例综合分析策略进行分析。
共有 28 人参与了这项研究。母乳喂养的增强因素包括：母乳喂养的愿望；孩子有哺乳的条件；母亲有时间陪伴孩子；有之前母乳喂养的经验和母乳喂养的家族史；得到支持和鼓励进行母乳喂养。减弱因素包括：负面预期；母乳不足的神话；孩子生病；母亲生病；母亲有负面经历；没有母乳喂养的家族史；缺乏支持网络。
母乳喂养是一种家庭和社会现象。因此，有必要采取超越母婴对子的实践。护理过程应包括社会和主观维度，加强对哺乳期母亲的支持网络，以获得更令人满意的促进母乳喂养的专业实践。
