埃塞俄比亚亚的斯亚贝巴感染艾滋病毒母亲所生的暴露于艾滋病毒的早产婴儿的喂养经历：一项定性研究
Feeding Experiences of HIV-Exposed Preterm Infants Among Mothers Living with HIV in Addis Ababa, Ethiopia: A Qualitative Study.
作者信息
Getachew Biniam, Solomon Semaria, Ramet Blen Teshome, Mezgebu Tirumebet, Ewnetu Demelash Bezabih, MacDonald Noni
机构信息
Independent Public Health Consultant, Addis Ababa, Ethiopia.
St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
出版信息
HIV AIDS (Auckl). 2021 Nov 2;13:973-981. doi: 10.2147/HIV.S333537. eCollection 2021.
INTRODUCTION
Providing adequate nutrition to preterm infants who are born to HIV-positive mothers is more challenging due to the mother's underlying health and nutrition status. The understanding of these issues and active participation of the mothers have a significant role in giving continuous care for HIV-exposed preterm infant. Hence, this study aimed to explore the experience of HIV-positive mothers' feeding practice of their preterm infants, and health workers to identify barriers and facilitators of feeding HIV-exposed preterm infants.
METHODS
A phenomenological qualitative study design was conducted in Addis Ababa, Ethiopia, between May 1, 2016 and March 31, 2017. Mothers who gave birth to HIV-exposed preterm infants at the study sites' follow-up clinic were traced and invited by the healthcare providers to voluntarily participate in this study. Fifteen in-depth interviews with mothers of HIV-exposed preterm infants and seven key informant interviews with health professionals and policymakers were carried out. The interviews were transcribed and translated and then manually analyzed thematically.
RESULTS
The health education given during antenatal care (ANC) did not consider the feeding practice needs for HIV-exposed preterm infants. Child health status, desire to have a healthy infant, financial constraints and family support were among the influential factors in the feeding practice of HIV-exposed preterm infants mentioned by the study participants. HIV-exposed preterm infant feeding procedure neither has a guideline nor is clearly mentioned in the national HIV guidelines.
CONCLUSION
The desire to have a healthy infant was a major facilitator for feeding of HIV-exposed premature infants. However, financial constraints majorly limited the option to be only exclusive breastfeeding. This became even more problematic for the mother if the premature infant became ill and could not breastfeed well.
引言
由于母亲潜在的健康和营养状况，为感染艾滋病毒的母亲所生的早产儿提供充足营养更具挑战性。对这些问题的理解以及母亲的积极参与在持续照料暴露于艾滋病毒的早产儿方面发挥着重要作用。因此，本研究旨在探讨感染艾滋病毒的母亲喂养其早产儿的经历，以及卫生工作者确定喂养暴露于艾滋病毒的早产儿的障碍和促进因素。
方法
2016年5月1日至2017年3月31日在埃塞俄比亚亚的斯亚贝巴进行了一项现象学定性研究设计。在研究地点的随访诊所分娩暴露于艾滋病毒的早产儿的母亲被追踪，医疗保健提供者邀请她们自愿参与本研究。对15名暴露于艾滋病毒的早产儿的母亲进行了深入访谈，并对7名卫生专业人员和政策制定者进行了关键信息访谈。访谈进行了转录和翻译，然后进行主题手动分析。
结果
产前护理（ANC）期间提供的健康教育没有考虑暴露于艾滋病毒的早产儿的喂养实践需求。儿童健康状况、想要健康婴儿的愿望、经济限制和家庭支持是研究参与者提到的影响暴露于艾滋病毒的早产儿喂养实践的因素。暴露于艾滋病毒的早产儿喂养程序既没有指南，也未在国家艾滋病毒指南中明确提及。
结论
想要健康婴儿的愿望是喂养暴露于艾滋病毒的早产儿的主要促进因素。然而，经济限制主要限制了仅进行纯母乳喂养的选择。如果早产儿生病且不能很好地母乳喂养，这对母亲来说问题会更大。
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