Department of Women's Health, University of Texas at Austin Dell Seton Medical Center, Austin, Texas, USA.
Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Breastfeed Med. 2022 Jan;17(1):65-71. doi: 10.1089/bfm.2021.0135. Epub 2021 Dec 16.
The Baby-Friendly Hospital Initiative has had a positive impact on breastfeeding initiation; however, posthospital exclusive breastfeeding (EBF) rates remain low. We aimed to analyze thoughts and attitudes toward breastfeeding at the postpartum visit among women who deliver at a Baby-Friendly hospital. Women ≥14 years who delivered a live-born infant at our center were eligible. Participants completed an infant feeding questionnaire at the postpartum visit recording patient and delivery characteristics, antepartum care and infant feeding details, reasons for breastfeeding discontinuation or formula initiation, workplace environment, and cultural beliefs about breastfeeding. Thematic coding via line-by-line analysis of the free responses was performed using NVivo12 by QSR international. Of 263 participants, 110 responded to the open-ended question. Of these, 53 and 46 were negative-toned and positive-toned, respectively. Negative breastfeeding responses related to the mother addressed the need for more support, low milk supply, pressure to breastfeed and feelings of guilt if unsuccessful, maternal health issues, painful breastfeeding, and high time requirements. Negative breastfeeding responses about the baby included concerns about infant health, latching issues, and disinterest. Positive responses focused on the support system, maternal weight loss, health benefits for baby, and mom-baby bonding. Some women (27) commented specifically on pumping. Negative comments noted that pumping led to less milk production, was time consuming, and was too much work. Positive comments about pumping noted that it is a convenient alternative to breastfeeding. Efforts to improve posthospital EBF rates in accordance with national guidelines must acknowledge the complex experience of breastfeeding mothers.
婴儿友好医院倡议对母乳喂养的开始产生了积极影响；然而，产后纯母乳喂养（EBF）率仍然很低。我们旨在分析在婴儿友好医院分娩的妇女在产后访视时对母乳喂养的想法和态度。 在我们中心分娩活产婴儿的年龄≥14 岁的妇女有资格参加。参与者在产后访视时填写婴儿喂养问卷，记录患者和分娩特征、产前护理和婴儿喂养细节、母乳喂养中断或配方奶开始的原因、工作场所环境以及关于母乳喂养的文化信仰。通过 QSR International 的 NVivo12 对自由回答进行逐行分析进行主题编码。 在 263 名参与者中，有 110 名回答了开放式问题。其中，53 个为负面语气，46 个为正面语气。与母亲有关的负面母乳喂养反应涉及到需要更多的支持、乳汁供应不足、母乳喂养的压力和不成功时的内疚感、母亲的健康问题、母乳喂养疼痛和高时间要求。与婴儿有关的负面母乳喂养反应包括对婴儿健康、衔乳问题和不感兴趣的担忧。积极的反应则集中在支持系统、母亲体重减轻、对婴儿的健康益处以及母婴联系上。一些妇女（27 人）特别评论了泵奶。负面评论指出，泵奶会导致产奶量减少、耗时且工作量太大。关于泵奶的积极评论指出，这是母乳喂养的一种便利替代方法。 为了提高符合国家指南的产后 EBF 率，必须承认母乳喂养母亲的复杂体验。
