International Nursing School, Hainan Medical University, Haikou, China.
Department of Nursing, Second Affiliated Hospital of Hainan Medical University, Haikou, China.
Int Breastfeed J. 2022 Feb 22;17(1):13. doi: 10.1186/s13006-022-00459-8.
The increasing numbers of women in the workforce is an inevitable trend in China. More and more employed women stop breastfeeding because of working stressors. Many mothers, however, overcome the challenges and insist on breastfeeding after returning to work. Their individual experience of breastfeeding may provide a new insight to promote and support breastfeeding on employed mothers. This study sought to understand mothers' experience with insisting on breastfeeding after returning to work based on Kumpfer's Resilience Framework in Chinese context.
This qualitative study was designed with semi-structured interviews. Purposive sampling and snowball sampling were employed to recruit 13 full-time working mothers with a stable job in the public sector who continued to breastfeed for 1 month or longer after returning to work in Haikou, Hainan Province, China. Interviews were conducted from January to March 2020 to capture participants' experiences of breastfeed after returning to work. Grounded theory and Kumpfer's Resilience Framework were used to analyze data via a systematic and iterative process.
Employed mothers built resilience while continuing to breastfeed after returning to work. The core concept was "dynamic interaction". Other categories were the background and explanation of this phenomenon. For working mothers who continued to breastfeed, resilience involved "dynamic interaction", which started from "experiencing stressors" and "obtaining support", two environmental factors interacted with the individual to "build resilience qualities", which interact with environment led to "behavioral resilience". And then the ongoing dynamic interaction between behavioral resilience and environment ultimately led to three different "weaning processes", including natural weaning, active weaning, and forced weaning.
This study identified the framework of resilience in mothers who were in the adversity of breastfeeding after returning to work based on Kumpfer's Resilience Framework. It provided a new insight into the resilience of employed mothers around the world to continue breastfeeding and showed the different culture of breastfeeding on employed mothers.
在中国，越来越多的女性加入劳动力大军是一种必然趋势。由于工作压力，越来越多的职业女性停止母乳喂养。然而，许多母亲克服了这些挑战，坚持在重返工作岗位后进行母乳喂养。她们个人的母乳喂养经验可能为促进和支持职业母亲母乳喂养提供新的视角。本研究旨在基于坎普弗的韧性框架，在中国背景下了解母亲重返工作后坚持母乳喂养的体验。
本定性研究采用半结构式访谈设计。采用目的抽样和滚雪球抽样，在海南省海口市招募了 13 名在公共部门全职工作、稳定工作且在重返工作岗位后继续母乳喂养 1 个月或以上的职业母亲。访谈于 2020 年 1 月至 3 月进行，以了解参与者重返工作后母乳喂养的经历。扎根理论和坎普弗的韧性框架用于通过系统和迭代过程分析数据。
职业母亲在重返工作后继续母乳喂养时建立了韧性。核心概念是“动态互动”。其他类别是这一现象的背景和解释。对于继续母乳喂养的职业母亲来说，韧性涉及“动态互动”，这始于“体验压力源”和“获得支持”两个环境因素与个体相互作用“建立韧性素质”，与环境的相互作用导致“行为韧性”。然后，行为韧性与环境之间持续的动态相互作用最终导致了三种不同的“断奶过程”，包括自然断奶、主动断奶和强制断奶。
本研究基于坎普弗的韧性框架，确定了在重返工作后母乳喂养逆境中的母亲的韧性框架。它为世界各地职业母亲继续母乳喂养的韧性提供了新的视角，并展示了职业母亲母乳喂养的不同文化。
