Department of Health Services Research and Policy, National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT, Australia.
J Hum Lact. 2022 Nov;38(4):780-791. doi: 10.1177/08903344221106473. Epub 2022 Jul 6.
The education and support of new mothers during the in-hospital stay for childbirth is a critical time to establish breastfeeding. The Baby-Friendly Hospital Initiative was launched in 1991 to encourage maternity services to support and educate mothers to breastfeed by implementing Ten Steps to Successful Breastfeeding.
To explore midwives' experiences of implementing the Baby-Friendly Hospital Initiative in a Baby-Friendly accredited public hospital in Australia.
In this prospective, cross-sectional qualitative study we used focus groups to explore midwives' experiences. Midwives ( = 26) participated in two focus groups conducted between October and November 2019. Data were analyzed using thematic analysis.
Time as a critical resource, and continuity of care, were crosscutting themes that framed midwives' experiences in supporting mothers to breastfeed their babies. Time constraints were experienced both through the health system structure and the BFHI accreditation process. Despite the challenges, the overarching theme-that we all believe in breastfeeding-fueled midwives' motivation.
Health services policy and practice need to consider ways to enable continuity of midwifery care and adequate time for midwives to support women to breastfeed their babies.
在分娩住院期间，对新妈妈进行教育和支持是建立母乳喂养的关键时期。1991 年启动了爱婴医院倡议，以鼓励产科服务通过实施成功母乳喂养的十项措施来支持和教育母亲进行母乳喂养。
探索澳大利亚一家获得爱婴医院认证的公立医院的助产士在实施爱婴医院倡议方面的经验。
在这项前瞻性、横断面定性研究中，我们使用焦点小组来探索助产士的经验。助产士（=26）参加了 2019 年 10 月至 11 月期间进行的两次焦点小组讨论。使用主题分析对数据进行分析。
时间是一种关键资源，以及护理的连续性，这两个主题贯穿了助产士支持母亲母乳喂养婴儿的经历。时间限制既存在于卫生系统结构中，也存在于 BFHI 认证过程中。尽管存在挑战，但我们都相信母乳喂养的首要主题激发了助产士的积极性。
卫生服务政策和实践需要考虑如何使助产士的护理连续性和足够的时间来支持妇女母乳喂养婴儿。
