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加纳大都市地区纯母乳喂养中残疾妇女面临的挑战:一项定性研究

Exploring the Challenges Facing Women with Disabilities in Exclusive Breastfeeding in a Metropolitan Area in Ghana: A Qualitative Study.

机构信息

Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

T.I. Ahmadiyya Senior High, Kumasi, Ghana.

出版信息

Matern Child Health J. 2022 Sep;26(9):1854-1860. doi: 10.1007/s10995-022-03478-3. Epub 2022 Jul 30.

Abstract

OBJECTIVES

Whereas extant literature abounds with works on breastfeeding and its implications for child health and survival, there is very limited research on the challenges faced by disabled women in breastfeeding their infants and children. This study explored the challenges facing disabled women in the Kumasi Metropolis in exclusively breastfeeding their infants using qualitatibve research design.

METHODS

Using a sample of 55 from the communities and key informants the snowballing and purtposive sampling techniques were used. The thematic approach was used in the analysis which was done manually.

RESULTS

Most disabled women have Caesarean deliveries which could challenge exclusively breastfeed their infants. It was observed that disabled mothers generally have a low level of education, mostly unmarried and not gainfully employed. Secondly, most disabled mothers go through a Caesarean section during birth which makes it pretty difficult for them to exclusively breastfeed their infants. Apart from disabilities such as physical impairment, deafness and blindness which could challenge women exclusively breatfeed their children, additionally some health professionals discourage them from doing so. Some women and relatives of the disabled discourage them from exclusively breastfeeding their infants either through lack of awareness of the efficacy of the practice or the stress their involvement in exclusive breastfeeding brings upon the women themselves.

CONCLUSIONS

Various forms of disability, and dsiscouragement from some health professionals and family members may constrain disabled women from exclusively breatfeeding their infants. Recommendations include, implementing the Disability Act, creating special wards for disabled women in the health institutions and orienting the medical staff on their professional responsibilities in taking care of the disabled.

摘要

目的

尽管现有文献中有大量关于母乳喂养及其对儿童健康和生存影响的研究,但关于残疾妇女在母乳喂养婴儿和儿童方面面临的挑战的研究非常有限。本研究采用定性研究设计,探讨了库马西大都市区残疾妇女在纯母乳喂养婴儿方面面临的挑战。

方法

使用社区和关键知情者的 55 名样本,采用雪球抽样和目的抽样技术。采用主题方法进行分析,分析是手动完成的。

结果

大多数残疾妇女进行剖宫产,这可能会对纯母乳喂养婴儿造成挑战。观察到残疾母亲的教育水平普遍较低,大多数未婚且没有就业。其次,大多数残疾母亲在分娩时进行剖宫产,这使得她们很难纯母乳喂养婴儿。除了身体残疾、失聪和失明等可能使妇女难以纯母乳喂养孩子的残疾外,一些卫生专业人员也劝阻她们这样做。一些妇女和残疾妇女的亲属劝阻她们纯母乳喂养婴儿,要么是因为缺乏对该做法效果的认识,要么是因为妇女自己参与纯母乳喂养带来的压力。

结论

各种形式的残疾,以及一些卫生专业人员和家庭成员的劝阻,可能会限制残疾妇女纯母乳喂养婴儿。建议包括实施《残疾人法》,在卫生机构为残疾妇女设立特别病房,并指导医务人员履行照顾残疾妇女的专业责任。

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