祖母对巴布亚新几内亚一个农村社区母乳喂养行为的影响:对初产妇观点的批判性话语分析
Influence of grandmothers on breastfeeding practices in a rural community in Papua New Guinea: A critical discourse analysis of first-time mothers' perspectives.
作者信息
Maviso McKenzie Ken, Kaforau Lillian Maye, Hastie Carolyn
机构信息
Division of Public Health, School of Medicine and Health Sciences, University of Papua New Guinea, Port Moresby, Papua New Guinea.
School of Foundation Studies, Pacific TAFE Science Technology & Environment, University of South Pacific, Honiara Campus, Solomon Islands.
出版信息
Women Birth. 2023 Mar;36(2):e263-e269. doi: 10.1016/j.wombi.2022.08.001. Epub 2022 Aug 11.
BACKGROUND
Almost all babies are breastfed in Papua New Guinea (PNG); yet appropriate breastfeeding practices are not always followed.
AIM
To explore the perspectives of first-time mothers in rural PNG on how the language and discourse of grandmothers about infant feeding influence their breastfeeding practices.
METHODS
A critical discourse analysis (CDA) approach was used to theoretically frame the analysis of twenty first-time mothers' narratives.
FINDINGS
Analysis revealed three themes: (i) prescribed knowledge repository, (ii) social control and dominance, and (iii) disapproval and role conflict, which provides an understanding of grandmothers' differing views and positions on infant feeding practices and their influence on breastfeeding.
CONCLUSION
This study shows that grandmothers remain influential in infant feeding practices in rural PNG. There appears to be a societal expectation that empowers grandmothers in the maternal decision-making processes regarding breastfeeding practice. Grandmothers' influence includes the early introduction of complementary foods to infants less than six months old. Interventions aimed at promoting, protecting, and supporting breastfeeding need to include grandmothers.
背景
在巴布亚新几内亚(PNG),几乎所有婴儿都接受母乳喂养;然而,并非总是遵循适当的母乳喂养做法。
目的
探讨巴布亚新几内亚农村地区初为人母者对于祖母们关于婴儿喂养的语言和论述如何影响其母乳喂养做法的看法。
方法
采用批判性话语分析(CDA)方法从理论上对20位初为人母者的叙述进行分析。
研究结果
分析揭示了三个主题:(i)规定的知识库,(ii)社会控制与主导,以及(iii)不赞成与角色冲突,这有助于理解祖母们对婴儿喂养做法的不同观点和立场及其对母乳喂养的影响。
结论
本研究表明,在巴布亚新几内亚农村地区,祖母们在婴儿喂养做法方面仍然具有影响力。社会似乎期望在关于母乳喂养做法的孕产妇决策过程中赋予祖母们权力。祖母们的影响包括过早给六个月以下婴儿添加辅食。旨在促进、保护和支持母乳喂养的干预措施需要纳入祖母们。