Gálvez-Adalia Esther, Bartolomé-Gutiérrez Raquel, Berlanga-Macías Carlos, Rodríguez-Martín Beatriz, Marcilla-Toribio Irene, Martínez-Andrés María
Health Service of Castilla-La Mancha, SESCAM, 16071 Cuenca, Spain.
Faculty of Nursing, Universidad de Castilla-La Mancha, 02071 Albacete, Spain.
Children (Basel). 2022 Dec 8;9(12):1920. doi: 10.3390/children9121920.
Breastfeeding is a complex process influenced by different personal and social factors which will determine both the initiation and the resilience for its maintenance. The aim is to identify the beliefs and expectations of mothers concerning breastfeeding to determine the perception of their self-efficacy and the influence on the management of their babies' feeding. A qualitative study through semi-structured interviews was carried out. The sample size was defined by the saturation criteria. Twenty-two women participated, eleven were from an urban environment and eleven were from a rural environment. Mothers' knowledge of breastfeeding, their expectations of that process, their experience, and their strategies for overcoming problems associated with initiating, establishing, and continuing breastfeeding were influenced by the role of nurses and midwives in supporting their perception of self-efficacy. Likewise, maternity policies are important for the continuance of exclusive breastfeeding. This study shows the complexity of the initiation and establishment of breastfeeding and the existence of several social factors surrounding these moments. Furthermore, it demonstrates the importance and reference of nurses and midwives and the role of State maternity policies.
母乳喂养是一个受不同个人和社会因素影响的复杂过程，这些因素将决定母乳喂养的开始以及维持母乳喂养的持久力。目的是确定母亲们关于母乳喂养的信念和期望，以确定她们对自我效能感的认知以及对其婴儿喂养管理的影响。通过半结构化访谈进行了一项定性研究。样本量由饱和标准确定。22名女性参与了研究，其中11名来自城市环境，11名来自农村环境。护士和助产士在支持母亲自我效能感认知方面所起的作用，影响了母亲们对母乳喂养的知识、她们对该过程的期望、她们的经验以及她们克服与开始、建立和持续母乳喂养相关问题的策略。同样，产假政策对于纯母乳喂养的持续进行也很重要。这项研究表明了母乳喂养开始和建立的复杂性以及围绕这些时刻存在的几个社会因素。此外，它还证明了护士和助产士的重要性和参考价值以及国家产假政策的作用。
