Mahurin-Smith Jamie
Jamie Mahurin-Smith is an Associate Professor, Department of Communication Sciences and Disorders, Illinois State University, Normal, IL. Dr. Mahurin-Smith can be reached via email at
MCN Am J Matern Child Nurs. 2023;48(3):161-167. doi: 10.1097/NMC.0000000000000909.
Breastfeeding problems are common; however, health care providers vary widely in their ability to address them effectively.
The purpose of this study was to identify the relative frequencies of common breastfeeding challenges and their associations with maternal well-being.
Women completed an online survey in which they described breastfeeding problems. Factor analysis was used to identify problems that co-occurred frequently, as well as the problems most strongly associated with maternal distress, maternal perceptions of greater severity, and postpartum depression or postpartum anxiety.
There were 535 responses to the online survey; of these, 457 answered the question about the nature of their breastfeeding difficulties. Pain with breastfeeding was the most common breastfeeding problem. Difficulties with milk supply and milk intake were most strongly associated with heightened maternal distress and perceptions of severity.
Coordinated care for breastfeeding dyads, in which providers acknowledge the complex and reciprocal nature of many breastfeeding problems, has the potential to improve maternal satisfaction with breastfeeding as well as breastfeeding metrics.
母乳喂养问题很常见；然而，医疗保健提供者有效解决这些问题的能力差异很大。
本研究的目的是确定常见母乳喂养挑战的相对频率及其与母亲幸福感的关联。
女性完成了一项在线调查，在调查中她们描述了母乳喂养问题。因子分析用于确定经常共同出现的问题，以及与母亲痛苦、母亲对更严重程度的认知、产后抑郁或产后焦虑关联最密切的问题。
在线调查共收到535份回复；其中，457人回答了关于母乳喂养困难性质的问题。母乳喂养时疼痛是最常见的母乳喂养问题。乳汁供应和乳汁摄入困难与母亲痛苦加剧和严重程度认知关联最密切。
对母乳喂养二元组进行协调护理，即提供者承认许多母乳喂养问题的复杂和相互性质，有可能提高母亲对母乳喂养的满意度以及母乳喂养指标。
