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母亲早断奶的体验:扎根理论。

Experiences of mothers with early weaning: a grounded theory.

机构信息

Universidade Federal do Rio Grande do Norte (UFRN), Programa de Pós-Graduação em Enfermagem. Natal, Rio Grande do Norte, Brasil.

Secretaria de Estado da Saúde Pública do Rio Grande do Norte (Sesap/RN), Hospital Giselda Trigueiro. Natal, Rio Grande do Norte, Brasil.

出版信息

Rev Gaucha Enferm. 2023 Nov 10;44:e20220290. doi: 10.1590/1983-1447.2023.20220290.en. eCollection 2023.

DOI:10.1590/1983-1447.2023.20220290.en
PMID:37970971
Abstract

OBJECTIVE

To understand the experiences of mothers with early weaning.

METHOD

Qualitative research with a theoretical-methodological contribution from Grounded Theory (Straussian perspective), carried out in the context of primary health care in a medium-sized municipality in the northeast of Brazil. 19 collaborators participated by theoretical sampling. Data collection took place between April and September 2018, with in-depth interviews, and was analyzed in three stages: open and axial coding, and integration.

RESULTS

The central category "Women experiencing guilt and overload due to early weaning" was supported by three categories: a) conditions: "Showing the factors that limit breastfeeding"; b) actions/interactions: "Trying to balance motherhood and work during breastfeeding" and "Insufficient social support to keep exclusive breastfeeding"; and c) consequences: "Introducing formula and complementary foods before six months" and "Blaming oneself for the early weaning".

FINAL CONSIDERATIONS

The theoretical model can give support to managers and health professionals to advocate for longer maternity leaves and confront gender disparities and inequities, professional performance with conflicts of interest, and abusive marketing regarding the use of formula.

摘要

目的

了解早期断奶母亲的体验。

方法

定性研究,理论方法上的贡献来自扎根理论(斯特劳斯视角),在巴西东北部一个中等城市的基层医疗保健背景下进行。19 名合作者通过理论抽样参与。数据收集于 2018 年 4 月至 9 月之间进行,采用深入访谈,并分三个阶段进行分析:开放式和轴向编码,以及整合。

结果

中心类别“因早期断奶而感到内疚和负担过重的妇女”由三个类别支持:a)条件:“显示限制母乳喂养的因素”;b)行动/互动:“在母乳喂养期间努力平衡母性和工作”和“获得足够的社会支持以保持纯母乳喂养”;c)后果:“在六个月之前引入配方奶和补充食品”和“因早期断奶而自责”。

最终考虑

理论模型可以为管理者和卫生专业人员提供支持,倡导延长产假,解决性别差距和不平等、有利益冲突的专业表现以及有关配方奶使用的不良营销问题。

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