Norwegian University of Science and Technology, Ålesund, Norway.
The Norwegian Directorate of Health, Oslo, Norway.
Int Breastfeed J. 2024 May 14;19(1):34. doi: 10.1186/s13006-024-00636-x.
Mothers are recommended to breastfeed their children but can find it challenging and experience breastfeeding problems. Qualified breastfeeding counselling from healthcare professionals can help mothers master breastfeeding, but there is a need to explore mothers' lived experiences with receiving breastfeeding counselling. We aimed to reveal breastfeeding mothers' experiences with receiving breastfeeding counselling from midwives and public health nurses (PHNs) to provide a deeper insight into the phenomenon of breastfeeding counselling, which may improve breastfeeding counselling in practice.
A qualitative design with a hermeneutic phenomenological approach was used. Individual interviews of 11 breastfeeding mothers from Norway were conducted from September 2021 to 2022. Van Manen's guided existential inquiry guided the reflective process to provide deeper insights into the phenomenon of breastfeeding counselling.
The study captured the meaning of breastfeeding mothers' lived experiences with breastfeeding counselling. Three themes and eight sub-themes were found. Breastfeeding was at stake for the mothers because breastfeeding could be reduced or stopped, and qualified breastfeeding counselling from midwives and PHNs was essential for them to establish and continue breastfeeding. They needed to be perceived as both breastfeeding mothers and as women with their own needs to master everyday life during the breastfeeding period.
This study offers insights to midwives, PHNs and others offering breastfeeding counselling by facilitating an understanding of being a breastfeeding mother receiving breastfeeding counselling. Qualified breastfeeding counselling and a trusting relationship with midwives and PHNs are essential for mothers to establish and continue breastfeeding, while deficient counselling may cause breastfeeding difficulties. Mothers need to be treated as whole and competent persons to avoid objectification and fathers/partners need to be included in breastfeeding counselling. The 'Baby-Friendly Hospital Initiative' should be continued, and guidelines should align with the mothers' need to incorporate breastfeeding into their daily lives during the breastfeeding period.
建议母亲用母乳喂养孩子，但她们可能会觉得有挑战并遇到母乳喂养问题。合格的母乳喂养咨询可以帮助母亲掌握母乳喂养，但需要探索母亲接受母乳喂养咨询的真实体验。我们旨在揭示母乳喂养母亲从助产士和公共卫生护士（PHN）那里获得母乳喂养咨询的体验，以便更深入地了解母乳喂养咨询现象，从而可能改善实践中的母乳喂养咨询。
采用定性设计和解释现象学方法。2021 年 9 月至 2022 年，对挪威的 11 位母乳喂养母亲进行了个体访谈。Van Manen 的指导存在主义探究指导了反思过程，以提供对母乳喂养咨询现象的更深入见解。
该研究捕捉到了母乳喂养母亲接受母乳喂养咨询的体验的意义。发现了三个主题和八个子主题。母乳喂养对母亲来说是有风险的，因为母乳喂养可能会减少或停止，而合格的母乳喂养咨询对于她们建立和继续母乳喂养是必不可少的。她们需要被视为母乳喂养的母亲和有自己需求的女性，以在母乳喂养期间掌握日常生活。
本研究为助产士、PHN 及其他提供母乳喂养咨询的人提供了一些见解，使他们能够理解接受母乳喂养咨询的母乳喂养母亲。合格的母乳喂养咨询以及与助产士和 PHN 的信任关系对于母亲建立和继续母乳喂养至关重要，而不足的咨询可能会导致母乳喂养困难。母亲需要被视为完整和有能力的人，以避免被客体化，并且需要让父亲/伴侣参与母乳喂养咨询。应继续实施“爱婴医院倡议”，并且指南应符合母亲在母乳喂养期间将母乳喂养融入日常生活的需求。
