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解释有高危妊娠经历的母亲对母乳喂养的感知和体验:一项方案研究。

Explaining the perception and experiences of breastfeeding in mothers who have a high risk pregnancy: a protocol study.

机构信息

Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Reprod Health. 2024 Jun 1;21(1):74. doi: 10.1186/s12978-024-01817-x.

Abstract

INTRODUCTION

Enhancing breastfeeding practices, even in affluent nations, significantly reduces child mortality rates. Nevertheless, three out of five newborns do not receive breastfeeding within the first hour of birth. Research indicates that under high-risk pregnancy circumstances, there may be challenges in initiating and sustaining breastfeeding. Infants born from high-risk pregnancies are particularly vulnerable to illnesses and mortality. Although breastfeeding serves as a protective measure against various infant and post-infancy ailments, many mothers encounter difficulties in commencing or maintaining breastfeeding due to complications associated with their conditions. The present study aims to illuminate the understanding and experience of breastfeeding in mothers with high-risk pregnancies, considering the cultural and social context of Iran.

METHOD

This study is a qualitative research utilizing a conventional content analysis approach. In this qualitative study, mothers who have undergone a high-risk pregnancy and currently have infants under 6 months old will be chosen through purposeful and snowball sampling. Their breastfeeding experiences will be gathered through individual, semi-structured, and face-to-face interviews. In addition to interviews, observation and focus groups will also be used to collect data. Data analysis was performed using Graneheim and Lundman's method with MAXQDA software version 10, VERBI Software GmbH, Berlin. The study will utilize the criteria of Lincoln and Guba (1985) for validity and reliability.

DISCUSSION

This qualitative study aims to investigate the experiences and challenges of breastfeeding in mothers with high-risk pregnancies to pinpoint breastfeeding barriers in this demographic and develop essential interventions and strategies to address these obstacles.

摘要

简介

在富裕国家,加强母乳喂养实践可以显著降低儿童死亡率。然而,每五个新生儿中就有三个在出生后的第一个小时内没有接受母乳喂养。研究表明,在高风险妊娠情况下,开始和维持母乳喂养可能存在挑战。高风险妊娠出生的婴儿特别容易患病和死亡。尽管母乳喂养是预防婴儿和婴儿后期各种疾病的保护措施,但许多母亲由于与自身状况相关的并发症而在开始或维持母乳喂养方面遇到困难。本研究旨在阐明伊朗文化和社会背景下,高风险妊娠母亲对母乳喂养的理解和体验。

方法

本研究是一项定性研究,采用传统的内容分析方法。在这项定性研究中,将通过目的性和滚雪球抽样选择经历过高风险妊娠且目前有 6 个月以下婴儿的母亲。通过个人、半结构化和面对面访谈收集她们的母乳喂养经验。除了访谈外,还将使用观察和焦点小组来收集数据。数据分析采用 Graneheim 和 Lundman 的方法,使用 MAXQDA 软件版本 10,由柏林的 VERBI Software GmbH 开发。该研究将利用 Lincoln 和 Guba(1985)的标准来确保有效性和可靠性。

讨论

本定性研究旨在调查高风险妊娠母亲母乳喂养的经验和挑战,以确定该人群中母乳喂养的障碍,并制定必要的干预措施和策略来解决这些障碍。

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