探索纯母乳喂养的准备情况：赞比亚卢萨卡初产妇的经历
Exploring exclusive breastfeeding readiness: experiences of first-time mothers in Lusaka, Zambia.
作者信息
Sichimba Francis, Nakazwe Kalunga Cindy, Halawi Lena, Khalaf Atika
机构信息
Department of Psychology, University of Zambia, Lusaka, Zambia.
Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden.
出版信息
Int J Qual Stud Health Well-being. 2025 Dec;20(1):2463159. doi: 10.1080/17482631.2025.2463159. Epub 2025 Feb 9.
BACKGROUND
The World Health Organization recommends exclusive breastfeeding for the first six months of a baby's life. While many studies have provided insight into exclusive breastfeeding in Zambia, few have looked at the experiences of first-time mothers and exclusive breastfeeding readiness.
OBJECTIVE
To explore exclusive breastfeeding readiness and experiences of first-time mothers in Zambia.
METHODS
A qualitative descriptive study employing a phenomenological design was conducted with 17 mothers. Data was collected using a semi-structured face-to-face interview guide. Thematic analysis was used to analyse the interview transcripts.
RESULTS
The analysis resulted in an overarching theme: with four categories: Exclusive Breastfeeding Readiness and Motivation, Support Networks in the Breastfeeding Journey, Navigating the Exclusive Breastfeeding Journey, and Perceived Resources to Support Exclusive Breastfeeding Readiness.
CONCLUSIONS
Based on the findings, it is evident that although first-time mothers have knowledge on exclusive breastfeeding, mentally and practically, they are not ready to do so successfully. The study recommends improved prenatal and postnatal care provided to new mothers, with a focus on mental health readiness, breastfeeding instruction, and skills development.
背景
世界卫生组织建议婴儿出生后的前六个月进行纯母乳喂养。虽然许多研究深入探讨了赞比亚的纯母乳喂养情况，但很少有研究关注初产妇的经历以及她们对纯母乳喂养的准备情况。
目的
探讨赞比亚初产妇对纯母乳喂养的准备情况及经历。
方法
采用现象学设计进行了一项定性描述性研究，研究对象为17名母亲。通过半结构化面对面访谈指南收集数据。采用主题分析法对访谈记录进行分析。
结果
分析得出一个总体主题，包含四个类别：纯母乳喂养的准备情况和动机、母乳喂养过程中的支持网络、应对纯母乳喂养过程、以及支持纯母乳喂养准备的可感知资源。
结论
基于研究结果，很明显，尽管初产妇了解纯母乳喂养知识，但在心理和实际操作方面，她们尚未做好成功进行纯母乳喂养的准备。该研究建议改善为新妈妈提供的产前和产后护理，重点关注心理健康准备、母乳喂养指导和技能发展。
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