糖尿病女性建立母乳喂养的促进因素和障碍？
Facilitators and barriers to establishing lactation among women with diabetes?
作者信息
McGuinness Denise, Daniel Usha, Brien Denise O
机构信息
School of Nursing, Midwifery & Health Systems, University College Dublin, Belfield, Dublin 4, Ireland.
National Maternity Hospital, Dublin, Ireland.
出版信息
Diabet Med. 2025 Aug;42(8):e70045. doi: 10.1111/dme.70045. Epub 2025 Apr 11.
AIM
To identify the facilitators and barriers to establishing lactation among women with diabetes in pregnancy.
METHODS
A qualitative descriptive study involving face-to-face semi-structured interviews with 13 postpartum women. An inductive, data-driven content analysis approach was utilised. This study followed the consolidated criteria for reporting qualitative research (COREQ) guidelines.
RESULTS
Facilitators to breastfeeding and establishing lactation among women with diabetes included antenatal colostrum harvesting during the antenatal period and support from health care professionals. Barriers included emotional self-efficacy challenges and a lack of support from healthcare professionals in the hospital setting.
CONCLUSION
Women with diabetes report further challenges establishing breastfeeding due to delayed lactogenesis ll (secretory activation), hypoglycaemia and self-efficacy challenges. Given the adverse health risks for mother and infant associated with not breastfeeding, women with diabetes require individualised person-centred lactation care plans to maximise their opportunity to experience a successful breastfeeding journey.
目的
确定孕期糖尿病女性建立泌乳的促进因素和障碍。
方法
一项定性描述性研究，对13名产后女性进行面对面半结构化访谈。采用归纳式、数据驱动的内容分析方法。本研究遵循定性研究报告的综合标准（COREQ）指南。
结果
糖尿病女性母乳喂养和建立泌乳的促进因素包括孕期采集初乳以及医护人员的支持。障碍包括情绪自我效能挑战以及医院环境中医护人员支持不足。
结论
糖尿病女性由于泌乳Ⅱ期（分泌激活）延迟、低血糖和自我效能挑战，在建立母乳喂养方面面临更多挑战。鉴于不进行母乳喂养对母婴健康存在不良风险，糖尿病女性需要个性化的以患者为中心的泌乳护理计划，以最大程度地增加她们成功进行母乳喂养的机会。
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