Breastfeeding mother's experiences with breastfeeding counselling: a qualitative study.

IF 2.9 2区 医学 Q1 OBSTETRICS & GYNECOLOGY
Ingvild Lande Hamnøy, Marianne Kjelsvik, Anne Bergljot Baerug, Berit Misund Dahl
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引用次数: 0

Abstract

Background: 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.

Methods: 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.

Results: 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.

Conclusions: 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.

母乳喂养母亲的母乳喂养咨询经验:一项定性研究。
背景我们建议母亲们用母乳喂养自己的孩子,但她们可能会发现母乳喂养具有挑战性,并遇到母乳喂养问题。医护人员提供的合格母乳喂养辅导可帮助母亲掌握母乳喂养,但有必要探讨母亲接受母乳喂养辅导的生活经验。我们旨在揭示母乳喂养的母亲在接受助产士和公共卫生护士(PHNs)提供的母乳喂养咨询时的经历,从而更深入地了解母乳喂养咨询的现象,从而在实践中改进母乳喂养咨询:方法:采用诠释现象学的定性设计方法。2021 年 9 月至 2022 年期间,对挪威的 11 位母乳喂养母亲进行了个别访谈。范马南(Van Manen)指导下的存在主义探究引导了反思过程,为母乳喂养咨询现象提供了更深入的见解:研究捕捉到了母乳喂养母亲的母乳喂养咨询生活经历的意义。研究发现了三个主题和八个次主题。母乳喂养关系到母亲们的切身利益,因为母乳喂养可能会减少或停止,助产士和公共卫生护士提供的合格的母乳喂养辅导对她们建立和继续母乳喂养至关重要。她们既需要被视为母乳喂养的母亲,也需要被视为有自身需求的妇女,以便在母乳喂养期间掌握日常生活:本研究为助产士、公共卫生护士和其他提供母乳喂养咨询的人员提供了启示,帮助她们了解作为一名母乳喂养母亲如何接受母乳喂养咨询。合格的母乳喂养辅导以及与助产士和公共卫生护士之间的信任关系对母亲建立和继续母乳喂养至关重要,而辅导不足则可能导致母乳喂养困难。母亲需要被视为完整和有能力的人,以避免被物化,父亲/伴侣也需要被纳入母乳喂养咨询中。应继续推行 "爱婴医院倡议",并根据母亲的需要制定指导方针,将母乳喂养纳入哺乳期的日常生活中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Breastfeeding Journal
International Breastfeeding Journal Medicine-Obstetrics and Gynecology
CiteScore
6.30
自引率
11.40%
发文量
76
审稿时长
32 weeks
期刊介绍: Breastfeeding is recognized as an important public health issue with enormous social and economic implications. Infants who do not receive breast milk are likely to experience poorer health outcomes than breastfed infants; mothers who do not breastfeed increase their own health risks. Publications on the topic of breastfeeding are wide ranging. Articles about breastfeeding are currently published journals focused on nursing, midwifery, paediatric, obstetric, family medicine, public health, immunology, physiology, sociology and many other topics. In addition, electronic publishing allows fast publication time for authors and Open Access ensures the journal is easily accessible to readers.
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