Registered nurse lactation consultants' experiences supporting maternal mental health: A qualitative descriptive study

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2024-08-12 DOI:10.1016/j.midw.2024.104145

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引用次数: 0

Abstract

Background

The province of Nova Scotia has the highest rates of perinatal mental health disorders in Canada, and rates of exclusive breastfeeding fall below the Canadian national average. Exclusive breastfeeding is identified as a protective factor against the development of perinatal mental health disorders. Lactation consultant support is associated with increased rates of exclusive breastfeeding and decreased rates of perinatal mental health disorders. Despite this, little is known regarding the experiences of Registered Nurse Lactation Consultants related to supporting maternal mental health.

Objective

To understand the experiences of Registered Nurse Lactation Consultants related to supporting maternal mental health.

Design

A qualitative descriptive design using online semi-structured interviews.

Setting & Participants

Ten Registered Nurse Lactation Consultants employed in the publicly funded healthcare system in Nova Scotia, Canada, were recruited via purposive sampling.

Findings

Three themes emerged regarding the relational experiences of Registered Nurse Lactation Consultants while supporting maternal mental health; these included (1) Experiences supporting maternal mental health, (2) Providing maternal mental health care, and (3) Mothers need support.

Key conclusions and implications for practice

Registered Nurse Lactation Consultants described positive experiences supporting maternal mental health and indicated that lactation consultant appointments were an opportune time to provide screening and support for maternal mental health. Enhancing support for maternal mental health requires collaborative and integrated approaches throughout the perinatal period. Healthcare providers, including Registered Nurse Lactation Consultants, must be provided with the support and resources to provide timely and appropriate support for maternal mental health throughout the perinatal period.

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注册护士哺乳顾问支持产妇心理健康的经验：定性描述研究

背景新斯科舍省是加拿大围产期精神疾病发病率最高的省份，纯母乳喂养率低于加拿大全国平均水平。纯母乳喂养被认为是围产期精神疾病的一个保护因素。哺乳顾问的支持与纯母乳喂养率的提高和围产期精神疾病发病率的降低有关。尽管如此，人们对注册护士哺乳顾问在支持产妇心理健康方面的经验却知之甚少。目的了解注册护士哺乳顾问在支持产妇心理健康方面的经验。主要结论和对实践的启示注册护士哺乳顾问描述了支持孕产妇心理健康的积极经验，并表示哺乳顾问预约是提供孕产妇心理健康筛查和支持的好时机。加强对孕产妇心理健康的支持需要在整个围产期采取协作和综合的方法。必须为包括注册护士哺乳顾问在内的医疗保健提供者提供支持和资源，以便在整个围产期为孕产妇的心理健康提供及时、适当的支持。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.