Hope in breastfeeding in the context of breastfeeding counseling: a qualitative analysis based on the Multidimensional Model of Hope.

Revista da Escola de Enfermagem da U S P Pub Date : 2026-09-04 eCollection Date: 2026-01-01 DOI:10.1590/1980-220X-REEUSP-2025-0394en
Allison Scholler de Castro Villas Boas, Monika Wernet, Mariana Torreglosa Ruiz, Aline Oliveira Silveira, Zaida Charepe, Ana Maria Linares, Jéssica Aparecida da Silva
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Abstract

Objective: To understand hope in breastfeeding from the perspective of women who received breastfeeding counselling.

Method: A qualitative study nested within a clinical trial, based on thematic analysis guided by the Multidimensional Model of Hope. The study included 11 women interviewed between 14 and 18 months postpartum, all of whom had participated in the pilot study of a clinical trial and had received breastfeeding counselling in rooming-in units of maternity hospitals located in Minas Gerais, Rio de Janeiro, and Bahia, Brazil. A single, semi-structured, audio-recorded interview was conducted between May and September 2024.

Results: Women perceived breastfeeding as an act that positively affects child health and promotes mother-child bonding, both regarded as expected outcomes. Breastfeeding counselling was essential in helping them overcome doubts, fears, and breastfeeding-related challenges. This supportive relationship constituted an experience that activated dimensions of hope and left lasting emotional memories.

Conclusion: The relationship with the breastfeeding counsellor, a component of the affiliative dimension of hope, facilitated and structured women's coping with breastfeeding challenges toward the hoped-for outcome.

母乳喂养辅导背景下的母乳喂养希望:基于多维希望模型的定性分析
目的:从接受母乳喂养咨询的妇女的角度了解母乳喂养的希望。方法:在多维希望模型的指导下,以专题分析为基础,在临床试验中进行定性研究。该研究包括11名产后14至18个月的妇女,她们都参加了一项临床试验的试点研究,并在位于米纳斯吉拉斯州、里约热内卢和巴西巴伊亚州的妇产医院的住房部接受了母乳喂养咨询。在2024年5月至9月期间进行了一次单一的、半结构化的、录音的采访。结果:妇女认为母乳喂养是一种积极影响儿童健康和促进母子关系的行为,两者都被视为预期的结果。母乳喂养咨询对于帮助她们克服疑虑、恐惧和与母乳喂养有关的挑战至关重要。这种相互支持的关系构成了一种体验,激活了希望的维度,并留下了持久的情感记忆。结论:与母乳喂养咨询师的关系是希望的附属维度的一个组成部分,促进和组织了妇女应对母乳喂养挑战的期望结果。
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