Feelings Toward Exclusive Breastfeeding Among Postpartum Women at a Baby-Friendly Health Facility in Peru.

IF 2 4区 医学 Q2 NURSING
Milagros Alexandra Talledo Guerra, Oscar Fausto Munares García
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引用次数: 0

Abstract

Background: The Baby-Friendly Hospital Initiative is a key global strategy to protect, promote, and support breastfeeding. Understanding women's emotional experiences within these settings is essential to improve breastfeeding support and quality of care.

Objectives: To explore feelings associated with exclusive breastfeeding among postpartum women receiving care at a Baby-Friendly health facility in Lima, Peru.

Methods: A qualitative phenomenological study was conducted in 2023 with 14 postpartum women. Data were collected through in-depth semi-structured interviews, passive participant observation, and photographic narratives. Interviews were audio-recorded, transcribed verbatim, and analyzed using ATLAS.ti (Version 9). Colaizzi's phenomenological method guided the coding, categorization, and theme development. Methodological rigor was strengthened through triangulation of data collection techniques and analytic consensus among researchers.

Results: Four themes emerged: (1) family support as an emotional and practical facilitator, (2) interactions with health professionals as a source of either tension or confidence, (3) emotional ambivalence toward exclusive breastfeeding, and (4) media and social networks as sources of motivation or uncertainty. Participants described exclusive breastfeeding as an emotionally demanding experience, often influenced by fatigue, pain, perceived low milk supply, and contradictory counseling.

Conclusions: Exclusive breastfeeding is shaped by emotional, social, and institutional factors. Even in Baby-Friendly facilities, inconsistent counseling and guilt-based messages may reduce maternal confidence. Strengthening empathetic, consistent support and involving families may enhance women's breastfeeding experiences.

秘鲁一家爱婴保健机构中产后妇女对纯母乳喂养的感受。
背景:爱婴医院倡议是保护、促进和支持母乳喂养的一项重要全球战略。了解妇女在这些环境中的情绪体验对于改善母乳喂养支持和护理质量至关重要。目的:探讨在秘鲁利马一家爱婴卫生机构接受纯母乳喂养的产后妇女的感受。方法:对2023年14例产后妇女进行定性现象学研究。通过深度半结构化访谈、被动参与观察和摄影叙事等方式收集数据。访谈录音,逐字转录,并使用ATLAS进行分析。ti(版本9)。Colaizzi的现象学方法指导了编码、分类和主题的发展。通过数据收集技术的三角测量和研究人员之间的分析共识,加强了方法的严谨性。结果:出现了四个主题:(1)家庭支持作为情感和实际的促进因素;(2)与卫生专业人员的互动作为紧张或自信的来源;(3)对纯母乳喂养的情感矛盾;(4)媒体和社交网络作为动机或不确定性的来源。参与者将纯母乳喂养描述为一种情感上要求很高的经历,经常受到疲劳、疼痛、感知到的低奶量和矛盾咨询的影响。结论:纯母乳喂养受到情感、社会和制度因素的影响。即使在爱婴机构,不一致的咨询和基于内疚的信息也可能降低产妇的信心。加强同情和持续的支持,并让家庭参与进来,可以提高妇女的母乳喂养经验。
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
Journal of Human Lactation
Journal of Human Lactation 医学-妇产科学
CiteScore
5.00
自引率
11.50%
发文量
100
审稿时长
6-12 weeks
期刊介绍: Committed to the promotion of diversity and equity in all our policies and practices, our aims are: To provide our readers and the international communities of clinicians, educators and scholars working in the field of lactation with current and quality-based evidence, from a broad array of disciplines, including the medical sciences, basic sciences, social sciences and the humanities. To provide student and novice researchers, as well as, researchers whose native language is not English, with expert editorial guidance while preparing their work for publication in JHL. In each issue, the Journal of Human Lactation publishes original research, original theoretical and conceptual articles, discussions of policy and practice issues, and the following special features: Advocacy: A column that discusses a ‘hot’ topic in lactation advocacy About Research: A column focused on an in-depth discussion of a different research topic each issue Lactation Newsmakers: An interview with a widely-recognized outstanding expert in the field from around the globe Research Commentary: A brief discussion of the issues raised in a specific research article published in the current issue Book review(s): Reviews written by content experts about relevant new publications International News Briefs: From major international lactation organizations.
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