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.
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.