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Mothers’ Use of Social Media to Inform Their Practices for Pumping and Providing Pumped Human Milk to Their Infants

机译:母亲使用社交媒体来告知自己的做法以便为婴儿抽水和向婴儿提供抽水的母乳

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摘要

Despite U.S. mothers’ wide adoption of pumps and bottles to provide human milk (HM) to their infants, mothers lack comprehensive, evidence-based guidelines for these practices. Thus, some women use online sources to seek information from each other. We aimed to characterize the information women sought online about pumping. We used data provided by ~25,000 women in an open cohort within a discussion forum about parenting. We examined 543 posts containing questions about providing pumped HM cross-sectionally and longitudinally in three time intervals: prenatal, 0 through 1.5 months postpartum, and 1.5 to 4.5 months postpartum. We used thematic analysis with Atlas.ti to analyze the content of posts. During pregnancy, women commonly asked questions about how and where to obtain pumps, both out-of-pocket and through insurance policies. Between 0–1.5 months postpartum, many mothers asked about how to handle pumped HM to ensure its safety as fed. Between 1.5–4.5 months postpartum, mothers sought strategies to overcome constraints to pumping both at home and at work and also asked about stopping pumping and providing their milk. Women’s questions related to ensuring the safety of pumped HM represent information women need from health professionals, while their questions related to obtaining pumps suggest that women may benefit from clearer guidelines from their insurance providers. The difficulties women face at home and at work identify avenues through which families and employers can support women to meet their goals for providing HM.
机译:尽管美国母亲广泛采用泵和奶瓶为婴儿提供母乳(HM),但母亲仍缺乏针对这些行为的全面,循证指南。因此,一些妇女使用在线资源互相寻求信息。我们旨在表征女性在网上寻求有关抽烟的信息。我们在一个有关养育子女的讨论论坛中的一个开放队列中,使用了约25,000名妇女提供的数据。我们检查了543个帖子,其中包含有关在三个时间间隔内横断和纵向提供HM的问题:产前,产后0到1.5个月以及产后1.5到4.5个月。我们使用Atlas.ti的主题分析来分析帖子的内容。在怀孕期间,女性通常会自费或通过保险政策询问有关如何以及在何处获得泵的问题。在产后0–1.5个月之间,许多母亲问到如何处理泵送的HM,以确保其喂养安全。在产后1.5-4.5个月之间,母亲们寻求策略来克服在家和工作中抽水的限制,并询问是否停止抽水和提供牛奶。妇女与确保抽出的HM的安全性有关的问题代表了女性从卫生专业人员那里获得的信息,而她们的与获得抽水有关的问题表明,妇女可能会从保险提供者的更清晰指导中受益。妇女在家庭和工作中面临的困难确定了途径,家庭和雇主可以通过这些途径支持妇女实现其提供HM的目标。

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