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首页> 美国卫生研究院文献>Maternal Child Nutrition >‘It should be the most natural thing in the world’: exploring first‐time mothers breastfeeding difficulties in the UK using audio‐diaries and interviews
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‘It should be the most natural thing in the world’: exploring first‐time mothers breastfeeding difficulties in the UK using audio‐diaries and interviews

机译：这应该是世界上最自然的事情：通过有声对话和访谈的方式探讨英国初生母亲的母乳喂养困难

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摘要

Breastfeeding is a practice which is promoted and scrutinized in the UK and internationally. In this paper, we use interpretative phenomenological analysis to explore the experiences of eight British first‐time mothers who struggled with breastfeeding in the early post‐partum period. Participants kept audio‐diary accounts of their infant feeding experiences across a 7‐day period immediately following the birth of their infant and took part in related semi‐structured interviews a few days after completion of the diary. The overarching theme identified was of a tension between the participants' lived, embodied experience of struggling to breastfeed and the cultural construction of breastfeeding as ‘natural’ and trouble‐free. Participants reported particular difficulties interpreting the pain they experienced during feeds and their emerging maternal identities were threatened, often fluctuating considerably from feed to feed. We discuss some of the implications for breastfeeding promotion and argue for greater awareness and understanding of breastfeeding difficulties so that breastfeeding women are less likely to interpret these as a personal shortcoming in a manner which disempowers them. We also advocate the need to address proximal and distal influences around the breastfeeding dyad and, in particular, to consider the broader cultural context in the UK where breastfeeding is routinely promoted yet often constructed as a shameful act if performed in the public arena.
机译：母乳喂养是一种在英国和国际上推广和审查的做法。在本文中，我们使用解释性现象学分析来探讨八名英国初生母亲在产后早期因母乳喂养而苦苦挣扎的经历。参加者在婴儿出生后的7天之内记录了婴儿在7天内的喂养经历，并在日记结束后几天参加了相关的半结构式访谈。所确定的首要主题是参与者的生活之间的紧张关系，体现了努力争取母乳喂养的经历与母乳喂养的“自然”且无麻烦的文化结构之间的张力。参与者报告说，解释他们在喂食过程中所经历的痛苦特别困难，而且他们新兴的孕产妇身分受到威胁，通常在喂食与喂食之间波动很大。我们讨论了促进母乳喂养的一些含义，并呼吁人们更多地了解和理解母乳喂养的困难，这样母乳喂养的妇女就不太可能将其解释为个人弱点，从而削弱了她们的能力。我们还主张有必要解决母乳喂养二元周围的近端和远端影响，尤其是要考虑英国的常规文化背景，在英国，常规提倡母乳喂养，但如果在公共场所进行母乳喂养，通常会构成可耻的行为。

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