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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Barriers to Early Initiation and Continuation of Breastfeeding in a Tertiary care Institute of Haryana:A Qualitative Study in NursingCare Providers
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Barriers to Early Initiation and Continuation of Breastfeeding in a Tertiary care Institute of Haryana:A Qualitative Study in NursingCare Providers

机译：哈里亚纳邦三级护理研究所提早开始和继续母乳喂养的障碍：护理护理提供者的定性研究

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Introduction: Ever increasing institutional deliveries in India has shifted the responsibility of timely initiation and continuation of breastfeeding from peripheral health workers and families to the nursing care providers of health facilities where the births take place. While institutional deliveries have increased to 72.6%, only 44.6% of the newborns enjoy early breastfeeding in India.Aim: To study the barriers to early initiation of breastfeeding in institutional delivery.Materials and Methods: A total 34 nursing care providers were selected randomly and five Focus Group Discussions (FGDs) were carried out. This Qualitative Study was conducted through FGDs among the nursing care providers of a tertiary care institute in the Indian State of Haryana, India.Statistical Analysis: The analyses continued throughout the group discussions as the newly emerged themes were tested in the subsequent discussion. FGDs transcripts were analysed to enhance the robustness of the emerged domain.Results: Major barriers to initiation of breast feeding identified included: lack of awareness regarding proper technique of breastfeeding and benefits of colostrum; breast abnormality like inverted/retracted nipples; obstetriceonatal complications requiring specialised care; and cultural practices like giving pre-lacteals and gender discrimination. It was further reported that the manpower has not been rationalised with ever increasing number of institutional deliveries. The respondents though willing to promote early initiation and continuation of breastfeeding felt excessive workload as one of the major barriers due to multi-tasking nature of their job.Conclusion: The new challenges to the early initiation and continuation of breastfeeding are emerging due to change in the place of delivery which needs to be addressed at the policy level.
机译：简介：印度越来越多的机构分娩已将及时开始和继续母乳喂养的责任从外围卫生工作者和家庭转移到了发生分娩的医疗机构的护理人员。虽然机构分娩增加到72.6％，但印度只有44.6％的新生儿享受早期母乳喂养目的：研究机构分娩中早期开始母乳喂养的障碍材料和方法：随机选择了34名护理提供者，进行了五次焦点小组讨论。这项定性研究是通过FGD在印度哈里亚纳邦一家三级医疗机构的护理提供者中进行的。统计分析：由于在随后的讨论中对新出现的主题进行了测试，因此在整个小组讨论中该分析都在继续进行。结果：确定了开始母乳喂养的主要障碍包括：对母乳喂养的正确技术和初乳的益处缺乏了解;以及对母乳喂养的认识。乳房异常，如乳头内陷/凹陷;产科/新生儿并发症需要特殊护理;以及进行礼拜前和性别歧视等文化习俗。据进一步报道，随着机构交付数量的不断增加，人力还没有得到合理化。尽管愿意促进母乳喂养的早日开始和继续进行的受访者认为工作量过多是其工作的多任务性的主要障碍之一。结论：由于婴儿期的变化，早期开始和继续母乳喂养的新挑战正在出现。需要在政策级别解决的交货地点。

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