Interrupción temprana de la lactancia maternaUn estudio cualitativo

  1. Laura Cortés-Rúa
  2. Gabriel J. Díaz-Grávalos
Revista:
Enfermería clínica

ISSN: 1130-8621

Ano de publicación: 2019

Volume: 29

Número: 4

Páxinas: 207-215

Tipo: Artigo

DOI: 10.1016/J.ENFCLI.2018.11.003 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Enfermería clínica

Obxectivos de Desenvolvemento Sustentable

Resumo

Objective The aim of this study was to discover the personal experience and feelings of primiparous women who had to abandon breastfeeding (BF) before the expected time, as well as the causes of abandonment and the role of health professionals. Method A qualitative study through semi-structured interview was carried out. A purposive sampling by key informants was conducted, until saturation of the information was reached. Qualitative content analysis was carried out to generate codes and assign categories. Results We interviewed 15 women aged 33.1 (SD 5.4) years. Ambivalent feelings were found, while BF was considered a satisfying experience, it was also sacrificial and painful. They refer to a lack of knowledge, and insecurity about nourishing their infant and physical pain seem to be the most important reasons for giving up. There is also a duality of feelings between the peace of mind afforded by artificial feeding, knowing that their child is well nourished, and the feeling of guilt for not having maintained BF. They believe that professionals do not adequately perform their work to promote BF, referring to numerous occasions when health professionals themselves have performed practices contrary to its establishment and maintenance. Conclusions In the mothers’ account, emotional training and emotional support needs are insufficiently covered. Nursing professionals involved in the care of these women should systematically explore these needs.

Referencias bibliográficas

  • Grupo de trabajo de la Guía de Práctica Clínica sobre lactancia materna. Guía de Práctica Clínica sobre lactancia materna. Ministerio de Sanidad, Servicios Sociales e Igualdad: Agencia de Evaluación de Tecnologías Sanitarias del País Vasco-OSTEBA, 2017.
  • M.S. Kramer, R. Kakuma Optimal duration of exclusive breastfeeding Cochrane Database Syst Rev. (2012)
  • Section on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics. 2012; 129:e827-41.
  • C.G. Victora, R. Bahl, A.J. Barros, G.V. França, S. Horton, J. Krasevec, et al., Lancet Breastfeeding Series Group Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect Lancet., 387 (2016), pp. 475-490
  • M.D.C.S. Cotelo, M.J. Movilla-Fernández, P. Pita-García, S. Novío Infant feeding attitudes and practices of Spanish low-risk expectant women using the IIFAS (Iowa Infant Feeding Attitude Scale) Nutrients., 10 (2018)
  • A.M. Sacristán, J.E. Lozano, M. Gil, A.T. Vega Red Centinela Sanitaria de Castilla y León. Situación actual y factores que condicionan la lactancia materna en Castilla y León Rev Pediatr Aten Primaria., 13 (2011), pp. 33-46
  • J.M. Martínez Galiano Factores asociados al abandono de la lactancia materna Metas de Enfermería., 13 (2010), pp. 61-67
  • E. Hjälmhult, K. Lomborg Managing the first period at home with a newborn: a grounded theory study of mothers’ experiences Scand J Caring Sci., 26 (2012), pp. 654-662
  • C. Lucchini Raies, F. Márquez Doren, M.S. Rivera Martínez “Yo quiero amamantar a mi hijo”: Desvelando la experiencia de mujeres que enfrentaron dificultades en su proceso de lactancia Rev Chil Pediatr., 88 (2017), pp. 622-628
  • J.N. Mozingo, M.W. Davis, P.G. Droppleman, A. Merideth It wasn’t working: women's experiences with short-term breastfeeding Am J Matern Child Nurs., 25 (2000), pp. 120-126
  • M. Belintxon-Martín, M.C. Zaragüeta, M.C. Adrián, O. López-Dicastillo El comienzo de la lactancia: experiencias de madres primerizas An Sist Sanit Navar., 34 (2011), pp. 409-418
  • S. Berlanga, M.F. Vizcaya-Moreno, R.M. Pérez-Cañaveras Percepción de la transición a la maternidad: estudio fenomenológico en la provincia de Barcelona Aten Primaria., 45 (2013), pp. 409-417
  • F. Dykes “Supply” and “demand”: breastfeeding as labour Soc Sci Med., 60 (2005), pp. 2283-2293
  • M. Atchan, M. Foureur, D. Davis The decision not to initiate breastfeeding – women's reasons, attitudes and influencing factors- a review of the literature Breastfeed Rev., 19 (2011), pp. 9-17
  • I. Williamson, D. Leeming, S. Lyttle, S. Johnson “It should be the most natural thing in the world”: exploring first-time mothers’ breastfeeding difficulties in the UK using audio-diaries and interviews Matern Child Nutr., 8 (2012), pp. 434-447
  • F. Becerra Bulla, L. Rocha Calderón, D.M. Fonseca Silva, L.A. Bermúdez Gordillo El entorno familiar y social de la madre como factor que promueve o dificulta la lactancia materna Rev Fac Med., 63 (2015), pp. 217-227
  • C.M. Kelleher The physical challenges of early breastfeeding Soc Sci Med., 63 (2006), pp. 2727-2738
  • J.S. Larsen, E.O.C. Hall, H. Aagaard Shattered expectations: when mothers’ confidence in breastfeeding is undermined – a metasynthesis Scan J Caring Sci., 22 (2008), pp. 653-661
  • M. Oribe, A. Lertxundi, M. Basterrechea, H. Begiristain, L. Santa Marina, M. Villar, et al. Prevalencia y factores asociados con la duración de la lactancia materna exclusiva durante los 6 primeros meses en la cohorte INMA de Guipúzcoa Gac Sanit., 29 (2015), pp. 4-9
  • P. Molinero Díaz, M.J. Burgos Rodríguez, M. Mejía Ramírez de Arellano Resultado de una intervención de educación para la salud en la continuidad de la lactancia materna Enferm Clin., 25 (2015), pp. 232-238
  • N.M. Díaz-Gómez, M. Ruzafa-Martínez, S. Ares, I. Espiga, C. de Alba Motivaciones y barreras percibidas por las mujeres españolas en relación con la lactancia materna Rev Esp Salud Pública., 90 (2016), pp. e1-e18
  • R. Spencer, S. Greatrex-White, D.M. Fraser “I was meant to be able to do this”: a phenomenological study of women's experiences of breastfeeding Evidence Based Midwifery., 12 (2014), pp. 83-88
  • R. Li, S.B. Fein, J. Chen, L.M. Grummer-Strawn Why mothers stop breastfeeding: mothers’ self-reported reasons for stopping during the first year Pediatrics., Suppl2 (2008), pp. S69-S76
  • R. Vila Candel, F.J. Soriano Vidal, M. Murillo Llorente, M. Pérez Bermejo, E. Castro Sánchez Mantenimiento de la lactancia materna exclusiva a los 3 meses posparto: experiencia en un departamento de salud de la Comunidad Valenciana Aten Primaria. (2018)
  • J.M. Rius, J. Ortuño, C. Rivas, M. Maravall, M.A. Calzado, A. López, et al. Factores asociados al abandono precoz de la lactancia materna en una región del este de España An Pediatr (Barc)., 80 (2014), pp. 6-15
  • D. Hegney, T. Fallon, M.L. O’Brien Against all odds: a retrospective case-controlled study of women who experienced extraordinary breastfeeding problems J Clin Nurs., 17 (2008), pp. 1182-1192
  • R.J. McInnes, J.A. Chambers Supporting breastfeeding mothers: qualitative synthesis J Adv Nurs., 62 (2008), pp. 407-427
  • M.J. Aguilar Cordero, I. Sáez Martín, M.J. Menor Rodríguez, N. Mur Villar, M. Expósito Ruiz, A. Hervás Pérez, et al. Valoración del nivel de satisfacción en un grupo de mujeres de Granada sobre atención al parto, acompañamiento y duración de la lactancia Nutr Hosp., 28 (2013), pp. 920-926
  • M. Redshaw, J. Henderson Learning the hard way: expectations and experiences of infant feeding support Birth., 39 (2012), p. 1
  • L. Palmér, G. Carlsson, M. Mollberg, M. Nyström Severe breastfeeding difficulties: Existential lostness as a mother – Women's lived experiences of initiating breastfeeding under severe difficulties Int J Qualitative Stud Health Well-being., 7 (2012), p. 10846
  • S. Komninou, V. Fallon, J.C.G. Halford, J.A. Harrold Differences in the emotional and practical experiences of exclusive breastfeeding and combination feeding mothers Matern Child Nutr., 13 (2017), p. e12364
  • J. Díaz-Sáeza, D. Catalán-Matamoros, M.M. Fernández-Martínez, G. Granados-Gámez La comunicación y la satisfacción de las primíparas en un servicio público de salud Gac Sanit., 25 (2011), pp. 483-489
  • L. Hannula, M. Kaukonen, M.T. Tarkka A systematic review of professional support interventions for breastfeeding J Clin Nurs., 17 (2008), pp. 1132-1143
  • A.M. DiGirolamo, L.M. Grummer-Strawn, S.B. Fein Effect of maternity-care practices on breastfeeding Pediatrics., 122 (Suppl 2) (2008), pp. S43-S49
  • M. Martí, P. Almirón, A. Fatjó, M. Fernández, M.J. Fernández de Sanmamed, M.A. Gómez, et al. Mujeres y lactancia: entendiendo sus vivencias y analizando la actuación del sistema sanitario Aten Primaria., 17 (1996), pp. 501-506
  • P. Suárez, J.C. Alonso, D. Martín, M.M. Martínez Prevalencia y duración de la lactancia materna en Asturias Gac Sanit., 15 (2001), pp. 104-110
  • E. Burns, J. Fenwick, A. Sheehan, V. Schmied Mining for liquid gold: midwifery language and practices associated with early breastfeeding support Matern Child Nutr., 9 (2013), pp. 57-73
  • E. Burns, J. Fenwick, A. Sheehan, V. Schmied “This little piranha”: a qualitative analysis of the language used by health professionals and mothers to describe infant behavior during breastfeeding Matern Child Nutr., 12 (2016), pp. 111-124
  • A. Brown, P. Raynor, M. Lee Healthcare professionals’ and mothers’ perceptions of factors that influence decisions to breastfeed or formula feed infants: a comparative study J Adv Nurs., 67 (2011), pp. 1993-2003
Fonte de datos: Dialnet