Qualitative study of maternal perinatal breastfeeding needs: analysis of cognitive differences between healthcare professionals and parturients / 中国实用护理杂志

ABSTRACT

Objective:In order to Understand the cognition of breastfeeding needs in perinatal period among parturients, International Board Certified Lactation Consultants and obstetric nurses, and analyze their differences, provide a theoretical basis for the development of interventions.Methods:Using the objective sampling method, 10 parturients, 6 International Board Certified Lactation Consultants and 6 obstetric nurses from a tertiary A specialist hospital in Shanghai from February to June in 2021 were selected for semi-structured depth interviews. The inteniew focused on the needs of breastfeeding in different stages of perinatal period.Results:Through analysis and induction, the following three themes were finally condensed. Cognitive differences in prenatal education post-hospital breastfeeding support. Parturients lack prenatal awareness of breastfeeding initiatives and prefer problem-oriented feedback after childbirth to be addressed in a timely manner, but healthcare professionals consider it necessary to provide prenatal breastfeeding education to pregnant women. Inpatient nursing supports cognitive similarities and differences there was agreement between parturients and healthcare professionals on strengthening post-natal health education and assessing needs for psychological change. The difference is that parturients are more likely to have information and guidance on milking, however, healthcare professionals believe that the focus is on providing guidance on breastfeeding techniques and strengthening professional training for medical personnel. Breastfeeding supports cognitive similarities and differences after discharge both parturient and healthcare professionals want family and peer support in post-hospital breastfeeding support. The difference is that parturients want to be able to keep in touch with healthcare professionals on feedback issues, but healthcare professionals believe that further community support is needed.Conclusion:Parturient and healthcare professionals have different cognition of perinatal breastfeeding needs. Targeted interventions and personalized breastfeeding plans should be developed for their different cognitions, with a view to further improving the rate of exclusive breastfeeding in China and achieving the goal of healthy development for all.