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An exploration of the breastfeeding behaviors of women after cesarean section: A qualitative study

OBJECTIVES: To explore the factors affecting breastfeeding behaviors in women after cesarean section. METHODS: This is a qualitative study that used a phenomenological approach. This study used individual face-to-face interviews with 19 women who underwent a cesarean section in a Women and Children’...

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Autores principales: Wen, Juan, Yu, Guiling, Kong, Yan, Liu, Furong, Wei, Holly
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Chinese Nursing Association 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7644566/
https://www.ncbi.nlm.nih.gov/pubmed/33195754
http://dx.doi.org/10.1016/j.ijnss.2020.07.008
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author Wen, Juan
Yu, Guiling
Kong, Yan
Liu, Furong
Wei, Holly
author_facet Wen, Juan
Yu, Guiling
Kong, Yan
Liu, Furong
Wei, Holly
author_sort Wen, Juan
collection PubMed
description OBJECTIVES: To explore the factors affecting breastfeeding behaviors in women after cesarean section. METHODS: This is a qualitative study that used a phenomenological approach. This study used individual face-to-face interviews with 19 women who underwent a cesarean section in a Women and Children’s Hospital in China between July to September 2019. Information saturation was used to determine sample size. Data were analyzed using a thematic content analysis method. Themes were developed based on the theory of planned behavior. RESULTS: Thirteen (68.42%) had a planned cesarean section, and six (31.58%) cesarean sections were unplanned or emergent. Three major themes emerged: ambivalent attitude about breastfeeding, motivation to comply with the traditional cultural norms, and barriers and challenges. The motivating factors for breastfeeding after cesarean sections included perceived benefits of human milk, support from healthcare professionals, and responsibility for breastfeeding. The challenges for breastfeeding after cesarean sections included physical discomfort, knowledge and skills deficit of breastfeeding, lactation deficiency, and lack of knowledge and coping skills in managing their depressive mood after cesarean sections. There were a couple of neutral factors, such as the influences of family and peers. These factors could influence women either positively as facilitators or negatively as barriers. CONCLUSIONS: The findings can offer valuable information for healthcare professionals to help women breastfeed after cesarean sections. To promote women’s breastfeeding behaviors after cesarean sections, it is necessary to change women’s attitudes, belief systems, and the external environments and help them become more confident.
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spelling pubmed-76445662020-11-13 An exploration of the breastfeeding behaviors of women after cesarean section: A qualitative study Wen, Juan Yu, Guiling Kong, Yan Liu, Furong Wei, Holly Int J Nurs Sci Original Article OBJECTIVES: To explore the factors affecting breastfeeding behaviors in women after cesarean section. METHODS: This is a qualitative study that used a phenomenological approach. This study used individual face-to-face interviews with 19 women who underwent a cesarean section in a Women and Children’s Hospital in China between July to September 2019. Information saturation was used to determine sample size. Data were analyzed using a thematic content analysis method. Themes were developed based on the theory of planned behavior. RESULTS: Thirteen (68.42%) had a planned cesarean section, and six (31.58%) cesarean sections were unplanned or emergent. Three major themes emerged: ambivalent attitude about breastfeeding, motivation to comply with the traditional cultural norms, and barriers and challenges. The motivating factors for breastfeeding after cesarean sections included perceived benefits of human milk, support from healthcare professionals, and responsibility for breastfeeding. The challenges for breastfeeding after cesarean sections included physical discomfort, knowledge and skills deficit of breastfeeding, lactation deficiency, and lack of knowledge and coping skills in managing their depressive mood after cesarean sections. There were a couple of neutral factors, such as the influences of family and peers. These factors could influence women either positively as facilitators or negatively as barriers. CONCLUSIONS: The findings can offer valuable information for healthcare professionals to help women breastfeed after cesarean sections. To promote women’s breastfeeding behaviors after cesarean sections, it is necessary to change women’s attitudes, belief systems, and the external environments and help them become more confident. Chinese Nursing Association 2020-07-20 /pmc/articles/PMC7644566/ /pubmed/33195754 http://dx.doi.org/10.1016/j.ijnss.2020.07.008 Text en © 2020 The authors. Published by Elsevier B.V. on behalf of the Chinese Nursing Association. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Wen, Juan
Yu, Guiling
Kong, Yan
Liu, Furong
Wei, Holly
An exploration of the breastfeeding behaviors of women after cesarean section: A qualitative study
title An exploration of the breastfeeding behaviors of women after cesarean section: A qualitative study
title_full An exploration of the breastfeeding behaviors of women after cesarean section: A qualitative study
title_fullStr An exploration of the breastfeeding behaviors of women after cesarean section: A qualitative study
title_full_unstemmed An exploration of the breastfeeding behaviors of women after cesarean section: A qualitative study
title_short An exploration of the breastfeeding behaviors of women after cesarean section: A qualitative study
title_sort exploration of the breastfeeding behaviors of women after cesarean section: a qualitative study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7644566/
https://www.ncbi.nlm.nih.gov/pubmed/33195754
http://dx.doi.org/10.1016/j.ijnss.2020.07.008
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