Ensuring women receive optimal breastfeeding support is of key importance to the health of mothers and their infants. Early discharge within 24 h of birth is increasingly common across Australia, and the practice of postnatal home visiting varies between settings. The reduction in length of stay without expansion of home visits reduces midwives’ ability to support breastfeeding. The impact of early discharge on first-time mothers establishing breastfeeding was unknown. The study aim was to understand the experiences of first-time Australian mothers establishing breastfeeding when discharged from the hospital within 24 h of a normal vaginal birth. A qualitative interpretive method was used. Semi-structured interviews with 12 women following early discharge were conducted. Data were audio recorded, professionally transcribed, and subjected to a thematic analysis. Three interconnected themes of ‘self-efficacy’, ‘support’ and ‘sustainability’ were identified. Self-efficacy influenced the women’s readiness and motivation to be discharged home early and played a role in how some of the mothers overcame breastfeeding challenges. Social, semi-professional and professional breastfeeding supports were key in women’s experiences. Sustainability referred to and describes what women valued in relation to continuation of their breastfeeding journey. This study found accessible people-based breastfeeding services in the community are valued following early discharge. Furthermore, there is demand for more evidence-based breastfeeding educational resources, potentially in the form of interactive applications or websites. Additionally, a focus on holistic and individualised breastfeeding assessment and care plans prior to discharge that link women with ongoing breastfeeding services is paramount.

中文翻译：

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自我效能、支持和可持续性——一项关于早期出院后首次澳大利亚母亲建立母乳喂养经验的定性研究

确保妇女获得最佳母乳喂养支持对母亲及其婴儿的健康至关重要。出生后 24 小时内提前出院在澳大利亚越来越普遍，产后家访的做法因环境而异。在不扩大家访的情况下缩短住院时间会降低助产士支持母乳喂养的能力。早期出院对建立母乳喂养的首次母亲的影响尚不清楚。该研究的目的是了解首次澳大利亚母亲在正常阴道分娩后 24 小时内出院时建立母乳喂养的经历。使用了定性解释方法。在提前出院后对 12 名女性进行了半结构化访谈。数据被录音，专业转录，并进行专题分析。确定了“自我效能”、“支持”和“可持续性”三个相互关联的主题。自我效能感影响了女性提前出院回家的意愿和动机，并在一些母亲如何克服母乳喂养挑战方面发挥了作用。社会、半专业和专业母乳喂养支持是女性体验的关键。可持续性是指并描述了女性在继续母乳喂养过程中的价值。该研究发现，在提早出院后，社区中可获得的以人为本的母乳喂养服务受到重视。此外，还需要更多循证母乳喂养教育资源，可能以互动应用程序或网站的形式出现。此外，