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Breastfeeding support at an Australian Breastfeeding Association drop-in service: a descriptive survey
International Breastfeeding Journal ( IF 3.5 ) Pub Date : 2020-11-30 , DOI: 10.1186/s13006-020-00345-1
Elaine S Burns 1 , Louise Duursma 1 , Zoi Triandafilidis 1
Affiliation  

In Australia, during the early establishment phase of breastfeeding, women can access telephone peer support counselling provided by the Australian Breastfeeding Association (ABA) however options for face-to-face peer support are limited. The known factors which improve ongoing and exclusive breastfeeding include face-to-face support, peer and/or professional support, and trained personnel. This study aimed to examine women’s experiences of accessing one breastfeeding drop-in peer support service provided by trained peer support volunteer counsellors from the ABA. Women who accessed the service were invited, in 2014, to participate in an anonymous online survey which collected both quantitative and qualitative data. Participants were asked about their experiences of breastfeeding support, as well as their experiences of the drop-in service. In total, 53 women completed the online survey, and subsequent analysis generated descriptive statistics and qualitative themes. Responses to the survey revealed that women attended the drop-in service with infants ranging in age from less than 1 week through to 12 months of age. Most women reported attending with infants aged 0–8 weeks of age (72%). The predominant presenting problems identified were sore/damaged nipples, difficulties with infant latching to the breast, or concerns about using nipple shields. Analysis of the open text qualitative responses revealed one overarching theme ‘Support to continue breastfeeding’ and four subthemes: ‘feeling listened to and not judged’; ‘emotional support and confidence building’; ‘the importance of face-to-face, practical support’; and ‘the need for ongoing, free access’. In this study many women were seeking support for ongoing breastfeeding difficulties. Health professionals who had limited breastfeeding knowledge and skills were identified as most unhelpful in providing support with ongoing breastfeeding difficulties. Women valued having access to trained peer counsellors, who had the capacity to provide non-judgemental, face-to-face support; who could sit through a feed; in a space that was ‘safe’; and who could enhance a woman’s confidence with breastfeeding over the course of her full breastfeeding journey. Reactive peer support, provided in response to need, at an Australian Breastfeeding Association drop-in service, was described by participants as pivotal to enabling their ongoing breastfeeding.

中文翻译:

澳大利亚母乳喂养协会临时服务的母乳喂养支持:描述性调查

在澳大利亚,在母乳喂养的早期建立阶段,妇女可以获得澳大利亚母乳喂养协会 (ABA) 提供的电话同伴支持咨询,但面对面同伴支持的选择有限。改善持续和纯母乳喂养的已知因素包括面对面的支持、同伴和/或专业支持以及训练有素的人员。本研究旨在调查女性获得由 ABA 训练有素的同伴支持志愿者顾问提供的一项母乳喂养即席同伴支持服务的体验。2014 年,使用该服务的女性被邀请参加一项匿名在线调查,该调查收集了定量和定性数据。参与者被问及他们在母乳喂养支持方面的经历,以及他们在上门服务方面的经历。总共有 53 名女性完成了在线调查,随后的分析产生了描述性统计数据和定性主题。对调查的回应显示,妇女参加了上门服务,婴儿的年龄从不到 1 周到 12 个月不等。大多数妇女报告说是带着 0-8 周龄的婴儿(72%)就诊。确定的主要问题是乳头疼痛/受损、婴儿含乳困难或对使用乳头护罩的担忧。对公开文本定性回答的分析揭示了一个总体主题“支持继续母乳喂养”和四个子主题:“感觉被倾听而不是被评判”;'情感支持和建立信心';“面对面的实际支持的重要性”;以及“持续、免费访问的需要”。在这项研究中,许多女性正在寻求支持以应对持续的母乳喂养困难。母乳喂养知识和技能有限的卫生专业人员被认为最无助于为持续的母乳喂养困难提供支持。妇女重视获得训练有素的同伴辅导员的机会,他们有能力提供非判断性的、面对面的支持;谁可以坐在饲料中;在一个“安全”的空间里;谁能在女性的整个母乳喂养过程中增强母乳喂养的信心。在澳大利亚母乳喂养协会的临时服务中,为响应需要而提供的反应性同伴支持被参与者描述为实现持续母乳喂养的关键。母乳喂养知识和技能有限的卫生专业人员被认为最无助于为持续的母乳喂养困难提供支持。妇女重视获得训练有素的同伴辅导员的机会,他们有能力提供非判断性的、面对面的支持;谁可以坐在饲料中;在一个“安全”的空间里;谁能在女性的整个母乳喂养过程中增强母乳喂养的信心。在澳大利亚母乳喂养协会的临时服务中,为响应需要而提供的反应性同伴支持被参与者描述为实现持续母乳喂养的关键。母乳喂养知识和技能有限的卫生专业人员被认为最无助于为持续的母乳喂养困难提供支持。妇女重视获得训练有素的同伴辅导员的机会,他们有能力提供非判断性的、面对面的支持;谁可以坐在饲料中;在一个“安全”的空间里;谁能在女性的整个母乳喂养过程中增强母乳喂养的信心。在澳大利亚母乳喂养协会的临时服务中,为响应需要而提供的反应性同伴支持被参与者描述为实现持续母乳喂养的关键。谁有能力提供非判断性的、面对面的支持;谁可以坐在饲料中;在一个“安全”的空间里;谁能在女性的整个母乳喂养过程中增强母乳喂养的信心。在澳大利亚母乳喂养协会的临时服务中,为响应需要而提供的反应性同伴支持被参与者描述为实现持续母乳喂养的关键。谁有能力提供非判断性的、面对面的支持;谁可以坐在饲料中;在一个“安全”的空间里;谁能在女性的整个母乳喂养过程中增强母乳喂养的信心。在澳大利亚母乳喂养协会的临时服务中,为响应需要而提供的反应性同伴支持被参与者描述为实现持续母乳喂养的关键。
更新日期:2020-12-01
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