Background:

The education and support of new mothers during the in-hospital stay for childbirth is a critical time to establish breastfeeding. The Baby-Friendly Hospital Initiative was launched in 1991 to encourage maternity services to support and educate mothers to breastfeed by implementing Ten Steps to Successful Breastfeeding.

Research Aim:

To explore midwives’ experiences of implementing the Baby-Friendly Hospital Initiative in a Baby-Friendly accredited public hospital in Australia.

Methods:

In this prospective, cross-sectional qualitative study we used focus groups to explore midwives’ experiences. Midwives (N = 26) participated in two focus groups conducted between October and November 2019. Data were analyzed using thematic analysis.

Results:

Time as a critical resource, and continuity of care, were crosscutting themes that framed midwives’ experiences in supporting mothers to breastfeed their babies. Time constraints were experienced both through the health system structure and the BFHI accreditation process. Despite the challenges, the overarching theme—that we all believe in breastfeeding—fueled midwives’ motivation.

Conclusion:

Health services policy and practice need to consider ways to enable continuity of midwifery care and adequate time for midwives to support women to breastfeed their babies.

中文翻译：

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“我们都相信母乳喂养”：澳大利亚助产士实施爱婴医院倡议的经验

背景：

新妈妈在住院分娩期间的教育和支持是建立母乳喂养的关键时期。爱婴医院倡议于 1991 年发起，旨在通过实施成功母乳喂养的十个步骤来鼓励产科服务支持和教育母亲进行母乳喂养。

研究目的：

探讨助产士在澳大利亚一家爱婴认可的公立医院实施爱婴医院倡议的经验。

方法：

在这项前瞻性、横断面定性研究中，我们使用焦点小组来探索助产士的经历。助产士 ( N = 26) 参加了 2019 年 10 月至 2019 年 11 月期间进行的两个焦点小组。使用主题分析对数据进行了分析。

结果：

作为关键资源的时间和持续的护理是贯穿各领域的主题，这些主题构成了助产士在支持母亲母乳喂养婴儿方面的经验。通过卫生系统结构和 BFHI 认证过程都经历了时间限制。尽管存在挑战，但我们都相信母乳喂养的首要主题激发了助产士的积极性。

结论：

卫生服务政策和实践需要考虑如何使助产士护理的连续性和助产士有足够的时间来支持妇女母乳喂养婴儿。