Experiences of previous breastfeeding difficulties of multiparous women in late pregnancy: a qualitative study
10.3760/cma.j.cn115682-20240202-00687
- VernacularTitle:孕晚期经产妇既往母乳喂养困难体验的质性研究
- Author:
Yongqi LIANG
1
;
Caixin YIN
;
Yu CHEN
Author Information
1. 广东药科大学护理学院，广州 510315
- Publication Type:Journal Article
- Keywords:
Multipara;
Breastfeeding difficulty;
Experience;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2025;31(3):321-326
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the real experience of previous breastfeeding difficulties experienced by multiparous women in late pregnancy based on the theory of pressure interaction, and to explore the previous experience of breastfeeding difficulties and its impact on the next breastfeeding.Methods:This study was a qualitative study. Purposive sampling was used to select nine cases of late-pregnancy multiparous women in Guangzhou Women and Children's Medical Center of Guangzhou Medical University from July to September 2023 as the study subjects. Multiparous women aged 28 to 42 years with gestational weeks of 30 +2 to 38 +6 weeks. Semi-structured interviews were conducted using the phenomenological research method, and the data were analyzed using the Colaizzi 7-step analysis. Results:The results of the interviews were collated to distill three themes, including previous breastfeeding difficulties were hurtful, threatening, and challenging to late-pregnant multiparous women; multiparous women mainly sought help from non-professional when experiencing breastfeeding difficulties; and late-pregnant multiparous women who experienced breastfeeding difficulties had coexisting psychological states of craving, fear, and craving and fearing of breastfeeding again.Conclusions:Healthcare professionals need to identify people with breastfeeding difficulties at an early stage and provide personalized interventions in a timely manner. At the same time, they need to actively guide pregnant women and their family members to seek professional help through formal channels when they encounter breastfeeding difficulties. Healthcare professionals need to pay close attention to changes in psychological status caused by difficult breastfeeding experiences. Pregnant women with breastfeeding trauma can develop a fear of future breastfeeding. Trauma-informed care combined with psychosocial support interventions and guided feedback can be used to reduce the impact of breastfeeding trauma on the next breastfeeding.
