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Mødre som strever med amming
Nordic Council of Ministers, Nordic School of Public Health NHV.
2006 (Norwegian)Independent thesis Advanced level (degree of Master (Two Years))Student thesisAlternative title
Mothers and their babies striving to get their breastfeeding right (English)
Abstract [no]

HENSIKTEN: Studien beskriver mødre/barn som strevde med amming/diing. Hensikten var å se om tett oppfølging og veiledning økte varighet av amming, og å få kunnskap om mødres opplevelse av ammeproblemer, og ammeveiledning i praksisfeltet.

METODE: Studien var en deskriptiv, retrospektiv undersøkelse. Instrumentet var et strukturert spørreskjema med 37 spørsmål. Informantene var alle norsktalende mødre som hadde fått ekstra ammeveiledning og oppfølging ved en helsestasjon i Oslo. Data ble samlet inn via post.

RESULTATER: De fleste barna var under en uke gamle ved hjemreise. Der var ingen forskjeller mellom kjønnene. Hyppigst rapporterte dievansker hos barna var sugevansker og dårlig vektøking. I løpet av de første to ukene hadde 75 prosent av ammeproblemene hos mødrene oppstått. Over halvparten av mødrene rapporterte at de hadde behov for ammeveiledning på grunn av sår, sprekker eller infeksjoner på brystknoppene. Langt de fleste mødre mestret ammingen og ammet lenge på tross av store ammeproblemer. Den viktigste motivasjonen mødre oppga for å mestre ammeproblemer var kunnskap om at morsmelk var det beste for barnet. Mødre opplevde at å lykkes med amming hadde en sammenheng med å være en god mor. Støtte fra barnets far var betydningsfull i forhold til beslutningen om å fortsette eller å avslutte ammingen. Mødre beskrev at å få kunnskap, veiledning og oppfølging av helsepersonell med kompetanse, økte selvfølelsen og motiverte dem til å fortsette å amme.

KONKLUSJON: Tidspunktet for barnets første måltid viste seg å være en indikator for behov for ammeveiledning både på barselavdelingen og etter hjemkomst. Bruk av morsmelkerstatning tidlig i ammeforløpet var en markør for kortere varighet av amming. Det er av sentral betydning å sikre at mødre får ammeveiledning før hjemreise, og at veiledningen blir gitt etter individuelle behov basert på kunnskap. Mødres behov for ammeveiledning ved hjemkomst med barnet, er en sentral del av det forebyggende arbeidet ved helsestasjonen både i forhold til barnets ernæring og mors mestring

Abstract [en]

AIM: The study describes mothers and children who strived with the breastfeeding dyad. The aim was to see if information, help and close support increase duration of breastfeeding and to gather information of mothers’ experience of breastfeeding problems and breastfeeding support in practise.

METHOD: The study had a descriptive, retrospective design. Data were gathered through a postal questionnaire with 37 questions. The informants were Norwegian speaking mothers who had received extra breastfeeding help and support at a well-baby clinic in Oslo.

RESULTS: The majority of children were under a week old when discharged from hospital. There were no differences in gender. The children’s most reported problems were suckling problems, and failure to thrive. 75 % of the breastfeeding problems among mothers occurred during the first two weeks. More than half of the mothers reported the reason for breastfeeding problems to be sore, cracked and/or infected nipples. The majority of the mothers coped with breastfeeding in spite of huge breastfeeding problems, and breastfed for a long period. Knowledge of how mothers milk protects the baby was the most important motivation for coping with breastfeeding problems. To succeed with breastfeeding was related to the feeling of being a good mother. Support from the child’s father was important for the mother’s decision to continue or to stop breastfeeding. The mothers described that to be given knowledge, counselling and support from competent health workers increased their self confidence and motivation to continue breastfeeding.

CONCLUSION: The time of breastfeeding initiation was an indicator for mothers who needed breastfeeding support both in maternity ward and in the well-baby clinic. The use of supplements in addition to breastfeeding at an early stage was a marker for shorter duration of breastfeeding. It is important to ensure that mothers get breastfeeding support before discharge from hospital and that the support is individual and based on knowledge. Mothers’ need of breastfeeding support after discharge from hospital is a central part of health promotion at the well-baby clinic as it concerns the baby’s nutrition and the mothers mastering.

Place, publisher, year, edition, pages
2006. , 63 p.
Series
Master of Public Health, MPH, ISSN 1104-5701 ; MPH 2006:7
Keyword [en]
Breastfeeding, Human Milk, Health Protection, Health Promotion, Salutogenes
Keyword [no]
amming, morsmelk, helsefremmende, helseforebyggende, salutogenese
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:norden:org:diva-3243OAI: oai:DiVA.org:norden-3243DiVA: diva2:730987
Presentation
2006-03-20, Nordic School of Public Health NHV, P.O. Box 12133,, SE-402 42 Göteborg, Sweden, 13:00 (Norwegian)
Supervisors
Note

ISBN 91-7997-138-5

Available from: 2014-07-01 Created: 2014-06-30 Last updated: 2015-01-13Bibliographically approved

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Citation style
  • apa
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Output format
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