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Orsaker till varför kvinnor slutar amma: En webbaserad enkätundersökning
Mälardalen University, School of Health, Care and Social Welfare.
Mälardalen University, School of Health, Care and Social Welfare.
2020 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Världshälsoorganisationen rekommenderar helamning till barnet blivit 6 månader. Trots detta helammar få kvinnor så länge. Bröstmjölk anses vara den bästa födan för det nyfödda barnet och har hälsosamma effekter för både mamma och barn. Amningsstatistik visar att 13% helammar vid 6 månaders ålder och amningstrenden i Sverige går nedåt. Barnmorskans amningsfrämjande arbete har betydelsefull roll. Syfte: Att kartlägga orsaker till varför kvinnor slutar helamma före 6 månader. Metod: Webbaserad enkätundersökning med mixad metoddesign. Dataanalys med deskriptiv statistik samt kvalitativ innehållsanalys. Resultat: Enkäten besvarades av 160 deltagare. Under graviditet önskade 86% helamma >6 månader men enbart 26% ammade enligt intention. I resultatet framkom att informationen på mödravård var idealistisk snarare än realistisk och 30% upplevde uteblivet stöd gällande amning från mödravård till barnhälsovård. Förstföderskor ansåg att amningen var svårare än förväntat. Partnern ansågs vara det viktigaste stödet under amningsperioden. Vid amningsstöd instruerade barnmorskor med hands-on teknik. Omföderskor ammade i högre utsträckning >6 månader jämfört med förstföderskor trots att de inte blivit erbjudna att medverka på föräldraförberedandekurs. Slutsatser: Mammor slutade helamma på grund av att amningen stressade, otillräcklig mjölkproduktion, barnet fick annan föda, otillräcklig viktuppgång hos barnet och psykisk ohälsa. Mammor efterfrågade individualiserad amningsinformation och spontant stöd från barnmorska.

Abstract [en]

Background: The World Health Organization recommends breastfeeding until the child is 6 months old. Despite this recommendation, few women are breastfeeding for recommended amount of time. Breast milk is considered to be the best nutritional food for the newborn and also has positive health effects on both the mother and the child. The breastfeeding statics in Sweden has a falling trend, it shows that only 13% breastfeed until the child is 6 months old. The midwifes promotional breastfeeding work has an important role to play in todays society. Purpose: To identify the reasons why women stop breastfeeding before the child is 6 month of age. Method: Web-based survey with a mixed method of design. A data analysis with descriptive statistics and a qualitative analysis. Results: The survey was conducted by 160 participants. During the pregnancy 86% wanted to breastfeed for 6 months or longer, but only 26% breastfed according to their intention. The surveys revealed that the information provided from maternity welfare is idealistic rather than realistic and half of the assigned survey group felt that they have not received adequate support regarding breastfeeding from maternal welfare to child health care. Primaparas considered breastfeeding to be more difficult than expected and the partner was considered to be the most important support during the period of breastfeeding. Midwifes instruct with hands-on technology. Multiparas breastfeed to greater extent and 6 months or longer in comparison to first parturients, even tough they are not offered to participate in childbirth and parenting preparation courses. Conclusion: Mothers, both primaparas and multiparas stopped breastfeeding of stress factors of breastfeeding, insufficient milk production, the baby was given another food replacement, poor weight gain in the child and mental illness. Mothers demand individualized breastfeeding information, sessions, and spontanious support by midwifes.

Place, publisher, year, edition, pages
2020. , p. 41
Keywords [en]
breastfeeding support, exclusive breastfeeding, experiences, midwife, mixed method
Keywords [sv]
amningsstöd, barnmorska, erfarenheter, helamning, mixad metod
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-46967OAI: oai:DiVA.org:mdh-46967DiVA, id: diva2:1391536
Subject / course
Caring Science
Presentation
(Swedish)
Supervisors
Examiners
Available from: 2020-02-07 Created: 2020-02-04 Last updated: 2020-02-07Bibliographically approved

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CiteExportLink to record
Permanent link

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Citation style
  • apa
  • ieee
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  • Other style
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  • de-DE
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  • nn-NO
  • nn-NB
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  • Other locale
More languages
Output format
  • html
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  • asciidoc
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