Aims: To explore how postpartum support networks, hospital stay and healthcare services had an impact on breastfeeding experiences of refugee women from Vietnam and Myanmar in Brisbane, Australia.
Design: A qualitative study guided by feminist methodological inquiry.
Methods: Semi-structured interviews and drawing exercises were conducted with recent (<10 years) and established (≥10 years) refugee women between July 2015 - June 2016. Verbal data were analysed thematically, whereas drawings were analysed with the critical visual analytical framework.
Results: The findings reflect how 36 mothers negotiated their breastfeeding experiences in the "traditional-biomedical" intersection (major theme) in face of changing support networks, social structures, hospital policies and postpartum services postresettlement (sub-themes). Tensions of cultural unfamiliarity in the western setting generally contributed to early breastfeeding cessation among recent arrivals, whereas social (extended families, tertiary education) and cultural (English literacy) capitals and a longer stay in Australia enabled established arrivals to integrate the traditional and western biomedical beliefs.
Conclusion: The ability of established arrivals to integrate both traditional and western worldviews may assist in addressing breastfeeding uncertainties that affect recent arrivals. Perspectives of midwives from the western postnatal spheres merit future exploration.
Impact: Positive early breastfeeding experiences lead to its long-term success. By identifying the impact that conflicting beliefs have on breastfeeding experiences of refugees in the western biomedical environment, this study suggests how interventions that focus on reinforcing maternal cultural and social capital could benefit community empowerment, healthcare and policy sectors nationally and globally.
目的: 探索澳大利亚的产后服务网络、住院和产后保健服务对越南和缅甸难民妇女母乳喂养的影响。 设计: 女权主义方法论调查包括的量化研究。 方法: 从2015年7月到2016年6月,我们对澳大利亚布里斯班的越南和缅甸新移民(低于10年)和已认可移民(高于10年)难民妇女进行了半结构式采访并绘图记录数据。我们按主题对口头数据进行分析,并使用视觉分析框架对绘图数据进行分析。 结果: 我们发现36位母亲在产后服务网络、社会结构、医院政策和产后服务发生变化后(副标题),协调传统母乳喂养观点与生物医学的方法。新移民在西方环境中对文化的陌生感通常会导致早期的母乳喂养中断。而已认可移民因为已经积累了社会经验(扩大式家庭、高等教育)、文化资本(英语能力)和更长时间的居住,能够协调传统母乳喂养观点与生物医学母乳喂养观点。 结论: 已认可移民协调传统母乳喂养观点与生物医学母乳喂养观点的能力可以帮助解决新移民对母乳喂养的不确定。西方社会接生员的观点值得我们下一步的探索。 影响: 积极的早期母乳喂养对孩子的有长远的积极影响。通过研究传统母乳喂养观点和生物医学母乳喂养观点之间的冲突对处于西方环境下的难民妇女的母乳喂养的影响,此研究证明强调母性文化和社会资本干涉有助于社区赋权、医疗卫生的发展和政策制定。.
Keywords: biomedical; breastfeeding; capital; cultural integration; cultural safety; drawing; midwives; postpartum beliefs; qualitative; refugee.
© 2019 John Wiley & Sons Ltd.