協助一位剖腹產產婦住院期間哺餵母乳的護理經驗

The Nursing Experience of Assisting a Mother after Cesarean Section in Breastfeeding During Hospitalization

母乳是寶寶最好的食物，然而母親必須付出許多心血及毅力才能成功哺餵母乳，本文即在描述一位剖腹產的母親在哺餵母乳的過程中，面臨了傷口的疼痛、低效性母乳哺餵以及產後疲憊的問題，幾乎想放棄哺餵母乳，而經筆者應用Gordon十一項功能性健康型態評估作為導引以及十二次的會談與實地的觀察，依她的需要運用各種護理措施來協助她，使其在情緒上、資訊上以及實際的需要上均獲得充分的支持後，這位母親開始對哺餵母乳的工作感到興趣並從中獲得成就感。而本來對哺餵母乳持負面態度的家屬，最後亦對哺餵母乳持高度肯定的態度，並學會了如何協助個案繼續哺餵母乳。希望藉由此經驗分享，能對照護此類個案的同仁有助益，使得每個想哺餵母乳的媽媽都能得到完整的照護與協助進而成功的哺餵母乳。

Human milk is the best nutrition source for newborns. However, successful breastfeeding needs extreme persistence and energy. In this paper, we described the problems experienced by a mother who initially intended to breastfeed her baby after undergoing a cesarean section. These problems included a painful wound, ineffective breastfeeding, and feelings of tiredness and exhaustion, making her give up breastfeeding. The authors utilized the Gorden 11-item functional health pattern to evaluate her health condition at first, and then performed twelve interviews with the mother along with clinical observations. Various nursing measures were provided to assist the mother, including sufficient support to satisfy her emotional, informational, and other needs. The mother then began to regenerate interest in breastfeeding and gained a sense of accomplishment. In addition, her families, who initially held a negative view of breastfeeding, had also turned their attitudes positively. This article provides a reference of caring similar patients with the hope that more mothers could benefit from nurses’ assistance when learning to breastfeed.