親善生產措施與母乳哺育

Mother-Friendly Childbirth Practices and Breastfeeding

生產銜接了懷孕與產後階段，深切地影響產後哺乳的動機以及開始哺乳的時機，也攸關著哺乳的成敗。雖然推動母乳哺育為世界各國促進母嬰健康的重要策略，然而對生產影響母乳哺育的關注及其相關研究卻非常缺乏。基於具備親善生產的理念，繼而提供符合產婦需求之親善生產照護措施，是護理人員在積極推廣母乳哺育責無旁貸的要務，因此本文介紹母嬰親善生產的緣起與概念，分析醫療化的生產模式對母乳哺育之干擾，並提出如何落實親善生產措施之建議，以增進護理人員瞭解生產過程與母乳哺育之相關性，及作為在生產階段營造一個完善的母乳哺育準備情境之參考。

Childbirth, connecting the stages of pregnancy and postpartum, deeply affects maternal motivation with regard to initiating and continuing postnatal breastfeeding and ultimate breastfeeding success. Although promoting breastfeeding is a strategy critical to achieving wellbeing in both mothers and infants, there remains a lack of professional attention and related research into the effect of childbirth on breastfeeding. Promoting successful breastfeeding is a central component of childbirth-friendly nursing care. Therefore, this paper introduces the origin and concepts of mother-and-infant-friendly childbirth, then analyzes the influences on breastfeeding of medicalized birth practices and suggests how to implement childbirth-friendly interventions. This paper was written to help nurses better understand how the childbirth process affects breastfeeding and provide a reference for creating conditions during childbirth that encourage successful breastfeeding practices.