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171.

Background

Exclusive breast milk provides complete nutrition for a baby’s first six months of life. In Australia, breastfeeding initiation rates are high, however duration rates are low. Although numerous studies have explored the reasons behind low levels of breastfeeding, few have examined the experiences of women who maintain exclusive breastfeeding for the recommended six-month duration.

Aim

This paper will present an in-depth, idiographic interpretation of first-time mothers’ experience of exclusive breastfeeding for six months in Australia.

Method

Interpretative phenomenological analysis was used to explore how five new mothers understood their six-month exclusive breastfeeding journey. Face-to-face, semi-structured interviews were conducted retrospectively, transcribed in full, and analysed using the flexible seven-step approach of interpretative phenomenological analysis.

Findings

Three higher-order themes were identified: (1) exclusive breastfeeding is a personal choice, (2) exclusive breastfeeding is harder than expected, and (3) everyone has something to say about breastfeeding.

Conclusion

The mothers were not prepared for public debates around infant feeding methods, where mothers judge each other and give advice that supports their own goals, both of which create an unnecessary divide between mothers. Despite these issues, the findings highlight the personal and social meanings aligned with exclusive breastfeeding and point to the significance in fostering determination as a means to achieve exclusive breastfeeding goals. This qualitative reflection contributes a nuanced understanding of mothers’ lived experience of exclusive breastfeeding, deepening our understanding and enabling appropriate strategies and support for the longevity of exclusive breastfeeding, as well as direction for continued research.  相似文献   
172.
This paper, based on a longitudinal and multi-sited ethnographic study, explores the intersection between youth transitions, migration and relationships. It considers the complex ways in which rural Bolivian young people move back and forth between work and education, between home and migrant destinations as they strive to form their own household and develop new relationships, whilst continuing to maintain interdependent relations with their parents and siblings. It presents three life stories which outline the key role of relationships in shaping youth transitions and migrant trajectories. Whilst the three pathways are different, they also encompass some similar features: the complexity of deciding between school or work, the key role of migration, the importance of social networks and old/new relationships, and the impact of birth-ordered and gendered household relations. In particular the paper argues that the concept of negotiated and constrained interdependencies is a useful way of understanding the flexible and opportunistic yet limited nature of youth transitions in a context of migration. The paper is based on fieldwork which involved tracking down 14 of the 18 households who had been involved in my doctoral research over 10 years ago, and of these 14 households one or both parents and two or three of the siblings were interviewed.  相似文献   
173.
174.
Within a context of substantial adoption policy reform in England, this paper explores post adoption support. Findings from a small‐scale survey of 22 local authorities in England and interviews with 11 adoption practitioners (from 11 of the authorities that completed the survey) are presented and related national policy discussed. The paper argues that support should continue postmatching a child with their adoptive parent(s) and that this should be the norm rather than the exception. It also emphasizes the need to improve the availability of and access to post adoption support in a timely manner.  相似文献   
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