关键词: 高血压, 妊娠, 早期母乳喂养, 质性研究, 产科护理

Abstract:

Objective To explore the experience of early breastfeeding in postpartum women with hypertensive disorders of pregnancy（HDP），and to provide a basis for nursing and intervention tactics for them. Methods The purposive sampling method was used to select 21 postpartum women with HDP as the research participants. The women with HDP，who were breastfeeding after delivery in the obstetrics department of a tertiary care maternity hospital in Nanjing from June to December 2021 were interviewed by semi-structured interviews，and the data was analyzed by Colaizzi seven-step method. Results 4 themes were extracted. Theme 1：conflict in the establishment of breastfeeding behavior. Theme 2：positive and negative breastfeeding experiences coexist. Theme 3：weak breastfeeding support system. Theme 4：diversification of breastfeeding needs. Conclusion Clinical nurses should optimize information support in early breastfeeding decision making for postpartum women with HDP，focus on and assess the breastfeeding experience and the difficulties and needs in the process of breastfeeding for these women，give them timely help and guidance，promote the establishment of their early breastfeeding behavior，and strengthen the continuity of breastfeeding services after discharge to enhance the duration of their breastfeeding.

Key words: Hypertension, Pregnancy, Early Breastfeeding, Qualitative Study, Obstetrical Nursing