WHO 10 Steps to Successful Breastfeeding.

IntroductionIreland has the lowest breastfeeding rates in Europe, with only 60% of mothers initiating breastfeeding after giving birth, a figure that drops to 43% three months later, highlighting challenges in promoting the initiation and continuation of breastfeeding due to inadequate antenatal breastfeeding education. Our previous qualitative study revealed a disconnect between idealized prenatal breastfeeding educational approaches and the realities of maternal breastfeeding experiences, prompting a call for practical, interactive education that addresses emotional resilience, societal dynamics, and partner involvement. This study refines and prioritizes these recommendations using the Nominal Group Technique, providing insights for integrating practical content, interactive strategies, and standardized guidance into frameworks aligned with the WHO’s 10 Steps to Successful Breastfeeding.MethodsThis study utilized the Nominal Group Technique to prioritize and evaluate recommendations for improving prenatal breastfeeding education in Ireland, gathering insights from separate sessions with postnatal mothers (n = 6) and healthcare professionals (n = 4). Data analysis was performed using Ritchie’s framework for qualitative content analysis and conducted with NVivo (Version 14; QSR, 2024). The study adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) to ensure transparency and rigor in its reporting.ResultsThis study identified key recommendations for improving prenatal breastfeeding education through a consensus-building process involving postpartum mothers and healthcare professionals. Mothers emphasized the importance of a balanced approach, including benefits, challenges, and mental support, advocating for personalized learning, interactive group sessions, and standardized guidance. They also highlighted the need for partner involvement and strategies to address societal breastfeeding barriers. Healthcare professionals evaluated the feasibility of integrating these recommendations into Ireland’s existing prenatal breastfeeding education framework and their alignment with the WHO’s 10 Steps to Successful Breastfeeding. They endorsed the inclusion of balanced educational content and suggested flexible methods, such as recorded sessions, to encourage partner participation and public breastfeeding support. Although there were some differences in implementation strategies, both groups recognized the importance of these recommendations, offering valuable insights for improving prenatal breastfeeding education frameworks.ConclusionThis study highlights the critical need to advance prenatal breastfeeding education in a manner that more effectively supports postnatal mothers while maintaining coherence with existing healthcare frameworks. Findings illustrate a shared commitment among postnatal mothers and healthcare professionals to adopt a more balanced educational model that integrates emotional preparedness, personalized learning pathways, and consistent, standardized messaging. By advocating for the inclusion of partner engagement and addressing broader societal challenges, such as breastfeeding in public, the study promotes a comprehensive and contextually responsive approach to improving maternal and infant health outcomes. Grounded in the WHO’s 10 Steps to Successful Breastfeeding, the study provides actionable, evidence-based recommendations for enhancing the delivery of prenatal breastfeeding education within the Irish health system.引言：爱尔兰是欧洲母乳喂养率最低的国家，仅60%的母亲在产后启动母乳喂养，该比例在产后三个月时降至43%，凸显了因产前母乳喂养教育不足而导致的母乳喂养启动与持续推广面临的挑战。我们此前的质性研究发现，理想化的产前母乳喂养教育模式与母亲母乳喂养的实际体验之间存在脱节，这呼吁开展兼顾情绪韧性、社会环境及伴侣参与的实用互动式教育。本研究采用名义小组技术（Nominal Group Technique）对上述建议进行细化与优先级排序，旨在为将实用内容、互动策略与标准化指南整合至符合世界卫生组织（WHO）《成功母乳喂养十项步骤》的框架中提供思路。 方法：本研究采用名义小组技术对爱尔兰产前母乳喂养教育的优化建议进行优先级排序与评估，通过分别开展产后母亲（n=6）与医护人员（n=4）专题研讨收集研究见解。数据分析采用里奇（Ritchie）质性内容分析框架，并借助NVivo软件（版本14；QSR国际，2024）完成。本研究遵循《质性研究报告统一标准》（Consolidated Criteria for Reporting Qualitative Research, COREQ），以确保研究报告的透明度与严谨性。 结果：本研究通过产后母亲与医护人员共同参与的共识构建流程，明确了优化爱尔兰产前母乳喂养教育的核心建议。母亲群体强调需采用涵盖母乳喂养益处、挑战及心理支持的均衡教育模式，主张开展个性化学习、互动式小组研讨及标准化指南教学。同时，她们还提出需推动伴侣参与，并制定应对社会层面母乳喂养障碍的策略。医护人员则评估了将上述建议整合至爱尔兰现有产前母乳喂养教育框架的可行性，以及其与WHO《成功母乳喂养十项步骤》的契合度。他们认可纳入均衡教育内容的必要性，并建议采用录制课程等灵活方式，以鼓励伴侣参与及公众母乳喂养支持。尽管两组在实施策略上存在些许分歧，但均认可上述建议的重要性，为优化产前母乳喂养教育框架提供了宝贵思路。 结论：本研究强调，亟需以更有效支持产后母亲、且与现有医疗体系框架保持一致的方式，推进产前母乳喂养教育工作。研究结果显示，产后母亲与医护人员均认同需采用更均衡的教育模式，该模式应整合情绪准备、个性化学习路径及统一标准化的信息传递。本研究倡导纳入伴侣参与环节，并应对公共场合母乳喂养等更广泛的社会挑战，以此推动构建全面且贴合本土情境的优化方案，以改善母婴健康结局。本研究基于WHO《成功母乳喂养十项步骤》，为爱尔兰医疗体系内提升产前母乳喂养教育的实施质量提供了可落地的循证建议。