AimsTo describe the process of breastfeeding relationships among stay‐at‐home mother and infant dyads at 1, 3, 5 and 6 months.DesignA longitudinal qualitative online survey design was used.MethodsData were obtained at 1, 3, 5 and 6 months from 26 breastfeeding mothers who stayed home with their infants and directly breastfed at least once a day for the first 6 months between June 2022 and August 2023. Mothers' written responses to 3 open‐ended questions were analysed to assess breastfeeding experiences at home, thoughts/comments while directly breastfeeding and breastfeeding concerns/problems and strategies they used. Based on grounded theory, inductive content analysis was used to analyse the data. Trustworthiness of results was established by coding to consensus, formal peer debriefing and maintaining an audit trail.Results‘Breastfeeding Relationships at Home,’ the core construct, was identified and organized the process of breastfeeding relationships into 5 domains: (1) mothers' emotional well‐being while breastfeeding, (2) infant‐led feeding, (3) alternatives to breastfeeding, (4) evaluation of breastfeeding and (5) changes in breastfeeding as infants grow older.ConclusionBreastfeeding is not simply about feeding breast milk but also involves nurturing and developing a relationship between mother and infant. Across the domains, mutual responsiveness, a central element of the breastfeeding relationship was clear. Mothers who were committed to breastfeeding with embedded infant suckling reached emotional well‐being in return for their engagement which has potential to reduce maternal stress and prevent postpartum depression.ImpactFindings from the current study add to nurses' knowledge about the relationship building process between stay‐at‐home mothers and their infants in the first 6 months of breastfeeding during the COVID‐19 pandemic. Nurses must remain sensitive to aid the development of breastfeeding relationships in the home environment to maximize mutual responsiveness.Patient or Public ContributionNo patients or public involved.

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COVID-19 大流行期间家庭母乳喂养关系的纵向研究：扎根理论方法

目的描述 1、3、5 和 6 个月时全职母亲和婴儿二人组之间的母乳喂养关系过程。设计采用纵向定性在线调查设计。方法数据是在 1、3、5 和 6 个月时从 26 2022 年 6 月至 2023 年 8 月期间，在家照顾婴儿并在前 6 个月至少每天直接母乳喂养一次的母乳喂养母亲。分析了母亲对 3 个开放式问题的书面回答，以评估在家母乳喂养的经历、想法/评论直接母乳喂养和母乳喂养的担忧/问题以及他们使用的策略。基于扎根理论，采用归纳内容分析法对数据进行分析。结果的可信度是通过编码达成共识、正式的同伴汇报和维护审核跟踪来建立的。结果“家庭母乳喂养关系”这一核心结构被确定，并将母乳喂养关系的过程分为 5 个领域：(1) 母亲的情绪母乳喂养时的健康状况、(2) 以婴儿为主导的喂养、(3) 母乳喂养的替代方案、(4) 母乳喂养的评估以及 (5) 随着婴儿年龄的增长母乳喂养的变化。结论母乳喂养不仅仅是喂养母乳，还涉及培养和发展母亲和婴儿之间的关系。在各个领域中，相互反应是母乳喂养关系的核心要素，这一点是显而易见的。致力于母乳喂养和嵌入式婴儿哺乳的母亲获得了情感上的健康，以换取她们的参与，这有可能减轻产妇压力并预防产后抑郁症。当前研究的影响结果增加了护士对住院期间关系建立过程的了解。 COVID-19 大流行期间，在家中的母亲及其婴儿在母乳喂养的前 6 个月内。护士必须保持敏感，以帮助家庭环境中母乳喂养关系的发展，以最大限度地提高相互反应。患者或公众的贡献没有患者或公众参与。