Hospital Practices and Women's Likelihood of Fulfilling Their Intention to Exclusively Breastfeed
Hospital Practices and Women's Likelihood of Fulfilling Their Intention to Exclusively Breastfeed
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DOI：
10.2105/ajph.2008.135236
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发表时间：
2009-05-01
影响因子：
12.7
通讯作者：
O'Hara, MaryAnn
中科院分区：
文献类型：
--
作者：
Declercq, Eugene;Labbok, Miriam H.;O'Hara, MaryAnn
目标.我们试图评估母亲报告的与母乳喂养相关的医院实践是否与实现纯母乳喂养的意图相关。我们使用的数据来自倾听母亲II，这是一项全国代表性的调查，调查对象是2005年在医院分娩的1573名单身母亲。回顾性询问母亲母乳喂养意愿、1周婴儿喂养情况和7次住院实践。Primitrium报告说，他们打算完全母乳喂养（70%）和这种做法在1周（50%）之间存在实质性差异。他们还报告了与婴儿友好十步相冲突的医院做法，包括补充剂（49%）和奶嘴使用（45%）。在实施6或7个步骤的医院分娩的产妇实现纯母乳喂养意图的可能性是在没有实施或实施1个步骤的医院分娩的产妇的6倍。报告婴儿补充喂养的母亲实现纯母乳喂养的可能性较低：100%（调整后的比值比[AOR] = 4.4; 95%置信区间[CI] = 2.1，9.3）; 100%（AOR = 8.8; 95% CI = 4.4，17.6）。医院应实施支持母乳喂养的政策，特别注意消除健康新生儿的补充。(Am J公共卫生。2009;99：929-935。doi：10.2105/AJPH.2008.135236）
Objectives. We sought to assess whether breastfeeding-related hospital practices reported by mothers were associated with achievement of their intentions to exclusively breastfeed.Methods. We used data from Listening to Mothers II, a nationally representative survey of 1573 mothers who had given birth in a hospital to a singleton in 2005. Mothers were asked retrospectively about their breastfeeding intention, infant feeding at 1 week, and 7 hospital practices.Results. Primiparas reported a substantial difference between their intention to exclusively breastfeed (70%) and this practice at 1 week (50%). They also reported hospital practices that conflicted with the Baby-Friendly Ten Steps, including supplementation (49%) and pacifier use (45%). Primiparas who delivered in hospitals that practiced 6 or 7 of the steps were 6 times more likely for achieve their intention to exclusively breastfeed than were those in hospitals that practiced none or 1 of the steps. Mothers who reported supplemental feedings for their infant were less likely to achieve their intention to exclusively breastfeed: primiparas (adjusted odds ratio [AOR] = 4.4; 95% confidence interval [CI] = 2.1, 9.3); multiparas (AOR = 8.8; 95% CI = 4.4, 17.6).Conclusions. Hospitals should implement policies that support breastfeeding with particular attention to eliminating supplementation of healthy newborns. (Am J Public Health. 2009;99:929-935. doi: 10.2105/AJPH.2008.135236)