Lactation Accommodation in the Workplace and Duration of Exclusive Breastfeeding
Lactation Accommodation in the Workplace and Duration of Exclusive Breastfeeding
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DOI：
10.1111/jmwh.12072
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发表时间：
2013-11-01
影响因子：
2.7
通讯作者：
Wunderlich, Shahla M.
中科院分区：
文献类型：
--
作者：
Bai, Yeon;Wunderlich, Shahla M.
简介：本研究的目的是评估当前工作场所环境中的哺乳便利，并检查不同支持维度与纯母乳喂养持续时间之间的关联。方法：对新泽西州一家高等教育机构的员工和一家产科医院的客户进行了一项调查。因素分析确定了工作场所支持的维度。使用 Pearson 相关分析将这些维度与纯母乳喂养的持续时间相关联。结果：113 名职业母亲参与了这项研究。参与者的平均 (SD) 工作时间为每周 34.3 (2.8) 小时。参与者主要是白人（89.4%）、年龄较大（平均年龄 33.8 [6.0] 岁）、受过高等教育（>82% 大学毕业生以上）和已婚（92%）。参与者表示，在他们的工作场所，母乳喂养并不常见，没有吸奶器，而且现场日托并不总是一种选择。该分析确定了母乳喂养住宿的 4 个维度：休息时间、工作场所环境、技术支持和工作场所政策。技术支持（r = 0.71，P =.01）和工作环境（r = 0.26，P =.01）与纯母乳喂养持续时间显着相关。讨论：雇主可以加强技术支持和工作环境，以鼓励职业母亲继续母乳喂养。新的联邦法律应考虑针对功能性哺乳支持的最低要求制定具体指南，以实现全面的母乳喂养益处。 (C) 2013 年，美国护士助产士学院。
Introduction: The purpose of this study was to assess current lactation accommodations in a workplace environment and to examine the association between the different dimensions of support and the duration of exclusive breastfeeding.Methods: A survey was conducted with employees of a higher-education institution and clients of an obstetric hospital in New Jersey. Factor analysis identified dimensions of workplace support. The dimensions were correlated with the duration of exclusive breastfeeding using Pearson's r correlation analysis.Results: One hundred and thirteen working mothers participated in the study. The mean (SD) number of working hours of the participants was 34.3 (2.8) hours per week. Participants were primarily white (89.4%), older (mean age, 33.8 [6.0] years), highly educated (>82% above college graduate), and married (92%). Participants indicated that in their workplaces, breastfeeding was not common, breast pumps were not available, and on-site day care was not always an option. The analysis identified 4 dimensions of breastfeeding accommodation: break time, workplace environment, technical support, and workplace policy. Technical support (r = 0.71, P =.01) and workplace environment (r = 0.26, P =.01) were significantly associated with the duration of exclusive breastfeeding.Discussion: Employers can strengthen technical support and workplace environment to encourage breastfeeding continuation in working mothers. New federal laws should consider specific guidelines for minimum requirements for functional lactation support to achieve comprehensive breastfeeding benefits. (C) 2013 by the American College of Nurse-Midwives.