Women's perspectives on antenatal breast expression: a cross-sectional survey
Women's perspectives on antenatal breast expression: a cross-sectional survey
复制标题
DOI：
10.1186/s12978-018-0497-4
复制
发表时间：
2018-04-04
影响因子：
3.4
通讯作者：
Soltani, Hora
中科院分区：
文献类型：
--
作者：
Fair, Frankie J.;Watson, Helen;Soltani, Hora
背景：产前乳房挤压（ABE）的做法已被提出作为一种战略，以促进成功的母乳喂养。虽然一直有一些重点的影响，ABE在促进母乳喂养的评价，很少或没有证据存在于妇女的经验，ABE或意见ABE，特别是超重或肥胖women.Methods：本研究旨在探讨妇女的知识，做法和意见的ABE，超重和肥胖亚组内的任何差异。使用由产妇用户组代表通过社交媒体分发的在线问卷进行了横断面调查。定量数据采用SPSS中的卡方检验和Fisher精确检验进行分析。简单的主题分析用于定性data.Results：共688个答复进行了分析，样本代表了一组母乳喂养的母亲，其中64.5%的人听说过ABE，8.2%的人被建议做ABE，14.2%的人进行了ABE。在被建议做ABE的妇女中，67.9%的人遵守了。大多数参与者（58.6%）不确定ABE是否是一个好主意;但是，如果发现ABE有助于为母乳喂养做准备，80.9%的人会考虑进行ABE。超重或肥胖亚组的女性更有可能听说过ABE（p < 0.001），并且对ABE的积极看法也随着BMI的增加而增加。定性数据表明，参与者认为ABE可能是有益的，当母亲或婴儿有医疗问题，并在准备母乳喂养，但强调他们的关注，它可能会干扰自然和有害的，他们希望更多的信息和知识ABE.结论：在母乳喂养的妇女中，许多人听说过ABE，接受ABE建议的依从性相对较高，ABE被认为是一种可接受的做法。对ABE的益处和安全性进行进一步调查是必要的，以满足育龄妇女对有关这种做法的循证信息的需求。如果建立了证据基础，超重和肥胖的孕妇可能是这种干预的重要目标群体。
Background: The practice of antenatal breast expression (ABE) has been proposed as a strategy to promote successful breastfeeding. Although there has been some focus on the evaluation of the effects of ABE in promotion of breastfeeding, little or no evidence exists on women's experiences of ABE or opinions on ABE, particularly amongst overweight or obese women.Methods: This study aimed to explore women's knowledge, practices and opinions of ABE, and any differences within the overweight and obese subgroups. A cross-sectional survey was undertaken using an online questionnaire distributed by a maternity user group representative via social media. Quantitative data were analysed using Chi-square and Fisher's exact tests in SPSS. Simple thematic analysis was used for the qualitative data.Results: A total of 688 responses were analysed; the sample represented a group of breastfeeding mothers, of whom 64.5% had heard of ABE, 8.2% had been advised to do ABE, and 14.2% had undertaken ABE. Of the women who had been advised to do ABE, 67.9% had complied. Most participants (58.6%) were unsure if ABE was a good idea; however 80.9% would consider doing ABE if it was found to be helpful to prepare for breastfeeding. Women in the overweight or obese subgroups were significantly more likely to have heard of ABE (p < 0.001), and positive opinion of ABE also increased with higher BMI groups. The qualitative data demonstrated participants felt ABE may be beneficial when mother or baby have medical problems, and in preparation for breastfeeding, but highlighted their concerns that it may interfere with nature and be harmful, and that they wanted more information and knowledge about ABE.Conclusions: Amongst women who have breastfed, many have heard of ABE, compliance with advice to undertake ABE is relatively high, and ABE is considered an acceptable practice. Further investigation into the benefits and safety of ABE is warranted, to address the needs of childbearing women for evidence-based information about this practice. If the evidence base is established, overweight and obese pregnant women could be an important target group for this intervention.