Maternal return to work and breastfeeding: A population-based cohort study
Maternal return to work and breastfeeding: A population-based cohort study
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DOI：
10.1016/j.ijnurstu.2009.09.003
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发表时间：
2010-04-01
影响因子：
8.1
通讯作者：
Chen, Pau-Chung
中科院分区：
文献类型：
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作者：
Chuang, Chao-Hua;Chang, Pei-Jen;Chen, Pau-Chung
背景资料：近几十年来，有婴儿的妇女在劳动力市场的参与率显著上升，而母乳喂养的普及率却有所下降。目的：探讨母亲重返工作岗位和母乳喂养之间的关系。设计：一项正在进行的前瞻性纵向研究。设置和参与者：本研究采多阶段分层系统抽样法，于2005年从台湾出生登记处抽取24，200对产妇及新生儿。参与妇女在分娩后6个月和18个月进行了两次家庭访谈，结构化问卷调查。共对21 248名和20 172名妇女进行了访谈，因此，在6个月和18个月时完成访谈的比率分别为87.8%和83.4%。所有的研究参与者提供知情同意书批准的伦理审查委员会国立台湾公共卫生学院。结果：初始母乳喂养的总体患病率为83.7%。产后恢复工作时间小于或等于1个月的妇女开始母乳喂养率最低（77.5%），但母乳喂养时间小于或等于1个月的患病率（34.9%）高于总体人群（26.8%）。总体而言，67.9%、39.4%、25.4%和12.7%的开始母乳喂养的母亲在婴儿1、3、6和12个月时仍然母乳喂养。休产假少于或等于6个月的妇女比休产假超过6个月的妇女和产后18个月才返回工作岗位的妇女更早停止母乳喂养。调整潜在混杂因素后，初始母乳喂养的优势比似乎没有什么不同，除了那些产后恢复工作不到或等于1个月的妇女和那些没有恢复工作的妇女。母亲返回工作1年内分娩后显着早于断奶比那些没有返回work.Conclusion：在我们的研究中，早期的母亲返回工作，特别是在6个月内分娩后，是一个障碍，开始和继续母乳喂养。因此，需要制定一项全面的战略，鼓励职业妇女从怀孕到重返工作岗位的母乳喂养做法，护士应在不同场合努力促进母乳喂养。(C)2009爱思唯尔有限公司保留所有权利。
Background: In recent decades there has been a marked rise in the participation of women with infants in the labour market, while there has been a decline in the prevalence rate of breastfeeding.Objective: To explore the relationship between maternal return to work and breastfeeding.Design: An on-going prospective longitudinal study.Setting and participants: Multistage stratified systematic sampling was designed to recruit 24,200 pairs, postpartum women and newborns, from the Taiwan national birth register in 2005. Participating women underwent two home interviews at 6 and 18 months after giving birth, following structured questionnaires. A total of 21,248 and 20,172 women were interviewed, and the completed interview rate was thus 87.8% and 83.4% at 6 and 18 months, respectively. All study participants provided informed consent as approved by the Ethics Review Board of the National Taiwan College of Public Health.Results: The overall prevalence of initial breastfeeding was 83.7%. Postpartum women returning to work less than or equal to 1 month had the lowest initiation of breastfeeding rate (77.5%), but had a higher prevalence of breastfeeding duration less than or equal to 1 month (34.9%) than the overall population (26.8%). Overall 67.9%, 39.4%, 25.4%, and 12.7% mothers who started breastfeeding still breastfed their infants at the age of 1, 3, 6 and 12 months, respectively. Women with maternal leave of less than or equal to 6 months ceased breastfeeding earlier than those with maternal leave beyond 6 months and those who did not return to work up to 18 months after birth. After adjustment for potential confounders, odds ratios of initial breastfeeding seemed no different, except those for postpartum women who returned to work less than or equal to 1 month and those who did not return to work. Mothers returning to work within 1 year after giving birth were significantly earlier in weaning than those without return to work.Conclusion: In our study, an early maternal return to work, especial within 6 months after giving birth, was a barrier to the initiation and continuation of breastfeeding. Thus, a comprehensive strategy is required to encourage the practice of breastfeeding in working women from pregnancy to the return to work, and nurses should work to promote breastfeeding in the different occasion. (C) 2009 Elsevier Ltd. All rights reserved.