Do perceived attitudes of physicians and hospital staff affect breastfeeding decisions?
Do perceived attitudes of physicians and hospital staff affect breastfeeding decisions?
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DOI：
10.1046/j.1523-536x.2003.00227.x
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发表时间：
2003-06-01
影响因子：
2.5
通讯作者：
Fein, SB
中科院分区：
文献类型：
--
作者：
DiGirolamo, AM;Grummer-Strawn, LM;Fein, SB
背景资料：在美国，由于相当大比例的母亲没有母乳喂养，因此需要进行研究以评估对母乳喂养的重要影响。目前的研究评估的影响母乳喂养的感知态度的卫生保健提供者对婴儿喂养。研究方法：纵向邮件调查（1993-1994年）管理到1620名妇女产前产后12个月，目前的研究集中在产前和新生儿期（66%的响应率）。结果变量是未能母乳喂养超过6周。预测变量是母亲对产前医生和医院工作人员对婴儿喂养的态度的看法。分析控制母亲的产前母乳喂养的意图，父亲的喂养偏好，人口和心理变量。结果：41%的母亲在产后6周内没有母乳喂养。相当比例的母亲表示，医生和医院工作人员表示更喜欢母乳喂养（分别为38%和57%），或表示不喜欢（分别为61%和42%），而很少有人喜欢配方奶粉喂养。调整后的分析表明，医院工作人员的“无偏好”是超过6周未能母乳喂养的一个重要风险因素。在这些分析中，医生的“无偏好”对母乳喂养结果没有显著影响。进一步的分析表明，感知医院工作人员的态度的影响，只存在于母亲谁打算产前母乳喂养2个月或less. Conclusions：许多妇女没有报告收到积极的母乳喂养信息，从他们的保健照顾者和医院的工作人员。医院工作人员的中立态度与母乳喂养不超过6周有关，特别是在产前打算母乳喂养时间很短的母亲中。
Background: In the United States, since a substantial percentage of mothers are not breastfeeding, research is needed to assess important influences on breastfeeding. The current study assessed the impact on breastfeeding of the perceived attitudes of health care providers about infant feeding. Methods: A longitudinal mail survey (1993-1994) was administered to 1620 women prenatally through 12 months postpartum; the current study focused on the prenatal and neonatal periods (66% response rate). The outcome variable was failure to breastfeed beyond 6 weeks. Predictor variables were the mother's perceptions of her prenatal physician's and hospital staff's attitudes on infant feeding. Analysis controlled for mother's prenatal breastfeeding intentions, father's feeding preference, and demographic and psychosocial variables. Results: Forty-one percent of the mothers were not breastfeeding at 6 weeks postpartum. Substantial percentages of mothers reported that physicians and hospital staff expressed a preference for breastfeeding (38% and 57%, respectively), or expressed no preference (61% and 42%, respectively), whereas few favored formula feeding. Adjusted analyses indicated that "no preference" by hospital staff was a significant risk factor for failure to breastfeed beyond 6 weeks. "No preference" by physicians did not significantly influence breastfeeding outcome in these analyses. Further analyses indicated that the effects of perceived hospital staff attitudes were only present for mothers who intended prenatally to breastfeed for 2 months or less. Conclusions: Many women did not report receiving positive breastfeeding messages from their health caregivers and hospital staff. A perceived neutral attitude from the hospital staff is related to not breastfeeding beyond 6 weeks, especially among mothers who prenatally intended to breastfeed for only a short time.