Breastfeeding duration and early parenting behaviour: the importance of an infant-led, responsive style.
Breastfeeding duration and early parenting behaviour: the importance of an infant-led, responsive style.
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DOI：
10.1371/journal.pone.0083893
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Arnott B
中科院分区：
文献类型：
--
作者：
Brown A;Arnott B
流行的育儿文学促进不同的方法来照顾婴儿，周围的变化，在使用父母主导的例程和促进婴儿的独立性。然而，很少有经验证据表明这些早期行为如何影响更广泛的育儿选择，如婴儿喂养。母乳喂养通常需要婴儿主导的方法，按需喂养，并允许婴儿调节摄入量，而相反，配方奶粉喂养更容易受到护理人员的操纵。因此，与母乳喂养相关的婴儿主导风格可能与鼓励严格使用常规和独立的哲学不一致。本研究旨在探讨早期养育行为与母乳喂养持续时间之间的关系。508名有0-12个月婴儿的母亲完成了一份调查问卷，调查了母乳喂养的持续时间、对早期养育的态度和行为（如焦虑、使用常规、参与、养育和纪律）。参与者是婴儿团体的参与者或英国在线育儿论坛的参与者。出生时使用配方奶或母乳喂养时间短与低水平的养育、高水平的报告焦虑和增加母亲使用父母主导的日常活动显著相关。相反，以婴儿为主导的方法，其特征是响应和遵循婴儿的暗示，与母乳喂养持续时间较长。母亲希望遵循一个结构化的育儿方法，声称使用父母主导的例程和婴儿独立的早期要求可能会对母乳喂养时间产生负面影响。母亲焦虑的增加可能会进一步影响这种关系。这些发现对卫生专业人员在怀孕和产后期间支持新妈妈有重要意义。
Popular parenting literature promotes different approaches to caring for infants, based around variations in the use of parent-led routines and promoting infant independence. However, there is little empirical evidence of how these early behaviours affect wider parenting choices such as infant feeding. Breastfeeding often requires an infant-led approach, feeding on demand and allowing the infant to regulate intake whilst conversely formula feeding is open to greater caregiver manipulation. The infant-led style associated with breastfeeding may therefore be at odds with philosophies that encourage strict use of routine and independence. The aim of this study was to explore the association between early parenting behaviours and breastfeeding duration. Five hundred and eight mothers with an infant aged 0–12 months completed a questionnaire examining breastfeeding duration, attitudes and behaviours surrounding early parenting (e.g. anxiety, use of routine, involvement, nurturance and discipline). Participants were attendees at baby groups or participants of online parenting forums based in the UK. Formula use at birth or short breastfeeding duration were significantly associated with low levels of nurturance, high levels of reported anxiety and increased maternal use of Parent-led routines. Conversely an infant-led approach characterised by responding to and following infant cues was associated with longer breastfeeding duration. Maternal desire to follow a structured parenting approach which purports use of Parent-led routines and early demands for infant independence may have a negative impact upon breastfeeding duration. Increased maternal anxiety may further influence this relationship. The findings have important implications for Health Professionals supporting new mothers during pregnancy and the postpartum period.
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影响因子：
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