Maternity care practices: Implications for breastfeeding
Maternity care practices: Implications for breastfeeding
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DOI：
10.1046/j.1523-536x.2001.00094.x
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发表时间：
2001-06-01
影响因子：
2.5
通讯作者：
Fein, S
中科院分区：
文献类型：
--
作者：
DiGirolamo, AM;Grummer-Strawn, LM;Fein, S
背景：许多United Starts的母亲从不母乳喂养婴儿，或者只喂养很短的时间。爱婴医院倡议的制定是为了帮助使母乳喂养成为分娩环境中的规范，该倡议包括对产妇护理做法的具体建议。本研究的目的是评估对母乳喂养的婴儿友好的做法的类型和数量的影响。方法：纵向邮件调查（1993-1994年）进行了妇女产前至产后12个月。该研究使用产前和新生儿时期的数据，重点关注了1085名产前有意母乳喂养超过2个月并开始母乳喂养的女性。预测变量包括缺乏具体的爱婴做法的指标（晚母乳喂养开始，补充剂的引入，没有房间，不按需母乳喂养，使用奶嘴），和经验的爱婴做法的数量。主要的结局指标是6周前终止母乳喂养。结果：只有7%的母亲经历了所有五个婴儿友好的做法。早期终止母乳喂养的最大风险因素是开始母乳喂养和补充婴儿的时间较晚。与经历过所有五种婴儿友好实践的母亲相比，没有经历过任何实践的母亲提前停止母乳喂养的可能性大约高出八倍。其他做法降低了提前终止合同的风险。结论：增加爱婴医院倡议的做法，提高母乳喂养超过6周的机会。有必要与医院合作，以增加采用这些做法，说明了小比例的母亲谁经历了所有五种做法在这项研究中测量。
Background: Many United Starts mothers never breastfeed their infants or do so for very short periods. The Baby-Friendly Hospital Initiative was developed to help make breastfeeding the norm in birthing environments, and consists of specific recommendations for maternity care practices. The objective of the current study was to assess the impact of the type and number of Baby-Friendly practices experienced on breastfeeding. Methods: A longitudinal mail survey (1993-1994) was administered to women prenatally through 12 months postpartum. The study focused on the 1085 women with prenatal intentions to breastfeed for more than 2 months who initiated breastfeeding, using data from the prenatal and neonatal periods. Predictor variables included indicators of the absence of specific Baby-Friendly practices (late breastfeeding initiating, introduction of supplements, no rooming-in, not breastfeeding on demand, use of pacifiers), and number of Baby-Friendly practices experienced. The main outcome measure was breastfeeding termination before 6 weeks. Results: Only 7 percent of mothers experienced all five Baby-Friendly practices. The strongest risk factors for early breastfeeding termination were late breastfeeding initiating and supplementing the infant. Compared with mothers experiencing all five Baby-Friendly practices, mothers experiencing none were approximately eight times more likely to stop breastfeeding early. Additional practices decreased the risk for early termination. Conclusion: Increased Baby-Friendly Hospital Initiative practices improve the chances of breastfeeding beyond 6 weeks. The need to work with hospitals to increase adoption of these practices in illustrated by the small proportion of mothers who experienced all five practices measured in this study.