The impact of prematurity and neonatal illness on the decision to breast-feed
The impact of prematurity and neonatal illness on the decision to breast-feed
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DOI：
10.1046/j.1365-2648.1997.1997025729.x
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发表时间：
1997-04-01
影响因子：
3.8
通讯作者：
Filteau, S
中科院分区：
文献类型：
--
作者：
Jaeger, MC;Lawson, M;Filteau, S
本文报告了一项定性和定量的横断面研究，婴儿喂养的做法，在三个新生儿重症监护病房。调查结果与44名母亲的不同种族出身，社会阶层，年龄和分娩时的妊娠报告。所有受访的母亲都曾提供过母乳，在这些单位的母乳喂养率高于全国平均水平。八位母亲报告说，在婴儿入院后，她们改变了喂养方法，包括三次从配方奶粉改为母乳喂养。母亲对乳汁分泌的看法及其分泌史表明了决定提供母乳的因素以及提供母乳的支助的质量。虽然母亲们认为总体支持是好的，但值得注意的是，35%的母亲自己建议她们挤奶，近一半的母亲在两天或两天以上没有开始挤奶，43%的母亲每天挤奶少于四次，48%的母亲收到了相互矛盾的建议。医院设施和在家里挤奶都有一些困难。有必要向母亲们提供更加一致的建议和实际帮助。
This paper reports on a qualitative and quantitative cross-sectional study of infant feeding practices made in three neonatal intensive care units. Findings from interviews with 44 mothers of diverse ethnic origin, social class, age and gestation at delivery are reported. All the mothers interviewed had at some time provided breast milk and rates of breast-feeding on these units were higher than the national average. Eight mothers reported changing their mind about feeding methods after their baby was admitted, including three changes from formula to breast-feeding. Mothers' perceptions with regard to milk expression and their expressing history gave indications of factors underlying decisions to provide breast milk and the quality of support to do so. While mothers considered overall support to have been good, notably 35% of mothers had themselves suggested that they express milk, nearly half did not start expressing for 2 or more days, 43% expressed fewer than four times a day and 48% of mothers had received conflicting advice. There were some difficulties with both the hospital facilities and with expressing milk at home. There is a need for more consistent advice and practical help to be given to mothers.