THE COPENHAGEN COHORT STUDY ON INFANT NUTRITION AND GROWTH - DURATION OF BREAST-FEEDING AND INFLUENCING FACTORS

THE COPENHAGEN COHORT STUDY ON INFANT NUTRITION AND GROWTH - DURATION OF BREAST-FEEDING AND INFLUENCING FACTORS
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DOI:
10.1111/j.1651-2227.1994.tb13082.x
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发表时间:
1994-06-01
期刊:
影响因子:
3.8
通讯作者:
SAMUELSON, G
SAMUELSON, G
中科院分区:
医学4区
文献类型:
--
作者:
MICHAELSEN, KF;LARSEN, PS;SAMUELSON, G

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对随机选择的249名丹麦出生的健康足月儿进行了母乳喂养持续时间的研究,其中80.7%的婴儿参与了研究。99.5%的母亲主动母乳喂养。在3、6和9个月时,分别有71%、52%和33%的人仍在母乳喂养。只有1名婴儿(0.5%)在7个月以上采用纯母乳喂养。在对影响母乳喂养持续时间的因素进行的COX多元回归分析中,我们发现母亲的教育程度(p<0.001)和年龄(p=0.02)与产妇的教育程度(p<0.001)呈正相关,而与产科病房提供的配方奶粉的数量(p<0.001)呈负相关。在分娩6个月后,79%的受过高等教育(大于或等于12年)的母亲仍在哺乳,相比之下,受过低中学教育(小于或等于9年)的母亲中,这一比例为29%。仍然需要加大努力,支持母亲母乳喂养,尤其是受过短期学校教育的年轻母亲。73%的婴儿在出生后的头几天服用配方奶补充剂,与较短的母乳喂养时间有关,应该不鼓励这样做。
Duration of breast feeding was studied in 249 randomly chosen, healthy, term infants of Danish origin of which 80.7% participated. Breast feeding was initiated by 99.5% of the mothers. At 3, 6 and 9 months, 71%, 52% and 33%, respectively, were still breast feeding. Only 1 infant (0.5%) was exclusively breast fed beyond 7 months of age. In a Cox multiple regression analysis of factors influencing duration of breast feeding, we found a positive association with maternal education (p < 0.001) and age (p = 0.02) and a negative association with the amount of formula given at the maternity ward (p < 0.001). Six months after delivery, 79% of the mothers with higher school education (greater than or equal to 12 years) were still breast feeding, compared to 29% with a low school education (less than or equal to 9 years). There is still a need for an increased effort to support mothers in breast feeding, focusing particularly on younger mothers with short school education. Formula supplements during the first days of life, given to 73% of the infants, were associated with a shorter duration of breast feeding and should be discouraged.