Factors affecting the duration of exclusive breastfeeding among HIV-infected and -uninfected women in Lusaka, Zambia
Factors affecting the duration of exclusive breastfeeding among HIV-infected and -uninfected women in Lusaka, Zambia
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DOI：
10.1177/0890334405279251
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发表时间：
2005-08-01
影响因子：
2.6
通讯作者：
Filteau, S
中科院分区：
文献类型：
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作者：
Chisenga, M;Kasonka, L;Filteau, S
与母乳和其他食物混合喂养相比，纯母乳喂养（EBF）最有利于婴儿健康，并且可以降低母婴艾滋病毒传播的风险。为了调查为什么许多妇女在建议的 6 个月之前停止 EBF、母婴健康和婴儿喂养，我们从妊娠 34 周到产后 16 周定期收集了 177 名 HIV 感染者和 177 名未感染的赞比亚妇女的数据。尽管强烈支持良好的母乳喂养实践，但只有 37% 的女性在第 16 周时仍处于 EBF。与 EBF 持续时间较短显着相关的因素是初产、母亲全身性疾病和 6 周时婴儿身长。结果表明，EBF 与较低的母婴 HIV 传播率之间的关联可能不是因果关系，但可能是与孕产妇或婴儿健康状况不佳相关的 EBF 持续时间缩短的继发因素。支持 EBF 的计划应包括对孕产妇健康的支持。
Exclusive breastfeeding (EBF) is optimal for infant health and is associated with decreased risk of mother-to-child HIV transmission compared with mixed feeding of breast milk and other foods. To investigate why many women stop EBF before the recommended 6 months, maternal and infant health and infant-feeding, data were collected from 177 HIV-infected and 177-uninfected Zambian women regularly from 34 weeks gestation to 16 weeks postpartum. Despite strong support for good breastfeeding practice, only 37% of women were still EBF at week 16. Factors significantly associated with shorter duration of EBF were primiparity, maternal systemic illness, and infant length at 6 weeks. The results suggest that the association of EBF with lower rates of mother-to-child HIV transmission may not be causal but may be secondary to the reduced duration of EBF associated with poor maternal or infant health. Programs supporting EBF should include support for maternal health.