Major factors influencing breastfeeding rates: Mother's perception of father's attitude and milk supply
Major factors influencing breastfeeding rates: Mother's perception of father's attitude and milk supply
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DOI：
10.1542/peds.106.5.e67
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发表时间：
2000-11-01
期刊：
影响因子：
8
通讯作者：
Kuhn, P
中科院分区：
文献类型：
--
作者：
Arora, S;McJunkin, C;Kuhn, P
目标。确定影响喂养决定的因素，母乳喂养和/或奶瓶起始率，以及母乳喂养持续时间。宾夕法尼亚州西北部一家拥有530张床位的社区医院的家庭医学实践。所有婴儿从出生到1岁得到良好儿童护理的母亲。测量结果。一份包含28个简单问题的调查问卷寄给了245位母亲。调查评估了：1)人口统计，2)产前和产后护理，3)母乳喂养信息的来源，4)决定的时机，5)偏好，6)选择的喂养类型，7)母乳喂养的持续时间，8)影响母乳喂养和/或奶瓶喂养决定的因素，9)鼓励奶瓶喂养母亲母乳喂养的因素。母乳喂养开始率为44.3%。到婴儿5个月大的时候，只有13%的人还在母乳喂养。母乳喂养或奶瓶喂养的决定通常是在怀孕前或孕早期做出的。母亲选择母乳喂养的最常见原因包括：1)有利于婴儿的健康，2)自然，3)与婴儿的情感联系。选择奶瓶喂养的最常见原因包括：1)母亲对父亲态度的看法，2)不确定母乳的数量，以及3)重返工作岗位。通过自我报告，鼓励母乳喂养的母亲进行母乳喂养的因素包括：1)产前课程中更多的信息；2)从电视、杂志和书籍中获取更多信息；3)家庭支持。为了克服障碍，需要与每一位父母讨论围绕感知障碍的问题，例如父亲的态度、奶量和时间限制。为了实现75%的母乳喂养母亲的目标，医生、护士和媒体必须在怀孕前或妊娠早期向父母双方，最好是向祖母提供关于母乳喂养益处的广泛教育。
Objective. To determine factors influencing feeding decisions, breastfeeding and/or bottle initiation rates, as well as breastfeeding duration.Setting. A family medicine practice of a 530-bed community-based hospital in northwestern Pennsylvania.Participants. All mothers whose infants received well-child care from birth to 1 year of age.Outcome Measure. A survey of 28 simple questions was developed and mailed to 245 mothers. The survey assessed: 1) demographics, 2) prenatal and postnatal care, 3) sources of breastfeeding information, 4) timing of decision, 5) preference, 6) type of feeding selected, 7) duration of breastfeeding, 8) factors influencing decisions to breastfeed and/or to bottle-feed, and 9) factors that would have encouraged bottle-feeding mothers to breastfeed.Results. The breastfeeding initiation rate was 44.3%. By the time the infant was 5 months old, only 13% of these were still breastfeeding. The decision to breastfeed or to bottle-feed was most often made before pregnancy or during the first trimester. The most common reasons mothers chose breastfeeding included: 1) benefits the infant's health, 2) naturalness, and 3) emotional bonding with the infant. The most common reasons bottle-feeding was chosen included: 1) mother's perception of father's attitude, 2) uncertainty regarding the quantity of breast milk, and 3) return to work. By self-report, factors that would have encouraged bottle-feeding mothers to breastfeed included: 1) more information in prenatal class; 2) more information from TV, magazines, and books; and 3) family support.Conclusions. To overcome obstacles, issues surrounding perceived barriers, such as father's attitude, quantity of milk, and time constraints, need to be discussed with each parent. To achieve the goal of 75% of breastfeeding mothers, extensive education regarding the benefits must be provided for both parents and optimally the grandmother by physicians, nurses, and the media before pregnancy or within the first trimester.