Predictors of breastfeeding duration: Evidence from a cohort study
Predictors of breastfeeding duration: Evidence from a cohort study
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DOI：
10.1542/peds.2005-1991
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发表时间：
2006-04-01
期刊：
影响因子：
8
通讯作者：
Graham, KI
中科院分区：
文献类型：
--
作者：
Scott, JA;Binns, CW;Graham, KI
客观的。报告澳大利亚妇女群体的母乳喂养持续时间，并确定与全母乳喂养至 6 个月和任何母乳喂养至 12 个月的持续时间相关的因素。方法。参与者是从珀斯 2 家妇产医院招募的 587 名女性，她们在出院前或出院后不久完成了基线调查问卷。产后 4、10、16、22、32、40 和 52 周对女性进行电话随访。收集的数据包括与母乳喂养开始和持续时间相关的社会人口、生物医学、医院相关和社会心理因素。 Cox 比例风险模型用于确定与 6 个月前停止全母乳喂养和 12 个月前停止任何母乳喂养的风险相关的因素。 结果。 6 个月大时，不到一半的婴儿接受母乳喂养 (45.9%)，只有 12% 的婴儿接受完全母乳喂养。到 12 个月时，只有 19.2% 的婴儿仍在接受母乳。母乳喂养持续时间与母婴喂养态度独立呈正相关，与前 4 周母乳喂养困难、母亲吸烟、使用安抚奶嘴和提前重返工作岗位呈负相关。结论。相对较少的女性达到了国际建议的完全母乳喂养持续时间。女性在住院期间就应该接受关于如何预防或处理常见母乳喂养困难的预期指导，并且不鼓励在 10 周之前使用安抚奶嘴（如果有的话）。改进的产假规定和更灵活的工作条件可以帮助妇女更长时间地留在家里照顾婴儿和/或成功地将母乳喂养与外出工作结合起来。
OBJECTIVE. To report the duration of breastfeeding among a population of Australian women and to identify factors that are associated with the duration of full breastfeeding to 6 months and any breastfeeding to 12 months.METHODS. Participants were 587 women who were recruited from 2 maternity hospitals in Perth and completed a baseline questionnaire just before or shortly after discharge from the hospital. Women were followed up by telephone interview at 4, 10, 16, 22, 32, 40, and 52 weeks postpartum. Data collected included sociodemographic, biomedical, hospital-related, and psychosocial factors associated with the initiation and the duration of breastfeeding. Cox's proportional hazards model was used to identify factors that were associated with the risk for discontinuing full breastfeeding before 6 months and any breastfeeding before 12 months.RESULTS. At 6 months of age, fewer than one half of infants were receiving any breast milk (45.9%), and only 12% were being fully breastfed. By 12 months, only 19.2% of infants were still receiving any breast milk. Breastfeeding duration was independently, positively associated with maternal infant feeding attitudes and negatively associated with breastfeeding difficulties in the first 4 weeks, maternal smoking, introduction of a pacifier, and early return to work.CONCLUSIONS. Relatively few women achieved the international recommendations for duration of full and overall breastfeeding. Women should receive anticipatory guidance while still in the hospital on how to prevent or manage common breastfeeding difficulties and should be discouraged from introducing a pacifier before 10 weeks, if at all. Improved maternity leave provisions and more flexible working conditions may help women to remain at home with their infants longer and/or to combine successfully breastfeeding with employment outside the home.