Breastfeeding knowledge, breastfeeding confidence, and infant feeding plans: Effects on actual feeding practices
Breastfeeding knowledge, breastfeeding confidence, and infant feeding plans: Effects on actual feeding practices
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DOI：
10.1177/0884217502239799
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发表时间：
2003-01-01
影响因子：
1.8
通讯作者：
Boettcher, J
中科院分区：
文献类型：
--
作者：
Chezem, J;Friesen, C;Boettcher, J
目的：探讨母乳喂养知识，母乳喂养的信心，和婴儿喂养计划之间的关系，并在第一次母乳喂养mothers.Design的喂养实践的影响：前瞻性描述性design.Setting：电话采访进行产前和产后6周，3个月，6 months.Participants：74的83个第一次母乳喂养的母亲产前意图完成所有研究要求。大多数是白色人（95%），年龄在21 - 30岁之间（73%），受过高中以上教育（85%），家庭收入超过联邦贫困线的200%（88%）。母乳喂养知识、母乳喂养信心、计划婴儿喂养方法、计划母乳喂养持续时间、每日母乳代用品喂养周数、结果：母乳喂养知识与母乳喂养信心（r = 0.262; p = 0.025）和实际哺乳时间（r = 0.455; p = 0.0001）密切相关。与计划纯母乳喂养婴儿的妇女相比，计划混合喂养的妇女计划的母乳喂养持续时间较短（p =.022），报告的实际持续时间较短（p =.004），并且不太可能达到母乳喂养目标（p =.03，4）。变量的母亲教育，母乳喂养的知识，和周的日常母乳代用品喂养被用来开发一个预测方程，正确分类93%的参与者谁达到了他们的母乳喂养的目标和90%的那些谁没有。结论：期望和实际的母乳喂养的经验不同的妇女计划结合喂养和那些计划纯母乳喂养。无论是原因还是结果，每天母乳替代品喂养与负面母乳喂养结果相关。
Objective: To explore relationships among breastfeeding knowledge, breastfeeding confidence, and infant feeding plans and their effects on feeding practices in first-time breastfeeding mothers.Design: Prospective descriptive design.Setting: Telephone interviews were conducted prenatally and at 6 weeks, 3 months, and 6 months postpartum.Participants: Seventy-four of 83 first-time mothers with prenatal intentions to breastfeed completed all study requirements. The majority were White (95%), between the ages of 21 and 30 years (73%), with a post-high school education (85%), and household incomes of more than 200% of the federal poverty guideline (88%).Main Outcome Measures: Breastfeeding knowledge, breastfeeding confidence, planned infant feeding method, planned breastfeeding duration, weeks of daily human milk substitute feeding, breastfeeding duration, achievement of breastfeeding goals.Results: Breastfeeding knowledge was strongly correlated with breastfeeding confidence (r =.262; p =.025) and actual lactation duration (r =.455; p =.0001). Compared with women planning to exclusively breastfeed their infants, those planning to combination feed planned shorter breastfeeding duration (p =.022), reported shorter actual duration (p =.004), and were less likely to meet their breastfeeding goal (p =.03,4). The variables maternal education, breastfeeding knowledge, and weeks of daily human milk substitute feeding were used to develop a prediction equation that correctly categorized 93% of participants who met their breastfeeding goal and 90% of those who did not.Conclusions: Expectations and the actual breastfeeding experience differed among women planning to combination feed and those planning to exclusively breastfeed. Whether a cause or consequence, daily human milk substitute feeding was associated with negative breastfeeding outcomes.