Hospital practices that increase Breastfeeding duration: Results from a population-based study
Hospital practices that increase Breastfeeding duration: Results from a population-based study
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DOI：
10.1111/j.1523-536x.2007.00172.x
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发表时间：
2007-09-01
影响因子：
2.5
通讯作者：
Dellaport, Jennifer
中科院分区：
文献类型：
--
作者：
Murray, Erin K.;Ricketts, Sue;Dellaport, Jennifer
背景：高百分比（83%）的母亲在科罗拉多州开始母乳喂养；但为了与全国母乳喂养趋势保持一致，她们中的许多人在头几个月内就停止了母乳喂养。本研究的目的是确定医院实践对母乳喂养持续时间的影响，以及这种影响是否因母亲的社会经济地位而异。方法：利用妊娠风险评估监测系统的数据计算2002 - 2003年科罗拉多州所有母亲的母乳喂养持续时间。母乳喂养持续时间的比率被确定为接受调查的九家医院中的每一家的母乳喂养者，与未接受母乳喂养者的比率进行比较。将显著提高母乳喂养持续时间的做法结合起来，然后按社会经济地位进行分层。结果：当母亲经历了所有五种具体的医院做法：在第一个小时内母乳喂养，仅母乳喂养，婴儿住进房间，不使用安抚奶嘴，并收到出院后使用的电话号码时，母乳喂养时间显着改善。三分之二（68%；95%置信区间：61-75）经历了所有五种成功做法的母亲在16周时仍在母乳喂养，而没有经历这五种做法的母亲中有一半（53%；95%置信区间：49-56）仍在母乳喂养。母乳喂养持续时间的改善与母亲的社会经济地位无关。只有五分之一的母亲（18.7%）经历了所有五种支持性医院做法。经历过五种支持性医院做法的母亲，由于停止母乳喂养的任何主要原因而停止母乳喂养的可能性显著降低（p < 0.001）。结论：无论产妇的社会经济地位如何，实施五种支持母乳喂养的医院做法显著提高了母乳喂养持续时间。
Background: A high percentage (83%) of mothers in Colorado initiate breast feeding; but in keeping with national breastfeeding trends, many of them discontinue breastfeeding within the first few months. The objective of this study was to determine the effects of hospital practices on breastfeeding duration and whether the effects differed based on maternal socioeconomic status. Methods: Pregnancy Risk Assessment Monitoring System data were used to calculate breastfeeding duration rates for all Colorado mothers in 2002 to 2003. Breastfeeding duration rates were determined for recipients of each of nine hospital practices included in the survey compared with rates for nonrecipients. Practices that significantly increased breastfeeding duration rates were combined and then stratified by socioeconomic status. Results: Breastfeeding duration was significantly improved when mothers experienced all five specific hospital practices: breastfeeding within the first hour breastmilk only, infant rooming-in, no pacifier use, and receipt of a telephone number for use after discharge. Two-thirds (68%; 95% Cl: 61-75) of mothers who experienced all five successful practices were still breastfeeding at 16 weeks compared with one-half (53%; 95% CI: 49-56) of those who did not. Breastfeeding duration was improved independent of maternal socioeconomic status. Only one in five mothers (18.7%) experienced all five supportive hospital practices. Mothers who experienced the five supportive hospital practices were significantly less likely to stop breastfeeding due to any of the top reasons given for stopping (p < 0.001). Conclusions: Implementation of the five hospital practices supportive of breastfeeding significantly increased breastfeeding duration rates regardless of maternal socioeconomic status.