CHANGES IN BREAST-FEEDING PRACTICES IN NORWEGIAN MATERNITY WARDS - NATIONAL SURVEYS 1973, 1982 AND 1991

CHANGES IN BREAST-FEEDING PRACTICES IN NORWEGIAN MATERNITY WARDS - NATIONAL SURVEYS 1973, 1982 AND 1991
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DOI:
10.1111/j.1651-2227.1995.tb13744.x
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发表时间:
1995-07-01
期刊:
影响因子:
3.8
通讯作者:
HELSING, E
HELSING, E
中科院分区:
医学4区
文献类型:
--
作者:
ENDRESEN, EH;HELSING, E

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挪威的总母乳喂养率从 1968 年 12 周时的 < 30% 上升到 1991 年的 > 80%。1973 年、1982 年和 1991 年对所有挪威产房中与母乳喂养相关的常规进行了相应的变化。回答相同调查问卷的助产士主任描述了其病房中的“通常做法”。这 18 年的巨大变化反映了国际建议,例如世界卫生组织/联合国儿童基金会 1989 年联合声明和“成功母乳喂养的十个步骤”中总结的建议。母亲和婴儿之间不受干扰和长时间的接触变得更加普遍,对哺乳夫妇的需求更加尊重,以及更加个性化的护理也变得更加普遍。在回答开放式问题时,许多受访者对这些变化表示了积极的态度,但也出现了“成群结队”的消极态度。随着对出生婴儿行为和母婴互动的研究不断深入,本次调查表明,进一步的信息可能对母亲和卫生工作者都有利。
Total breastfeeding rates in Norway increased from < 30% at 12 weeks in 1968 to > 80% in 1991. Concomitant changes in routines related to breastfeeding in all Norwegian maternity wards were examined in 1973, 1982 and 1991. Head midwives responding to identical survey questionnaires described ''usual practices'' in their wards. The considerable changes over these 18 years reflected international recommendations such as those summarized in WHO/UNICEF's 1989 Joint Statement and ''Ten steps to successful breastfeeding''. Undisturbed and prolonged contact between mother and baby became more common, as did more respect for the needs of the nursing couple, and more individualized care. In responses to open-ended questions, many respondents expressed a positive attitude towards these changes, while ''clusters'' of negative attitudes were also seen. As research on inborn infant behaviour and mother-infant interaction proceeds, the present survey suggests areas where further information may benefit both mothers and health workers.