Breastfeeding initiation and duration through the COVID-19 pandemic, a linked population-level routine data study: the Born in Wales Cohort 2018-2021.
Breastfeeding initiation and duration through the COVID-19 pandemic, a linked population-level routine data study: the Born in Wales Cohort 2018-2021.
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DOI：
10.1136/bmjpo-2023-001907
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发表时间：
2023-07
影响因子：
2.6
通讯作者：
中科院分区：
文献类型：
--
作者：
世界卫生组织建议在生命的前6个 月进行纯母乳喂养。这项研究旨在研究大流行对母乳喂养的吸收和持续时间的影响，以及母乳喂养的意图是否与更长的纯母乳喂养时间相关。一项使用常规收集的、从安全匿名信息链接数据库中链接的医疗数据的队列研究。所有在2018年至2021年期间在威尔士分娩的女性都被问及母乳喂养的意愿。这些数据与国家社区儿童健康出生和母乳喂养数据集联系起来，以检查母乳喂养率。与不打算母乳喂养的人相比，打算母乳喂养的人继续纯母乳喂养6个 月的可能性高27.6倍(OR27.6，95% 可信区间24.9~30.7)。6个 月的母乳喂养率为16.6%，2020年为20.5%。与调查人群相比，大约10%的女性最初打算母乳喂养/不母乳喂养的意愿发生了变化。与大流行前或大流行后相比，在大流行期间，女性更有可能在6个 月内纯母乳喂养。可以说，能够让家庭有更多时间陪伴婴儿的干预措施，如产假和陪产假，可能有助于延长母乳喂养的持续时间。在6个 月时，母乳喂养的最大预测因素是母乳喂养意向。因此，在孕期采取有针对性的干预措施，以鼓励母乳喂养的动机，可以延长母乳喂养的持续时间。
The WHO recommends exclusive breastfeeding for the first 6 months of life. This study aimed to examine the impact the pandemic had on breastfeeding uptake and duration, and whether intention to breastfeed is associated with longer duration of exclusive breastfeeding. A cohort study using routinely collected, linked healthcare data from the Secure Anonymised Information Linkage databank. All women who gave birth in Wales between 2018 and 2021 recorded in the Maternal Indicators dataset were asked about intention to breastfeed. These data were linked with the National Community Child Health Births and Breastfeeding dataset to examine breastfeeding rates. Intention to breastfeed was associated with being 27.6 times more likely to continue to exclusively breastfeed for 6 months compared with those who did not intend to breastfeed (OR 27.6, 95% CI 24.9 to 30.7). Breastfeeding rates at 6 months were 16.6% prepandemic and 20.5% in 2020. When compared with a survey population, the initial intention to breastfeed/not breastfeed only changes for about 10% of women. Women were more likely to exclusively breastfeed for 6 months during the pandemic compared with before or after the pandemic. Arguably, interventions which enable families to spend more time with their baby such as maternal and paternal leave may help improve breastfeeding duration. The biggest predictor of breastfeeding at 6 months was intention to breastfeed. Therefore, targeted interventions during pregnancy to encourage motivation to breastfeed could improve duration of breastfeeding.
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作者：
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发表时间：
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DOI：
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发表时间：
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影响因子：
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