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Analysis of the mammary gland structure involved in lactation and factors associated with breast-feeding continuation

参与泌乳的乳腺结构及继续母乳喂养的相关因素分析

基本信息

批准号：
15592269
负责人：
HAKU Mari
金额：
$ 0.9万
依托单位：
The University of Tokushima
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2004
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15592269/
关键词：
Breast-feeding Limitation factors Breast morphologic factors 1 month after delivery 3 months after delivery Orem's dependent-care 産褥乳腺構造制限要因依存的ケアモデルオレム

项目摘要

The purpose of this study was to clarify factors affecting breast-feeding continuation from delivery until 3 months after delivery. We consider that the results of this study may provide the basis of effective support for breast-feeding, allowing the realization of mothers' wish for "childcare by breast-feeding".Results1.The following 22 items in 3 categories were factors affecting the continuation of breast-feeding until 1 month after delivery1)Psychosocial factors affecting breast-feeding : 14 items"Fist childcare by breast-feeding", "resignation from experience", "maladjustment due to differences between the idealize child and the actual child", "insufficient living experience with the child", "insufficient energy", "lack of interest in or wish for breast-feeding", "inappropriate goals/orientations and values", "inappropriate decision-making", "disturbance by family members or others", "living situations not conducive to breast-feeding", "critical situations of family members or at home", "breast troubles", "lack of support", and "maternity blues".2)Breast morphological factors affecting breast-feeding : 3 items"Breast morphological abnormalities (flat nipples, inverted nipples, and large nipples 【greater than or equal】 17 mm in diameter)", "nipple fissures", and "mammary gland tissue thickness 【less than or equal】 21 mm".3)Background factors in the mother/child affecting breast-feeding : 5 items"Bleeding volume at delivery 【greater than or equal】 500 ml", "birth weight < 2,500 g", "absence of breast-feeding in the last child", "smoking habit", and "absence of breast-feeding at discharge".2.Breast-feeding at discharge may be an indicator of the continuation of breast-feeding until 3 months after delivery.ConclusionBased on these results, we intend to develop an assessment tool for support for the continuation of breast-feeding.

本研究的目的是阐明从分娩到分娩后3个月母乳喂养持续的影响因素。我们认为，本研究结果可为母乳喂养提供有效支持的基础，使母亲“以母乳育婴”的愿望得以实现。影响母乳喂养持续至产后1个月的因素分为3大类22项：1)影响母乳喂养的社会心理因素：“第一次母乳喂养”、“放弃经验”、“理想孩子与实际孩子差异导致的不适应”、“与孩子的生活经验不足”、“精力不足”、“缺乏对母乳喂养的兴趣或愿望”、“目标/取向和价值观不恰当”、“决策不恰当”、“家庭成员或他人的干扰”、“不利于母乳喂养的生活环境”等14项。“家庭成员或在家中的危急情况”、“乳房问题”、“缺乏支持”和“产妇忧郁”。2)影响母乳喂养的乳房形态因素：3项“乳房形态异常（扁平乳头、倒置乳头、大乳头【大于等于】直径17mm）”、“乳头裂隙”、“乳腺组织厚度【小于等于】21mm”。3)影响母乳喂养的母/儿背景因素：5项“分娩出血量【大于或等于】500 ml”、“出生体重< 2500 g”、“末胎未母乳喂养”、“吸烟习惯”、“出院未母乳喂养”。出院时的母乳喂养可能是母乳喂养持续到分娩后3个月的一个指标。结论基于这些结果，我们打算开发一个支持母乳喂养继续的评估工具。