曼尼托巴省的医院对母婴友好程度如何？省级婴儿喂养研究。曼尼托巴省母乳喂养促进指导委员会。

How Baby-Friendly are Manitoba hospitals? The Provincial Infant Feeding Study. Breastfeeding Promotion Steering Committee of Manitoba.

作者信息

Martens P J, Phillips S J, Cheang M S, Rosolowich V

机构信息

Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg.

出版信息

Can J Public Health. 2000 Jan-Feb;91(1):51-7. doi: 10.1007/BF03404254.

DOI:10.1007/BF03404254

PMID:10765586

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6979595/

Abstract

The Breastfeeding Promotion Steering Committee of Manitoba conducted the cross-sectional Provincial Infant Feeding Study in 1996 to examine: correlation between breastfeeding policies and actual practices in Manitoba hospitals; compliance with Baby-Friendly Hospital Initiative (BFHI) criteria; and associations between hospital practices and two-week breastfeeding duration. Three separate surveys obtained information from: administrators concerning hospital policy; nursing staff concerning hospital practices; and all women giving birth in a five-week period, concerning breastfeeding rates and maternal perceptions of hospital practices. The results highlighted the need for policy and practice changes to comply with BFHI criteria. 92% initiated breastfeeding, and 84% were breastfeeding at two weeks postpartum. Independent predictors of weaning included: in-hospital supplementation (adjusted RR = 2.1, 95% CI 1.02-4.36, p = 0.04); temporarily interrupting breastfeeding while in hospital (adjusted RR = 4.9, 95% CI 2.7-8.9, p = 0.0001); no previous breastfeeding experience (adjusted RR = 2.5, 95% CI 1.4-4.4, p = 0.002); and Grade 12 or less maternal education.

摘要

1996年，曼尼托巴省母乳喂养促进指导委员会开展了一项省级横断面婴儿喂养研究，以考察：曼尼托巴省各医院母乳喂养政策与实际做法之间的相关性；对爱婴医院倡议（BFHI）标准的遵守情况；以及医院做法与两周母乳喂养持续时间之间的关联。三项独立调查分别从以下方面获取了信息：向管理人员了解医院政策；向护理人员了解医院做法；向在五周内分娩的所有妇女了解母乳喂养率以及她们对医院做法的看法。研究结果凸显了改变政策和做法以符合BFHI标准的必要性。92%的产妇开始母乳喂养，84%的产妇在产后两周时仍在进行母乳喂养。断奶的独立预测因素包括：住院期间补充喂养（调整后的相对危险度=2.1，95%置信区间1.02 - 4.36，p = 0.04）；住院期间暂时中断母乳喂养（调整后的相对危险度=4.9，95%置信区间2.7 - 8.9，p = 0.0001）；以前没有母乳喂养经历（调整后的相对危险度=2.5，95%置信区间1.4 - 4.4，p = 0.002）；以及母亲教育程度为12年级及以下。