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德里一个城市安置区的母乳喂养模式。

Breast feeding patterns in an urban resettlement colony of Delhi.

作者信息

Chhabra P, Grover V L, Aggarwal O P, Dubey K K

机构信息

Department of Preventive and Social Medicine, University College of Medical Sciences, Delhi.

出版信息

Indian J Pediatr. 1998 Nov-Dec;65(6):867-72. doi: 10.1007/BF02831351.

Abstract

Studies on duration and patterns of breast feeding based on recall may lead to a bias about the exact feeding status. The present study was designed to overcome this bias using the 'current status analysis method'. Mothers of 650 infants from 0 to 12 months of age attending a Health Centre were interviewed about the current feeding patterns of the infants and other socioeconomic variables. Month-wise prevalence of feeding patterns was determined. It was observed that breast feeding was maintained at a high level (more than 90%) throughout infancy while exclusive breast feeding showed a rapid decline. At 1 month, 74% and at 4 months, 46% of infants were exclusively breast-fed. The median duration of exclusive breast feeding was 3.83 months. Mothers with lesser education and lower family income were more likely to exclusively breast feed (p < 0.05). The time interval between birth and first breast feed was 24-48 hours in most (48.9%) of the infants. Majority (76.9%) of the infants received pre-lacteal feeds. Hospital-born infants received their first feed earlier and were less likely to receive pre-lacteal feeds as compared to those born at home (p < 0.001). Thus, the practice of exclusive breast feeding has to be promoted amongst pregnant and lactating mothers by health personnel. Also knowledge regarding infant feeding has to be imparted in schools and colleges.

摘要

基于回忆进行的母乳喂养时长及模式研究可能会导致对确切喂养状况的偏差。本研究旨在运用“现状分析法”克服这一偏差。对前往健康中心的650名0至12个月婴儿的母亲就婴儿当前的喂养模式及其他社会经济变量进行了访谈。确定了逐月的喂养模式患病率。结果发现,母乳喂养在整个婴儿期都维持在较高水平(超过90%),而纯母乳喂养则迅速下降。1个月时,74%的婴儿纯母乳喂养,4个月时,46%的婴儿纯母乳喂养。纯母乳喂养的中位时长为3.83个月。受教育程度较低且家庭收入较低的母亲更有可能进行纯母乳喂养(p<0.05)。大多数(48.9%)婴儿出生与首次母乳喂养之间的时间间隔为24至48小时。大多数(76.9%)婴儿接受了初乳前喂养。与在家出生的婴儿相比,在医院出生的婴儿更早开始首次喂养,且接受初乳前喂养的可能性更小(p<0.001)。因此,卫生人员必须在孕妇和哺乳期母亲中推广纯母乳喂养的做法。此外,还必须在中小学及高校传授有关婴儿喂养的知识。

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