Ogbonna C, Okolo S N, Ezeogu A
Department of Community Health, Jos University Teaching Hospital, Plateau State.
West Afr J Med. 2000 Apr-Jun;19(2):107-10.
A study to elucidate the factors that influence successful Exclusive Breast Feeding (EBF) was carried out by administering a structured interview questionnaire prospectively on three hundred and thirty three nursing mothers attending Family Health Clinic, Jos University Teaching Hospital from October 1997 to June 1998. 136 (40.9%) of their 333 babies were exclusively breast fed for six months from birth. Mothers' literacy level of 75.6% had a statistically significant positive effect on the practice of EBF (P < 0.05). A high percentage (97.6%) attended Ante-natal clinic but 44% delivered at home. Home delivery was found to have a statistically significant negative effect on the practice of EBF P > 0.001. The drop-out rate on EBF for working nursing mothers was 58% (Discontinued EBF on resumption of duty from maternity leave). Students who had babies during school sessions also recorded a similar drop-out rate (57%). Although there was no statistically significant association between mothers occupation and the practice of EBF, full-time house wives practiced EBF least. The reason was attributed to environment (family influence). The study highlighted the need to get the mothers and mothers-in-law of nursing mothers involved in the promotion of EBF. They are known to command much respect and their opinion is well respected in the family when a new baby arrives. The extension of maternity leave to six months for a working mother is very necessary if she is expected to breast feed for six months and at the same time work to earn a living in an ailing economy.
1997年10月至1998年6月期间，通过对乔斯大学教学医院家庭健康诊所的333名哺乳期母亲进行前瞻性结构化访谈问卷，开展了一项旨在阐明影响纯母乳喂养（EBF）成功因素的研究。她们的333名婴儿中，有136名（40.9%）从出生起就纯母乳喂养了6个月。母亲的识字水平为75.6%，对纯母乳喂养的实施有统计学上显著的积极影响（P<0.05）。高比例（97.6%）的母亲参加了产前诊所，但44%的母亲在家分娩。发现在家分娩对纯母乳喂养的实施有统计学上显著的负面影响（P>0.001）。在职哺乳期母亲的纯母乳喂养中断率为58%（产假结束恢复工作后停止纯母乳喂养）。在学期期间生育孩子的学生也有类似的中断率（57%）。尽管母亲的职业与纯母乳喂养的实施之间没有统计学上显著的关联，但全职家庭主妇实施纯母乳喂养的比例最低。原因归因于环境（家庭影响）。该研究强调需要让哺乳期母亲的母亲和婆婆参与到促进纯母乳喂养的工作中来。众所周知，她们备受尊重，当有新生儿出生时，她们在家庭中的意见也很受重视。如果希望职业母亲纯母乳喂养6个月，同时在经济不景气的情况下工作谋生，将产假延长至6个月是非常必要的。
