Görbe E, Kõhalmi B, Gaál G, Szánthó A, Rigó J, Harmath A, Csabay L, Szabó Gy
First Department of Obstetrics and Gynecology, Semmelweis University Medical School, Budapest, Hungary.
J Matern Fetal Neonatal Med. 2002 Aug;12(2):127-31. doi: 10.1080/jmf.12.2.127.131.
To investigate the influence of pacifier use and the introduction of formula milk on breast feeding.
The mothers of 356 healthy newborn infants who initiated breast feeding while in-patients were interviewed within 3 days of birth and later at 2 and 6 months postpartum. Information regarding previous birth, breast-feeding frequency, pacifier use and the adoption of formula milk were obtained. The data were analyzed using chi2 and Kruskal-Wallis tests.
At the end of the second month, 264 (74%) of the mothers were still breast feeding; by the end of the sixth month this had fallen to 236 (66%). Among the 356 mothers, 152 had at least one previous infant, and 132 (86.8%) of them had breast fed a previous infant. Of the women who breast fed their previous infant for more than 2 months, 112 (84.8%) breast fed the current child until the end of the second month and 104 (78.7%) until the end of the sixth month after delivery. Of all investigated patients, 204 were primiparous (57.3%). Of these, 152 (74.5%) breast fed until the end of the second month, and 132 (64.7%) until the end of the sixth month after delivery. Amongthe 204 primiparae, 92 (45%) gave formula to their newborn infants. Forty-four of these 92 mothers (47.8%) had discontinued breast feeding by the end of the second month. Among the 356 newborn infants, 220 used pacifiers at the end of the second month. Within this group, 72 (33%) of the infants did not breast feed, while 148 (67%) did breast feed. Of all investigated mothers, 136 did not give pacifiers to their infants and only eight of these mothers (6%) had stopped breast feeding at the end of the second month.
We found an inverse correlation between pacifier usage and breast feeding. Breast feeding was most common among multiparous mothers.
探讨使用安抚奶嘴及引入配方奶对母乳喂养的影响。
对356名住院期间开始母乳喂养的健康新生儿的母亲在出生后3天内进行访谈,随后在产后2个月和6个月进行访谈。获取有关既往分娩情况、母乳喂养频率、安抚奶嘴使用情况及配方奶采用情况的信息。使用卡方检验和克鲁斯卡尔 - 沃利斯检验对数据进行分析。
在第二个月末,264名(74%)母亲仍在进行母乳喂养;到第六个月末,这一比例降至236名(66%)。在356名母亲中,152名至少有一个前一个婴儿,其中132名(86.8%)曾对前一个婴儿进行母乳喂养。在对前一个婴儿母乳喂养超过2个月的女性中,112名(84.8%)对当前婴儿母乳喂养至第二个月末,104名(78.7%)至分娩后第六个月末。在所有接受调查的患者中,204名是初产妇(57.3%)。其中,152名(74.5%)母乳喂养至第二个月末,132名(64.7%)至分娩后第六个月末。在204名初产妇中,92名(45%)给新生儿喂配方奶。这92名母亲中有44名(47.8%)在第二个月末停止了母乳喂养。在356名新生儿中,220名在第二个月末使用安抚奶嘴。在这个组中,72名(33%)婴儿未进行母乳喂养,而148名(67%)进行了母乳喂养。在所有接受调查的母亲中,136名未给婴儿使用安抚奶嘴,其中只有8名母亲(6%)在第二个月末停止了母乳喂养。
我们发现安抚奶嘴使用与母乳喂养之间存在负相关。母乳喂养在经产妇中最为常见。