Cernadas José M Ceriani, Noceda Graciela, Barrera Liliana, Martinez Ana M, Garsd Armando
Department of Pediatrics at Hospital Italiano de Buenos Aires, Argentina.
J Hum Lact. 2003 May;19(2):136-44. doi: 10.1177/0890334403253292.
The aim of this study was to evaluate the influence of certain factors on the duration of exclusive breastfeeding during the first 6 months of life. In 597 mothers, 26 variables were assessed during the postpartum period. The mothers were interviewed monthly by telephone about how they were feeding their babies. In 539 mothers (92.2%), complete data were obtained until the sixth month. At discharge, 1 month, 4 months, and 6 months, the frequency of exclusive breastfeeding was 97%, 83%, 56%, and 19%, respectively. The median duration was 4 months. A longer duration of exclusive breastfeeding was significantly associated with positive maternal attitudes toward breastfeeding, adequate family support, good mother-infant bonding, appropriate suckling technique, and no nipple problems. These associations persisted after controlling for maternal education and other confounding variables. Certain maternal factors related to a longer duration of exclusive breastfeeding can be identified in the maternity ward and might contribute to the development of more effective breastfeeding policies.
本研究的目的是评估某些因素对出生后头6个月纯母乳喂养持续时间的影响。对597名母亲在产后期间评估了26个变量。每月通过电话采访母亲们关于她们如何喂养婴儿的情况。在539名母亲（92.2%）中，获得了直至第6个月的完整数据。出院时、1个月、4个月和6个月时，纯母乳喂养的频率分别为97%、83%、56%和19%。中位持续时间为4个月。纯母乳喂养持续时间较长与母亲对母乳喂养的积极态度、充足的家庭支持、良好的母婴关系、适当的哺乳技巧以及无乳头问题显著相关。在控制了母亲教育程度和其他混杂变量后，这些关联依然存在。在产科病房可以识别出与纯母乳喂养持续时间较长相关的某些母亲因素，这可能有助于制定更有效的母乳喂养政策。
