Fida Nadia M, Al-Aama Jumama Y
Department of Pediatrics, King Abdul-Aziz University Hospital, PO Box 80215, Jeddah 21589, Kingdom of Saudi Arabia.
Saudi Med J. 2003 Jul;24(7):725-9.
To analyze the pattern of breastfeeding in mothers, identify causes of failure to breastfeed, initiate, and sustain breastfeeding practices at a University Hospital in Western Saudi Arabia.
Prospective interviews with mothers of infants seen consecutively during routine well baby clinic visits were conducted in the year October 2001 through to September 2002 using structured 18 item questionnaires. This study was carried out at King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia.
One hundred and twenty-eight interviews were conducted. Of the study groups 106 (83%) were breastfeeding. Of the mothers who came from low income families and no university education the figure was 90 (70%). Only 72 (56%) mothers had some form of health education regarding infant feed and most of the education came from relatives. Fourteen (10.9%) mothers reported encouragement to breastfeeding by medical personnel. Early discharge home from the newborn nursery at less than 24 hours age was significantly associated with success in establishing breastfeeding (p<0.047). Breastfeeding rates were 90% for infants in the first 6 months of life, but dropped to 72% afterwards. The reasons given for switching to formula feeding, in the order of frequency: inadequate milk supply (50%), working mothers (12.7%) and life style (10%). Mothers who were breast feeding were significantly more satisfied with their feeding practice than those whom were bottle feeding (p<0.05).
The most significant factor precluding initiation of breastfeeding was late discharge from the nursery, while the most common obstacle to sustaining breastfeeding was the misconception of mothers regarding adequacy of milk supply. Intervention targeted at adoption of baby friendly nursery atmospheres and promotions of health education are economically feasible in the community.
分析沙特阿拉伯西部一家大学医院中母亲的母乳喂养模式，找出母乳喂养失败的原因，启动并维持母乳喂养行为。
2001年10月至2002年9月期间，在常规健康婴儿门诊就诊时，对连续就诊婴儿的母亲进行前瞻性访谈，使用包含18个项目的结构化问卷。本研究在沙特阿拉伯王国吉达的阿卜杜勒-阿齐兹国王大学医院开展。
进行了128次访谈。在研究组中，106名（83%）母亲进行母乳喂养。来自低收入家庭且未接受过大学教育的母亲中，这一比例为90名（70%）。只有72名（56%）母亲接受过某种形式的婴儿喂养健康教育，且大部分教育来自亲属。14名（10.9%）母亲报告受到医务人员对母乳喂养的鼓励。出生后不到24小时就从新生儿病房提前出院与成功建立母乳喂养显著相关（p<0.047）。婴儿出生后头6个月的母乳喂养率为90%，但之后降至72%。改用配方奶喂养的原因，按出现频率依次为：乳汁供应不足（50%）、职业母亲（12.7%）和生活方式（10%）。母乳喂养的母亲对其喂养方式的满意度显著高于奶瓶喂养的母亲（p<0.05）。
妨碍开始母乳喂养的最主要因素是在新生儿病房出院延迟，而维持母乳喂养的最常见障碍是母亲对乳汁供应充足性的误解。在社区中，针对采用爱婴医院环境和推广健康教育的干预措施在经济上是可行的。
