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与母乳喂养持续时间相关的产前因素:产前干预建议

Prenatal factors associated with breastfeeding duration: recommendations for prenatal interventions.

作者信息

O'Campo P, Faden R R, Gielen A C, Wang M C

出版信息

Birth. 1992 Dec;19(4):195-201. doi: 10.1111/j.1523-536x.1992.tb00402.x.

DOI:10.1111/j.1523-536x.1992.tb00402.x
PMID:1472267
Abstract

This study of 198 urban breastfeeding women examined the psychosocial, demographic, and medical factors identified prenatally that may be associated with longer breastfeeding duration and may serve as suitable areas for prenatal breastfeeding promotion interventions. Of 11 psychosocial and demographic factors examined, 5 were important influences on breastfeeding duration: anticipated length of breastfeeding, normative beliefs, maternal confidence, social learning, and behavioral beliefs about breastfeeding. Methods of multivariate linear regression were used to identify prenatal factors that influenced anticipated length. Of the 10 factors entered into the regression model, parity, plans to return to work or school by six months postpartum, and maternal confidence were the most significant factors affecting anticipated length of breastfeeding. Our data suggest several factors amenable to intervention during the prenatal period that appear to influence breastfeeding duration. Prenatal promotion efforts could easily incorporate strategies that influence factors such as normative and behavioral beliefs and maternal confidence.

摘要

这项针对198名城市母乳喂养女性的研究,调查了产前确定的可能与更长母乳喂养持续时间相关的心理社会、人口统计学和医学因素,这些因素可能是产前母乳喂养促进干预的合适领域。在所调查的11个心理社会和人口统计学因素中,有5个对母乳喂养持续时间有重要影响:预期母乳喂养时长、规范信念、母亲信心、社会学习以及关于母乳喂养的行为信念。采用多元线性回归方法来确定影响预期时长的产前因素。纳入回归模型的10个因素中,产次、产后6个月返回工作或学校的计划以及母亲信心是影响母乳喂养预期时长的最显著因素。我们的数据表明,产前阶段有几个因素适合进行干预,这些因素似乎会影响母乳喂养持续时间。产前促进工作可以轻松纳入影响规范和行为信念以及母亲信心等因素的策略。

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