Merten Sonja, Ackermann-Liebrich Ursula
Institute of Social and Preventive Medicine, University of Basel, Basel, Switzerland.
J Hum Lact. 2004 Feb;20(1):9-17. doi: 10.1177/0890334403261017.
Monitoring of infant feeding and related health care practices was introduced in all 28 Swiss Baby-Friendly Hospitals to assess exclusive breastfeeding rates and potentially associated factors. Data on 5790 neonates were collected in 1999, and rates of exclusive breastfeeding in different health facilities were calculated. Odds ratios were calculated to estimate the effects of different determinants on exclusive breastfeeding rates. Of all infants, 97% were initially breastfed, but only 38% were exclusively breast milk fed in Baby-Friendly maternity wards, and proportions varied from 8% to 85% among hospitals. The strongest determinants for exclusive breastfeeding were health facility factors. Furthermore, exclusive breastfeeding rates significantly increased with every month of monitoring duration. The findings suggest that the introduction of continuous monitoring of infant nutrition and related health care practices might have a positive effect on breastfeeding management in health facilities.
瑞士所有28家爱婴医院均开展了对婴儿喂养及相关医疗保健做法的监测，以评估纯母乳喂养率及潜在相关因素。1999年收集了5790名新生儿的数据，并计算了不同医疗机构的纯母乳喂养率。计算比值比以估计不同决定因素对纯母乳喂养率的影响。在所有婴儿中，97%最初接受母乳喂养，但在爱婴产科病房中，只有38%为纯母乳喂养，各医院的比例从8%到85%不等。纯母乳喂养的最强决定因素是医疗机构因素。此外，随着监测持续时间每增加一个月，纯母乳喂养率显著提高。研究结果表明，对婴儿营养及相关医疗保健做法进行持续监测，可能会对医疗机构的母乳喂养管理产生积极影响。
