Gámez Requena J J, Márquez Feu T, Gómez Gómez F J, Sánchez García E
Enfermería, Hospital Materno-Infantil, Complejo Hospitalario Carlos Haya, Málaga, España.
Aten Primaria. 2004 May 31;33(9):503-6. doi: 10.1016/s0212-6567(04)70822-7.
To determine whether an intervention to foster breast-feeding did actually increase it and how long it lasted in nursing mothers who gave birth through caesarean section.
Evaluation of a community intervention.
Mother-and-Child Hospital in Málaga.
Sample of 152 pregnant women who delivered their baby by caesarean section, 76 in 1996 and 76 in 1998.
During 1997, activities to promote breast-feeding were organised in the health district. These included workshops aimed at primary care and specialist professionals, public events to promote breast-feeding (public feeds, photography competitions, media comment, etc), accords with institutions (university, nursing college inter al) and changes in the health services (improvement of services to new mothers and neonates; co-ordination between primary and hospital care).
In 1996, only 28% of women who started feeding did so with serotherapy. In 1998 this became 85% (P<.0005). Length of breast-feeding also increased significantly (P<.215). There was greater involvement of nursing, though it was not statistically significant (P<.06), moving from 40% in 1996 to 65.2% in 1998.
The campaign showed its efficacy as a method of promotion of breast-feeding, on achieving an earlier start in breast-feeding, longer duration of it and greater involvement of nurses. Practical applications included changes in hospital routines, professional training, working out of strategies and specific records for the ongoing assessment of breast-feeding.
确定一项促进母乳喂养的干预措施是否真的能增加剖宫产分娩的哺乳期母亲的母乳喂养率及其持续时间。
社区干预评估。
马拉加母婴医院。
152名剖宫产分娩的孕妇样本，1996年76名，1998年76名。
1997年，在健康区组织了促进母乳喂养的活动。这些活动包括针对初级保健和专科专业人员的研讨会、促进母乳喂养的公共活动（公开哺乳、摄影比赛、媒体评论等）、与机构（大学、护理学院等）达成协议以及卫生服务方面的改变（改善对新妈妈和新生儿的服务；初级保健与医院护理之间的协调）。
1996年，开始母乳喂养的女性中只有28%采用血清疗法。1998年这一比例变为85%（P<0.0005）。母乳喂养的持续时间也显著增加（P<0.215）。护士的参与度更高，尽管无统计学意义（P<0.06），从1996年的40%升至1998年的65.2%。
该活动显示出作为促进母乳喂养方法的有效性，实现了更早开始母乳喂养、更长的母乳喂养持续时间以及护士更高的参与度。实际应用包括改变医院常规、专业培训、制定策略以及建立用于持续评估母乳喂养的具体记录。
