Chertok Ilana R, Shoham-Vardi Ilana, Hallak Mordechai
School of Nursing, University of Washington, BOX 357266, Seattle, WA 98195, USA.
J Perinat Neonatal Nurs. 2004 Apr-Jun;18(2):145-60. doi: 10.1097/00005237-200404000-00009.
The objective of the study was to increase breastfeeding initiation and duration rates among postcesarean women by implementing a culturally appropriate breastfeeding intervention. This study was a prospective population-based, controlled evaluation of a breastfeeding intervention consisting of 570 Jewish and Muslim postcesarean women who had delivered healthy, term infants at an Israeli hospital. Women in the control group (n = 264) received standard hospital care and women in the intervention group (n = 306) received early, culturally sensitive, postcesarean breastfeeding guidance. Surveys regarding breastfeeding duration practices were conducted at 10 and 16 weeks postpartum. Overall and exclusive 4-month breastfeeding duration rates were significantly higher for the intervention group as compared to the control group for the Jewish women at 10 and 16 weeks postpartum. Since few Muslim women ceased breastfeeding, only exclusive breastfeeding rates were evaluated. At 10 and 16 weeks, significantly more Muslim women in the intervention group were exclusively breastfeeding as compared to the control group, although rates dramatically declined by 16 weeks. Despite the challenges to breastfeeding posed by cesarean delivery, early and appropriate breastfeeding guidance facilitated successful outcomes for both Jewish and Muslim women.
该研究的目的是通过实施一项符合文化背景的母乳喂养干预措施，提高剖宫产术后妇女的母乳喂养启动率和持续率。本研究是一项基于人群的前瞻性对照评估，对一项母乳喂养干预措施进行评估，该措施涉及570名在以色列一家医院分娩健康足月儿的犹太和穆斯林剖宫产术后妇女。对照组（n = 264）的妇女接受标准的医院护理，干预组（n = 306）的妇女接受早期的、具有文化敏感性的剖宫产术后母乳喂养指导。在产后10周和16周进行了关于母乳喂养持续情况的调查。对于犹太妇女，在产后10周和16周时，干预组的总体和纯母乳喂养4个月的持续率显著高于对照组。由于很少有穆斯林妇女停止母乳喂养，因此仅评估了纯母乳喂养率。在10周和16周时，与对照组相比，干预组中有更多的穆斯林妇女进行纯母乳喂养，尽管到16周时该比率大幅下降。尽管剖宫产对母乳喂养构成挑战，但早期且适当的母乳喂养指导为犹太和穆斯林妇女都带来了成功的结果。
