Giovannini Marcello, Riva Enrica, Banderali Giuseppe, Salvioni Michela, Radaelli Giovanni, Agostoni Carlo
Department of Pediatrics, San Paolo Hospital, University of Milan, Italy.
J Hum Lact. 2005 Aug;21(3):259-65. doi: 10.1177/0890334405277898.
Determinants of exclusive versus predominant breastfeeding in the maternity ward and the relationship with later feeding practices were investigated in 1656 mothers who breastfed exclusively or predominantly in the maternity ward. Mothers were interviewed through 12 months postdelivery about feeding practices. Information about the World Heath Organization's (WHO's) 10 steps was collected. At hospital stay, breastfeeding was predominant in 43% of infants. Cesarean section (odds ratio [OR] = 1.75), mother's overweight (OR = 1.74), and non-compliance with the WHO's steps 6 (OR = 1.58), 7 (OR = 1.43), and 8 (OR = 1.76) were determinants of predominant, as opposed to exclusive, breastfeeding. Mothers exclusively, rather than predominantly, breastfeeding in the hospital showed a longer duration of full breastfeeding (mean = 3.6 vs 3.1 months), later introduction of formula (3.8 vs 3.3 months), and lower rate of introduction of formula within 1 month (23% vs 30%). Hospitals need to be compliant with the WHO's steps, and Baby-Friendly Hospital Initiatives should be promoted.
对1656名在产科病房进行纯母乳喂养或主要进行母乳喂养的母亲，研究了产科病房纯母乳喂养与主要母乳喂养的决定因素及其与后期喂养方式的关系。在产后12个月内对母亲进行喂养方式访谈。收集了有关世界卫生组织（WHO）十项措施的信息。住院期间，43%的婴儿主要进行母乳喂养。剖宫产（比值比[OR]=1.75）、母亲超重（OR=1.74）以及未遵循WHO的第6项（OR=1.58）、第7项（OR=1.43）和第8项措施（OR=1.76）是主要母乳喂养而非纯母乳喂养的决定因素。在医院进行纯母乳喂养而非主要进行母乳喂养的母亲，纯母乳喂养持续时间更长（平均为3.6个月对3.1个月），引入配方奶时间更晚（3.8个月对3.3个月），且1个月内引入配方奶的比例更低（23%对30%）。医院需要遵循WHO的措施，应推行爱婴医院倡议。
