Fallon Anthony Bruce, Hegney Desley, O'Brien Maxine, Brodribb Wendy, Crepinsek Maree, Doolan Jackie
Centre for Rural and Remote Area Health, Q Block, University of Southern Queensland/University of Queensland, Toowoomba, Queensland, Australia.
Birth. 2005 Dec;32(4):291-8. doi: 10.1111/j.0730-7659.2005.00386.x.
Postnatal breastfeeding support in the form of home visits is difficult to accommodate in regional Australia, where hospitals often deal with harsh economic constraints in a context where they are required to provide services to geographically dispersed consumers. This study evaluated a predominantly telephone-based support service called the Infant Feeding Support Service.
A prospective cohort design was used to compare data for 696 women giving birth in two regional hospitals (one public, one private) and participating in the support service between January and July 2003 with data from a cohort of 625 women who gave birth in those hospitals before the introduction of the support service. Each mother participating in the support service was assigned a lactation consultant. First contact occurred 48 hours after discharge, and approximately weekly thereafter for 4 weeks. Breastfeeding duration was measured at 3 months postpartum.
For women from the private hospital, the support service improved exclusive breastfeeding duration to 4.5 weeks postpartum, but these improvements were not evident at 3 months postpartum. No effects were observed for mothers from the public hospital. Quantitative and qualitative data demonstrated high levels of client satisfaction with the support service.
This small-scale, predominantly telephone-based intervention provided significant, although apparently context-sensitive, improvements to exclusive breastfeeding duration.
在澳大利亚地区，以家访形式提供产后母乳喂养支持很难实现，因为当地医院在为地理上分散的消费者提供服务的背景下面临着严峻的经济限制。本研究评估了一项主要基于电话的支持服务，即婴儿喂养支持服务。
采用前瞻性队列设计，将2003年1月至7月在两家地区医院（一家公立，一家私立）分娩并参与支持服务的696名妇女的数据与在支持服务引入之前在这些医院分娩的625名妇女队列的数据进行比较。参与支持服务的每位母亲都被分配了一名泌乳顾问。首次联系在出院后48小时进行，此后大约每周联系一次，持续4周。在产后3个月时测量母乳喂养持续时间。
对于私立医院的妇女，支持服务将纯母乳喂养持续时间提高到产后4.5周，但在产后3个月时这些改善并不明显。对于公立医院的母亲没有观察到效果。定量和定性数据表明客户对支持服务的满意度很高。
这项小规模的、主要基于电话的干预措施显著提高了纯母乳喂养持续时间，尽管显然与具体情况有关。
