Al Tajir Ghada K, Sulieman Hana, Badrinath Padmanabhan
Drug Information Department, Al Qassimi Hospital, Sharjah, United Arab Emirates.
J Hum Lact. 2006 Feb;22(1):39-47. doi: 10.1177/0890334405283626.
A sample of 221 women who delivered at Al Qassimi Hospital, Sharjah, United Arab Emirates, were included in this prospective study to identify breastfeeding patterns at day 1, 1 month, and 6 months postpartum. The exclusive breastfeeding rate was 76.5% on day 1, 48.4% at 1 month, and 13.3% at 6 months. At 6 months, 16.1% had stopped breastfeeding. Simple and multivariable binary logistic regression analyses were used to identify factors associated with better breastfeeding outcomes. Nationality significantly affected exclusive breastfeeding at day 1 and 1 month. Pethidine use was associated with lower levels of exclusive breastfeeding at 1 month. Education was the most significant determinant of breastfeeding behavior at 6 months. Effects of the interrelationships between factors were examined and shown to influence breastfeeding outcomes in different population subgroups. The findings of this study suggest that strategies to improve breastfeeding should focus on risk factors specific to the population subgroup.
本前瞻性研究纳入了221名在阿拉伯联合酋长国沙迦的卡西米医院分娩的女性，以确定产后第1天、1个月和6个月时的母乳喂养模式。第1天的纯母乳喂养率为76.5%，1个月时为48.4%，6个月时为13.3%。6个月时，16.1%的女性停止了母乳喂养。采用简单和多变量二元逻辑回归分析来确定与更好的母乳喂养结果相关的因素。国籍在第1天和1个月时对纯母乳喂养有显著影响。使用哌替啶与1个月时较低的纯母乳喂养水平相关。教育是6个月时母乳喂养行为的最重要决定因素。研究了各因素之间相互关系的影响，并表明其在不同人群亚组中会影响母乳喂养结果。本研究结果表明，改善母乳喂养的策略应关注特定人群亚组的风险因素。
