Chien Li-Yin, Tai Chen-Jei, Chu Kuei-Hui, Ko Yi-Li, Chiu Yueh-Chi
Institute of Community Health Nursing, National Yang-Ming University, 155, Section. 2, Li-Nong St., Pei-Tou, Taipei 11221, Taiwan.
Int J Nurs Stud. 2007 Sep;44(7):1138-46. doi: 10.1016/j.ijnurstu.2006.05.015. Epub 2006 Jul 18.
The objective of this study was to examine the association between number of Baby Friendly hospital practices (based on World Health Organization/United Nations Children's Fund Ten Steps to successful breastfeeding) experienced by mothers and breastfeeding initiation during hospital stay, breastfeeding at 1 month and breastfeeding at 3 months after delivery.
The study population consisted of mothers who gave birth to infants without congenital anomalies at hospitals in Taiwan from June to October of 2003, inclusively. A total of 2079 mothers participated in the postal questionnaire survey.
Only 1% of women reported experiencing all 10-step practices, while 5.7% of women did not report experiencing any Baby Friendly practices. Mothers who delivered at certified Baby Friendly hospitals experienced more 10-step practices. The level of breastfeeding increased as the number of 10-step practices experienced increased at all three time points when confounders were controlled in the model.
This study found a dose-response relationship between number of 10-step practices experienced and breastfeeding. However, very few women in Taiwan reported experiencing all 10 steps. Our findings highlight the need for greater attention to implement the 10 steps.
本研究的目的是探讨母亲所经历的爱婴医院措施数量（基于世界卫生组织/联合国儿童基金会成功母乳喂养十项措施）与住院期间开始母乳喂养、产后1个月母乳喂养以及产后3个月母乳喂养之间的关联。
研究人群包括2003年6月至10月期间在台湾医院分娩无先天性异常婴儿的母亲。共有2079名母亲参与了邮寄问卷调查。
只有1%的女性报告经历了所有十项措施，而5.7%的女性未报告经历任何爱婴医院措施。在认证的爱婴医院分娩的母亲经历了更多的十项措施。在模型中控制混杂因素后，在所有三个时间点，随着经历的十项措施数量增加，母乳喂养水平也有所提高。
本研究发现经历的十项措施数量与母乳喂养之间存在剂量反应关系。然而，台湾很少有女性报告经历了所有十项措施。我们的研究结果强调了需要更加重视实施这十项措施。
