Theofilogiannakou Melina, Skouroliakou Maria, Gounaris Antonis, Panagiotakos Demosthenis, Markantonis Sophia L
Laboratory of Biopharmaceutics and Pharmacokinetics, School of Pharmacy, University of Athens, Athens, Greece.
J Pediatr Gastroenterol Nutr. 2006 Sep;43(3):379-84. doi: 10.1097/01.mpg.0000228104.97078.bb.
To determine the prevalence, examine the influence of hospital practices and investigate potential determinants of breast-feeding in Athens.
Three hundred twelve mothers provided information regarding feeding practices at certain maternity hospitals in Athens, at 40 days and 6 months postpartum. Multiple logistic regression analysis was performed to evaluate the association between the initiation and maintenance of breast-feeding and potential risk factors.
Although almost 90% of newborn infants were given a breast milk substitute one or more times during the first 2 days at the maternity hospital, the exclusive breast-feeding percentage on the last day of hospital stay reached 85%. Breast-feeding and exclusive breast-feeding percentages dropped to 55% and 35%, respectively, at 40 days postpartum and to 16% and 12%, respectively, at 6 months postpartum. While in the hospital, 3% of mothers initiated breast-feeding within 1 hour of labor, only 34% were informed about the advantages of breast-feeding by health professionals and 42% were trained to breast-feed by the midwives. "Rooming-in" was not practiced in the private hospitals. The educational level was positively associated with the initiation of breast-feeding [odds ratio (OR): 1.36, confidence interval (CI): 1.02-1.81], the mother's body mass index was negatively associated with the maintenance of breast-feeding for 40 days (OR: 0.56, CI: 0.32-0.98) and 6 months (OR: 0.28, CI: 0.06-1.26) and a caesarean section was negatively associated with the initiation (OR: 0.24, CI: 0.11-0.49) and maintenance of breast-feeding (OR: 0.42, CI: 0.20-0.89).
Breast-feeding is not appropriately supported in certain maternity hospitals in Athens, and this is probably the cause of observed low breast-feeding prevalence.
确定雅典地区母乳喂养的患病率，研究医院做法的影响，并调查母乳喂养的潜在决定因素。
312名母亲提供了关于雅典某些妇产医院产后40天和6个月时喂养方式的信息。进行多因素逻辑回归分析以评估母乳喂养的开始和持续与潜在风险因素之间的关联。
尽管近90%的新生儿在妇产医院的头两天内接受过一次或多次母乳替代品，但住院最后一天的纯母乳喂养率达到85%。产后40天时，母乳喂养率和纯母乳喂养率分别降至55%和35%，产后6个月时分别降至16%和12%。在医院期间，3%的母亲在分娩后1小时内开始母乳喂养，只有34%的母亲从医护人员那里了解到母乳喂养的好处，42%的母亲接受过助产士的母乳喂养培训。私立医院没有实行母婴同室。教育水平与母乳喂养的开始呈正相关[优势比（OR）：1.36，置信区间（CI）：1.02 - 1.81]，母亲的体重指数与产后40天（OR：0.56，CI：0.32 - 0.98）和6个月（OR：0.28，CI：0.06 - 1.26）母乳喂养的持续呈负相关，剖宫产与母乳喂养的开始（OR：0.24，CI：0.11 - 0.49）和持续（OR：0.42，CI：0.20 - 0.89）呈负相关。
雅典的某些妇产医院对母乳喂养的支持不足，这可能是观察到母乳喂养患病率较低的原因。
