Sheehan Debbie, Watt Susan, Krueger Paul, Sword Wendy
Family Health Division, City of Hamilton Public Health Services, Dundas, ON, Canada.
J Hum Lact. 2006 Nov;22(4):398-408. doi: 10.1177/0890334406293434.
The Ontario Mother and Infant Study II examined changes in postpartum health outcomes, including breastfeeding initiation and discontinuation, for mothers and their infants and compared these results to data collected prior to the initiation of the Universal Hospital Stay and Postpartum Home Visiting Program policy change in 1998. Data were collected using cross-sectional surveys before discharge and at 4 weeks postdischarge. Ninety percent of the women surveyed at 4 weeks postpartum initiated breastfeeding. Of these, 84% were still breastfeeding at 4 weeks postpartum. None of the 3 major program components-extended length of stay, a postpartum phone call from a public health worker, or a postpartum in-home visit-were associated with breastfeeding continuation to 4 weeks. Discontinuation before 4 weeks postdischarge was associated with maternal attitudes toward breastfeeding, formula feeding or supplementation in hospital, infant readmission, and use of walk-in clinics for infant care.
安大略母婴研究II考察了母亲及其婴儿产后健康结局的变化，包括母乳喂养的开始和停止情况，并将这些结果与1998年实施全民住院和产后家访计划政策变更之前收集的数据进行了比较。数据通过出院前和出院后4周的横断面调查收集。产后4周接受调查的女性中有90%开始母乳喂养。其中，84%在产后4周时仍在进行母乳喂养。住院时间延长、公共卫生工作者的产后电话随访或产后家访这三个主要项目组成部分，均与持续母乳喂养至4周无关。出院后4周内停止母乳喂养与母亲对母乳喂养的态度、在医院进行配方奶喂养或补充喂养、婴儿再次入院以及使用便捷诊所进行婴儿护理有关。
