Haiek Laura N, Gauthier Dany L, Brosseau Dominique, Rocheleau Lydia
National Insitute of Public Health, Québec, Canada.
J Hum Lact. 2007 Feb;23(1):24-31. doi: 10.1177/0890334406297278.
The study objective was to measure breastfeeding rates and patterns in the Montérégie region of Québec. A survey of 632 mothers of 6-month-old infants was performed, of which 80% initiated breastfeeding, and 68% exclusively breastfed at birth. Breastfeeding rates progressively decreased with time: 63%, 56%, 51%, 44%, 39%, and 32% of mothers breastfed at 1, 2, 3, 4, 5, and 6 months, respectively. Among mothers breastfeeding at a given period, 62%, 57%, 48%, 35%, and 10% of women exclusively breastfed since birth for 1, 2, 3, 4, and 5 months, respectively. Exclusive breastfeeding for 6 months among the 200 women still breastfeeding was practically nonexistent. Introduction of nonhuman milk or solids was primarily responsible for the shift in patterns from exclusive to complementary feeding without passing through predominant breastfeeding. These findings confirm the need to prioritize effective hospital-based and community-based interventions to increase breastfeeding duration and exclusivity in the region.
该研究的目的是测量魁北克蒙特利尔地区的母乳喂养率及模式。对632名6个月大婴儿的母亲进行了一项调查，其中80%的母亲开始进行母乳喂养，68%的母亲在婴儿出生时进行纯母乳喂养。母乳喂养率随时间逐渐下降：在1、2、3、4、5和6个月时，分别有63%、56%、51%、44%、39%和32%的母亲仍在进行母乳喂养。在特定时期进行母乳喂养的母亲中，自婴儿出生起分别纯母乳喂养1、2、3、4和5个月的女性比例分别为62%、57%、48%、35%和10%。在仍在进行母乳喂养的200名女性中，几乎不存在纯母乳喂养6个月的情况。引入非母乳或固体食物是导致喂养模式从纯母乳喂养转变为混合喂养而未经过主要母乳喂养阶段的主要原因。这些发现证实了需要优先开展有效的基于医院和社区的干预措施，以提高该地区的母乳喂养时长和纯母乳喂养率。
