Laborde Laurent, Gelbert-Baudino Nathalie, Fulcheri Julie, Schelstraete Camille, Francois Patrice, Labarere Jose
Quality of Care Unit, Grenoble University Hospital, France.
Acta Paediatr. 2007 Jul;96(7):1071-5. doi: 10.1111/j.1651-2227.2007.00369.x.
To estimate the percentage of breastfeeding mothers with home access to e-technologies and to compare breastfeeding outcomes for mothers with and without access to e-technologies.
We conducted a prospective observational study of 550 breastfeeding mothers discharged from nine maternity units in France.
Overall, 435 mothers (79%; 95% confidence interval [95% CI], 75-82) had home access to e-technologies. Mothers with access to e-technologies were less likely to be unemployed (6% vs. 15%, p = 0.004), to smoke during pregnancy (8% vs. 16%, p = 0.03), to have a breastfeeding assessment score <8 (39% vs. 59%, p < 0.001) and to use a pacifier (23% vs. 41%, p < 0.001). Although mothers with access to e-technologies had a longer median breastfeeding duration than those without home access to e-technologies (19 vs. 16 weeks, p = 0.02), adjusted hazard ratios for breastfeeding discontinuation (0.85; 95% CI, 0.60-1.21), overall satisfaction rates (73% vs. 67%, p = 0.19) and breastfeeding difficulties after discharge (58% vs. 61%, p = 0.60) were not different for the two groups.
A vast majority of breastfeeding mothers have home access to e-technologies in France. However, access to e-technologies was not independently associated with better breastfeeding outcomes in this study.
评估家中可使用电子技术的母乳喂养母亲的比例，并比较可使用和无法使用电子技术的母亲的母乳喂养结果。
我们对法国9个产科病房出院的550名母乳喂养母亲进行了一项前瞻性观察研究。
总体而言，435名母亲（79%；95%置信区间[95%CI]，75 - 82）家中可使用电子技术。可使用电子技术的母亲失业的可能性较小（6%对15%，p = 0.004），孕期吸烟的可能性较小（8%对16%，p = 0.03），母乳喂养评估得分<8的可能性较小（39%对59%，p < 0.001），使用安抚奶嘴的可能性较小（23%对41%，p < 0.001）。尽管可使用电子技术的母亲的母乳喂养中位持续时间比家中无法使用电子技术的母亲长（19周对16周，p = 0.02），但两组在母乳喂养中断的调整风险比（0.85；95%CI，0.60 - 1.21）、总体满意度（73%对67%，p = 0.19）以及出院后母乳喂养困难方面（58%对61%，p = 0.60）并无差异。
在法国，绝大多数母乳喂养母亲家中可使用电子技术。然而，在本研究中，使用电子技术与更好的母乳喂养结果并无独立关联。
