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母乳喂养:与母乳喂养持续相关的因素、日本的现状以及进一步研究的建议。

Breastfeeding: factors associated with the continuation of breastfeeding, the current situation in Japan, and recommendations for further research.

作者信息

Haku Mari

机构信息

Post Graduate Course of Midwifery, The University of Tokushima, Tokushima, Japan.

出版信息

J Med Invest. 2007 Aug;54(3-4):224-34. doi: 10.2152/jmi.54.224.

DOI:10.2152/jmi.54.224
PMID:17878670
Abstract

There are a number of research reports that address the various advantages that breastfeeding brings to mothers and children, as well as to families and society, and in addition to a number of physically positive effects, breastfeeding has an important role in terms of mental and psychological effects.Ninety-five % of mothers desire to breastfeed, which reflects social acceptance, but the actual breastfeeding rate of the first month after childbirth is 42%, which accounts for about a half of all mothers. Breastfeeding is a natural behavior, but it cannot be performed only by instinct, so mothers discontinue breastfeeding for various reasons. While these reasons for the discontinuation of breastfeeding have been studied in many countries, research regarding the usability of care to support breastfeeding is being conducted in other countries at a level that can be considered evidential, but not yet in Japan. In addition, the current situation is that breastfeeding is strongly promoted but the support provided remains inadequate for mothers who cannot breastfeed, regardless of whatever efforts they make. This article will review several factors associated with the continuation of breastfeeding and the current situation in Japan, with the intention of identifying desirable areas for further research.

摘要

有许多研究报告阐述了母乳喂养给母亲、孩子、家庭和社会带来的种种益处。除了诸多对身体有益的影响外,母乳喂养在心理和精神方面也起着重要作用。95%的母亲希望进行母乳喂养,这反映了社会对此的认可,但产后第一个月的实际母乳喂养率为42%,约占所有母亲的一半。母乳喂养是一种自然行为,但不能仅靠本能来进行,因此母亲们会因各种原因停止母乳喂养。虽然许多国家都对这些停止母乳喂养的原因进行了研究,但在其他国家,关于支持母乳喂养护理的实用性研究正在以可视为有证据的水平进行,而日本尚未开展此类研究。此外,目前的情况是,母乳喂养得到大力推广,但对于那些无论付出何种努力都无法进行母乳喂养的母亲,所提供的支持仍然不足。本文将回顾与母乳喂养持续情况相关的几个因素以及日本的现状,旨在确定进一步研究的理想领域。

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