Buranasin B
Maharaj Nakhonratchasima Hospital, Thailand.
Asia Pac J Public Health. 1991;5(3):217-20. doi: 10.1177/101053959100500305.
This study analyzed the effect of management of rooming-in, conducted in one of the regional hospitals in Thailand, on the success of breastfeeding. Data based on 2,000 infants born in 1987 and 1990 showed a significant improvement on separation time of infant and mother after delivery and predominant breastfeeding, where the infant's predominant source of nourishment has been breastmilk. Separation time was reduced from 6.3 +/- 3.2 to 1.62 +/- 0.42 hours and predominant breastfeeding was significantly increased from 85 to 99 percent. Data obtained from the community related to the initiation and predominant breastfeedings showed a significant increase (p less than 0.05). No significant difference was demonstrated, however, on current breastfeeding among infants who were delivery before and after initiation of the rooming-in system. Also analyzed were data on prevalence of deserted children. The findings showed a progressive reduction of deserted children after management of rooming-in. The study concludes that the practices of obstetricians were a key to successful breastfeeding. Promotion and management of rooming-in significantly improves the success of breastfeeding and reduction of deserted children in the hospital.
本研究分析了泰国一家地区医院实施母婴同室管理对母乳喂养成功率的影响。基于1987年和1990年出生的2000名婴儿的数据显示，分娩后母婴分离时间和纯母乳喂养情况有显著改善，即婴儿的主要营养来源为母乳。分离时间从6.3±3.2小时减少至1.62±0.42小时，纯母乳喂养率从85%显著提高至99%。从社区获得的与开始母乳喂养和纯母乳喂养相关的数据显示有显著增加（p<0.05）。然而，在母婴同室制度实施前后分娩的婴儿中，当前母乳喂养情况没有显著差异。还分析了弃婴发生率的数据。研究结果表明，实施母婴同室管理后弃婴数量逐渐减少。该研究得出结论，产科医生的做法是母乳喂养成功的关键。母婴同室的推广和管理显著提高了母乳喂养成功率，并减少了医院中的弃婴数量。
