Kutlu Ruhuşen, Kara Fatih, Durduran Yasemin, Marakoglu Kamile, Civi Selma
Department of Family Physician, Meram Medical Faculty, University of Selçuk, Konya, Turkey.
J Health Popul Nutr. 2007 Sep;25(3):382-6.
This retrospective study assessed the effects of pre- and post-training programme for healthcare professionals about breastfeeding. The study included 3,114 mothers who had children aged 1-72 month(s). Their knowledge and behaviours relating to breastfeeding were evaluated. The mothers were randomly divided into two groups: the 'before' group included 2,000 women who were not informed about breastfeeding, and the 'after' group comprised 1,114 women who had been informed about breastfeeding. 56.2% and 66.1% of the mothers started breastfeeding within 30 minutes after delivery, respectively, in the before and the after group (chi2 = 29.31, p < 0.001). 16.7% and 36.5% gave exclusive breastfeeding for six months (chi2 = 72.85, p < 0.001), and 28.5% and 23.7% stopped breastfeeding within the first five months (chi2 = 17.20, p = 0.002). Ninety-four percent delivered in a hospital or in a primary healthcare centre. Therefore, prenatal and postnatal breastfeeding education and support courses may improve a woman's chance of starting and continuing to breastfeed her baby. In terms of the number of antenatal check-ups, since the differences between the two groups were significant (chi2 = 390.67, p = 0.000), the importance of the training programme about breastfeeding was highlighted. Follow-up interventions after training are suggested.
这项回顾性研究评估了针对医护人员的母乳喂养培训前后计划的效果。该研究纳入了3114名有1至72个月大孩子的母亲。评估了她们与母乳喂养相关的知识和行为。母亲们被随机分为两组:“之前”组包括2000名未被告知母乳喂养知识的女性,“之后”组包括1114名已被告知母乳喂养知识的女性。“之前”组和“之后”组中分别有56.2%和66.1%的母亲在分娩后30分钟内开始母乳喂养(卡方=29.31,p<0.001)。分别有16.7%和36.5%的母亲进行了六个月的纯母乳喂养(卡方=72.85,p<0.001),以及28.5%和23.7%的母亲在前五个月内停止了母乳喂养(卡方=17.20,p=0.002)。94%的母亲在医院或初级医疗保健中心分娩。因此,产前和产后母乳喂养教育及支持课程可能会提高女性开始并持续母乳喂养婴儿的几率。就产前检查次数而言,由于两组之间的差异具有显著性(卡方=390.67,p=0.000),凸显了母乳喂养培训计划的重要性。建议在培训后进行随访干预。