Léger-Leblanc Gisèle, Rioux France M
Ecole des Sciences des Aliments, de Nutrition et d'Etudes Familiales, Université de Moncton, Moncton, NB.
Can J Diet Pract Res. 2008 Summer;69(2):101-5. doi: 10.3148/69.2.2008.101.
To evaluate initiation and duration of breastfeeding of infants born to mothers who participated in the Early Childhood Initiative (ECI) program. Factors affecting the initiation and the early cessation of breastfeeding were also explored.
Twenty-five pregnant women participating in the ECI program completed this prospective study. At 36 weeks' gestation, a questionnaire was administered to assess socioeconomic status, intention to breastfeed and breastfeeding experience. When the infants were three and six months of age, feeding practices were assessed with a questionnaire.
The breastfeeding initiation rate was 62.5%. At one and three months postpartum, exclusive breastfeeding rates were 39% and 4%, respectively. At six months, none of the women was exclusively breastfeeding. Primiparity, prenatal classes, having been breastfed and intention to breastfeed at 36 weeks' gestation were positively associated with breastfeeding initiation. Father's education, intention to breastfeed at 36 weeks' gestation, no water or formula given to the infant during hospitalization and higher maternal hemoglobin level at 36 weeks' gestation were positively associated with the duration of breastfeeding.
The rate of initiation and duration of breastfeeding for ECI participants were low. To achieve successful interventions, it is important to target modifiable factors known to influence the initiation and duration of breastfeeding within this population.
评估参与幼儿倡议（ECI）项目的母亲所生婴儿的母乳喂养起始情况和持续时间。同时探究影响母乳喂养起始和早期停止的因素。
25名参与ECI项目的孕妇完成了这项前瞻性研究。在妊娠36周时，发放问卷以评估社会经济状况、母乳喂养意愿和母乳喂养经历。当婴儿3个月和6个月大时，通过问卷评估喂养方式。
母乳喂养起始率为62.5%。产后1个月和3个月时，纯母乳喂养率分别为39%和4%。到6个月时，没有一位女性进行纯母乳喂养。初产、参加产前课程、曾接受母乳喂养以及妊娠36周时的母乳喂养意愿与母乳喂养起始呈正相关。父亲的教育程度、妊娠36周时的母乳喂养意愿、住院期间不给婴儿喂水或配方奶以及妊娠36周时较高的母亲血红蛋白水平与母乳喂养持续时间呈正相关。
ECI项目参与者的母乳喂养起始率和持续时间较低。为实现成功干预，针对该人群中已知会影响母乳喂养起始和持续时间的可改变因素至关重要。
