Lin Chien-Hui, Kuo Su-Chen, Lin Kuan-Chia, Chang Tse-Yun
Mackay Memorial Hospital, Taipei, Taiwan.
J Clin Nurs. 2008 Nov;17(21):2838-45. doi: 10.1111/j.1365-2702.2008.02289.x.
The aims of this study were: (1) to evaluate the effectiveness of a prenatal breastfeeding education programme for primigravida women who have elected caesarean section as a model of delivery and (2) to evaluate its effectiveness for encouraging a positive attitude to breastfeeding and rooming-in and to increase exclusive breastfeeding rates within hospital and at one month postpartum.
Prenatal preparation for pregnant women about breastfeeding enhances their practical knowledge and skills about breastfeeding techniques, which prepares them when encountering possible difficulties.
A quasi-experimental design was used.
The targeted population was primigravidas at 36-39 weeks and who had chosen to deliver by caesarean section. The study consisted of approximately 100 individuals; the control group consisted of 46 subjects and the following 54 made up the experimental group. The study was conducted at a hospital in Taiwan.
The results of the study show that the subjects of the experimental group exhibited a more positive breastfeeding attitude (88.9 vs. 79.8, t = 7.40, p < 0.001), a higher 24 hours rooming-in rate (87% vs. 63%, chi(2) = 16.06, p < 0.001) and a higher exclusive breastfeeding rate (79.6% vs. 52.2%, chi(2) = 8.38, p = 0.004) during hospital stays and a higher exclusive breastfeeding rate (75.9% vs. 34.7%, chi(2) = 16.98, p < 0.001) for the one month postpartum period.
Results suggest that providing education booklets, videos and telephone interview on breastfeeding prior to a caesarean delivery may contribute to breastfeeding attitude and improved rooming-in and exclusive breastfeeding rates.
This breastfeeding education programme has proven to be successful in aiding women breastfeeding after a caesarean delivery and provides health care professionals with an evidence-based intervention.
本研究的目的是：（1）评估针对选择剖宫产作为分娩方式的初产妇的产前母乳喂养教育项目的有效性；（2）评估该项目在鼓励对母乳喂养和母婴同室持积极态度以及提高住院期间和产后1个月纯母乳喂养率方面的有效性。
为孕妇进行母乳喂养的产前准备可增强她们关于母乳喂养技巧的实践知识和技能，使她们在遇到可能的困难时有所准备。
采用准实验设计。
目标人群为孕36 - 39周且选择剖宫产分娩的初产妇。该研究约有100人；对照组由46名受试者组成，另外54名组成实验组。研究在台湾的一家医院进行。
研究结果表明，实验组受试者表现出更积极的母乳喂养态度（88.9对79.8，t = 7.40，p < 0.001），24小时母婴同室率更高（87%对63%，χ² = 16.06，p < 0.001），住院期间纯母乳喂养率更高（79.6%对52.2%，χ² = 8.38，p = 0.004），产后1个月纯母乳喂养率也更高（75.9%对34.7%，χ² = 16.98，p < 0.001）。
结果表明，在剖宫产术前提供关于母乳喂养的教育手册、视频和电话访谈可能有助于改善母乳喂养态度以及提高母婴同室率和纯母乳喂养率。
这个母乳喂养教育项目已被证明在帮助剖宫产术后妇女进行母乳喂养方面是成功的，并为医护人员提供了一种基于证据的干预措施。
