Bosnjak Anita Pavicic, Grguric Josip, Stanojevic Milan, Sonicki Zdenko
Division of Neonatology, Department of Obstetrics and Gynecology Medical School University of Zagreb, General Hospital "Sv. Duh", Sv. Duh 64, Zagreb, Croatia.
J Perinat Med. 2009;37(2):185-92. doi: 10.1515/JPM.2009.025.
Duration of breastfeeding, socio-demographic and psychosocial characteristics of the mothers attending breastfeeding support groups were investigated.
All examined mothers were cared for according to the Baby Friendly Hospital Initiative (BFHI) of the World Health Organization (WHO) and UNICEF. The investigated group of mothers attended a breastfeeding support group (BSG) led by a community nurse and women experienced in breastfeeding without additional training. Data on breastfeeding duration were collected retrospectively by self-reported questionnaire.
Of 980 eligible, 393 mothers were included to the study: 210 attended BSG, while 183 did not. The following differences between the two groups were found: time when the decision to breastfeed was made, smoking during lactation and social support while breastfeeding. More mothers in the investigated group continued breastfeeding at least six months postnatal (83.8% vs. 48.1%, P<0.001), with exclusive breastfeeding until the age of three months (56% vs. 23.5%, P<0.001). After logistic regression analysis, the following factors were found to be positively associated with the duration of breastfeeding for at least six months: time when the decision to breastfeed was made, intended duration of breastfeeding and household income. Maternal smoking during pregnancy affected duration of breastfeeding inversely.
Characteristics which positively influenced the duration of breastfeeding are the time when the decision to breastfeed was made, intended duration of breastfeeding, household income, and smoking during pregnancy. Mothers who attended BSG more often continued breastfeeding for at least six months if they decided to breastfeed after birth, intended to breastfeed for longer than six months, had higher monthly household income and did not smoke during pregnancy.
调查参加母乳喂养支持小组的母亲的母乳喂养时长、社会人口学特征及心理社会特征。
所有接受检查的母亲均按照世界卫生组织（WHO）和联合国儿童基金会的“爱婴医院倡议”（BFHI）接受护理。被调查的母亲组参加了由社区护士和有母乳喂养经验但未接受额外培训的女性带领的母乳喂养支持小组（BSG）。通过自我报告问卷回顾性收集母乳喂养时长数据。
在980名符合条件的母亲中，393名被纳入研究：210名参加了BSG，而183名未参加。发现两组之间存在以下差异：做出母乳喂养决定的时间、哺乳期吸烟情况以及母乳喂养期间的社会支持。被调查组中更多母亲在产后至少持续母乳喂养六个月（83.8%对48.1%，P<0.001），纯母乳喂养至三个月龄（56%对23.5%，P<0.001）。经过逻辑回归分析，发现以下因素与至少六个月的母乳喂养时长呈正相关：做出母乳喂养决定的时间、预期母乳喂养时长和家庭收入。孕期母亲吸烟对母乳喂养时长有反向影响。
对母乳喂养时长有积极影响的特征包括做出母乳喂养决定的时间、预期母乳喂养时长、家庭收入以及孕期吸烟情况。如果在产后决定母乳喂养、打算母乳喂养超过六个月、家庭月收入较高且孕期不吸烟，参加BSG的母亲更常持续母乳喂养至少六个月。
