Lamontagne Caroline, Hamelin Anne-Marie, St-Pierre Monik
Public Health Office in the Capitale-Nationale area in Québec, Canada.
J Hum Lact. 2009 Feb;25(1):42-53. doi: 10.1177/0890334408324451. Epub 2008 Oct 29.
Breastfeeding clinics aim to increase breastfeeding duration and diminish breastfeeding difficulties. Actual improvement in the duration and satisfaction of the breastfeeding experience for women using these clinics remains unknown. This observational study assessed the impact of a Québec City breastfeeding clinic's interventions on breastfeeding duration and satisfaction among women experiencing breastfeeding difficulties in comparison with women who did not receive clinic services. The study surveyed 86 women using telephone questionnaires and semistructured interviews. After adjusted logistic regression analysis, women who attended the clinic had a higher probability of breastfeeding for at least 6 months (odds ratio [OR] = 4.34; 95% confidence interval [CI] = 1.35-13.96) than women from the comparison group. They also had a higher probability of being satisfied with their breastfeeding experience (OR = 4.17; 95% CI = 1.31-13.22). Physical and moral support could explain this influence. Larger studies on breastfeeding clinics are needed to confirm their role in enhancing breastfeeding duration and satisfaction.
母乳喂养诊所旨在延长母乳喂养时间并减少母乳喂养困难。使用这些诊所的女性在母乳喂养持续时间和体验满意度方面是否真正得到改善仍不明确。这项观察性研究评估了魁北克市一家母乳喂养诊所的干预措施对有母乳喂养困难的女性的母乳喂养持续时间和满意度的影响，并与未接受诊所服务的女性进行了比较。该研究通过电话问卷和半结构化访谈对86名女性进行了调查。经过调整后的逻辑回归分析，与对照组女性相比，前往诊所就诊的女性母乳喂养至少6个月的概率更高（优势比[OR]=4.34；95%置信区间[CI]=1.35 - 13.96）。她们对母乳喂养体验感到满意的概率也更高（OR = 4.17；95% CI = 1.31 - 13.22）。身体和精神上的支持可以解释这种影响。需要对母乳喂养诊所进行更大规模的研究，以证实它们在延长母乳喂养持续时间和提高满意度方面的作用。
