Tender Jennifer A F, Janakiram Jayarsi, Arce Elda, Mason Rubina, Jordan Talita, Marsh Jennifer, Kin Sarah, Moon Rachel Y
Division of General Pediatrics at Children's National Medical Center, 111 Michigan Avenue, NW, Washington, DC 20010, USA.
J Hum Lact. 2009 Feb;25(1):11-7. doi: 10.1177/0890334408325821. Epub 2008 Oct 29.
In-hospital formula supplementation of breastfed infants negatively impacts breastfeeding duration. Infants from low-income families have some of the lowest exclusive breastfeeding rates in the United States. The objectives of this study were to identify (1) reasons low-income breastfeeding mothers begin in-hospital formula supplementation and (2) risk factors for in-hospital formula supplementation. We surveyed 150 low-income mothers in a Washington, DC, clinic. Sixty percent had initiated breastfeeding, and 78% of these breastfed infants received formula supplementation in the hospital. There was no clear medical need for supplementation for 87% of the breastfed infants receiving supplementation. Infants of mothers who did not attend a prenatal breastfeeding class were almost 5 times more likely to receive in-hospital formula supplementation than those infants whose mothers had attended a class (OR, 4.7; 95% CI, 1.05-21.14). Improved knowledge about breastfeeding among nursing and medical providers is important to minimize unnecessary formula supplementation for breastfed infants.
对母乳喂养的婴儿进行院内配方奶补充会对母乳喂养时长产生负面影响。来自低收入家庭的婴儿在美国的纯母乳喂养率处于最低水平。本研究的目的是确定：（1）低收入母乳喂养母亲开始进行院内配方奶补充的原因；（2）院内配方奶补充的风险因素。我们对华盛顿特区一家诊所的150名低收入母亲进行了调查。60%的母亲开始了母乳喂养，其中78%的母乳喂养婴儿在医院接受了配方奶补充。在接受补充的母乳喂养婴儿中，87%并无明确的医学补充需求。未参加产前母乳喂养课程的母亲所生婴儿接受院内配方奶补充的可能性几乎是参加课程母亲所生婴儿的5倍（比值比，4.7；95%置信区间，1.05 - 21.14）。提高护理人员和医疗服务提供者对母乳喂养的认识，对于尽量减少母乳喂养婴儿不必要的配方奶补充非常重要。
