Department of Obstetrics and Gynaecology, College of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria.
Int Breastfeed J. 2009 Dec 10;4:16. doi: 10.1186/1746-4358-4-16.
Initiation of breastfeeding can be difficult in a busy maternity centre with inadequate manpower and social support. This study aims to explore the role of psychosocial support offered by companions on breastfeeding initiation among first-time mothers.
This is a secondary data analysis of a randomised controlled trial conducted among women attending the antenatal clinic of the University College Hospital, Ibadan, Nigeria in 2007. Those in the experimental group were asked to bring someone of their choice to the labour room to act as a companion; the comparison group received standard care. The results of 209 HIV negative women who had vaginal births were analysed. The main outcome measure was time to initiation of breastfeeding after childbirth.
Of the total, 94 had companions during labour while 115 did not have a companion. The median time to breastfeeding initiation was significantly shorter in those with companions compared to controls (16 vs. 54 minutes; p < 0.01). The cumulative survival analysis indicated that all in the treatment group had initiated breastfeeding by 26 minutes, while among the control group none had commenced at 30 minutes post-delivery with some as late as 12 hours. After Cox regression analysis was used to adjust for possible confounders, the outcome still showed a significant hazard ratio of 207.8 (95%CI 49.2, 878.0; p < 0.01) among women who were supported by a companion.
Use of companions during labour is associated with earlier time to breastfeeding initiation among first-time mothers in Nigeria.
Australian New Zealand Clinical Trials Registry: ACTRN12609000994280.
在人手不足且缺乏社会支持的繁忙产科中心，启动母乳喂养可能较为困难。本研究旨在探讨同伴提供的心理社会支持在初产妇母乳喂养启动中的作用。
这是 2007 年在尼日利亚伊巴丹大学教学医院产前诊所进行的一项随机对照试验的二次数据分析。实验组被要求邀请他们选择的人到产房充当同伴；对照组接受标准护理。分析了 209 名 HIV 阴性、经阴道分娩的妇女的结果。主要观察指标为产后开始母乳喂养的时间。
在总共 209 名产妇中，94 名在分娩时有同伴，而 115 名没有同伴。与对照组相比，有同伴的产妇母乳喂养开始时间明显缩短（16 分钟比 54 分钟；p<0.01）。累积生存分析表明，治疗组所有产妇在 26 分钟内开始母乳喂养，而对照组无一例在产后 30 分钟内开始母乳喂养，有些产妇甚至晚至 12 小时。在使用 Cox 回归分析调整可能的混杂因素后，结果仍显示有同伴支持的产妇母乳喂养的起始风险比为 207.8（95%CI 49.2，878.0；p<0.01）。
在尼日利亚，初产妇分娩时使用同伴与母乳喂养启动时间较早有关。
澳大利亚新西兰临床试验注册中心：ACTRN12609000994280。
