Agrasada Grace V, Kylberg Elisabeth
Department of Pediatrics, College of Medicine, University of the Philippines, Manila.
Breastfeed Rev. 2009 Nov;17(3):5-10.
This paper makes use of data collected in a randomised controlled trial that was designed to test the efficacy of postpartum breastfeeding counselling to increase exclusive breastfeeding among term low birth weight infants in Manila during the first six months. Mothers were randomised to a control group or one of two home visit interventions: by trained breastfeeding counsellors or child care counsellors without breastfeeding support training. Sixty mothers received peer breastfeeding counselling while a further 119 mothers did not. The median duration of exclusive breastfeeding among mothers who received counselling was five weeks versus two weeks among those who received no counselling (p<0.001). Exclusive breastfeeding was interrupted to offer infants water, traditional herbal extracts or artificial baby milk. Mothers who interrupted exclusive breastfeeding claimed they had insufficient milk or that their infants had slow weight gain. Early and sustained breastfeeding support will enable mothers to exclusively breastfeed low birth weight infants for the first six months.
本文利用了在一项随机对照试验中收集的数据，该试验旨在测试产后母乳喂养咨询对提高马尼拉足月低体重婴儿头六个月纯母乳喂养率的效果。母亲们被随机分为对照组或两种家访干预组之一：由经过培训的母乳喂养顾问或未经母乳喂养支持培训的儿童护理顾问进行家访。60位母亲接受了同伴母乳喂养咨询，另有119位母亲未接受咨询。接受咨询的母亲中纯母乳喂养的中位持续时间为五周，而未接受咨询的母亲中这一数字为两周（p<0.001）。纯母乳喂养被中断，以便给婴儿喂水、传统草药提取物或人工婴儿奶粉。中断纯母乳喂养的母亲称她们奶水不足或婴儿体重增加缓慢。早期且持续的母乳喂养支持将使母亲们能够在头六个月对低体重婴儿进行纯母乳喂养。
