McAllister Helen, Bradshaw Sue, Ross-Adjie Gail
St John of God Hospital Murdoch, Murdoch, WA.
Breastfeed Rev. 2009 Nov;17(3):11-5.
Whilst breastfeeding is undoubtedly best for both mother and baby, many factors influence a woman's decision about whether to start and when to cease feeding. This study sought to determine which variables, influenced by midwifery practice, may influence the length of breastfeeding. Mothers who had given birth to a live baby at a Perth private hospital were invited to complete a validated, anonymous questionnaire asking about their breastfeeding experience, both in hospital and following discharge. The response rate was 50% (n=266). Although 94% of women were breastfeeding on discharge from hospital, this rate reduced to 59% at 6 months and 21% at 12 months. The mean duration of breastfeeding was 7.4 months (SD +/- 4.1). Of five variables thought to be associated with an increased length of breastfeeding, only two were found to be statistically significant: whether a mother could independently attach the baby on discharge (p=0.003) and whether or not artificial baby milk was administered in hospital (p<0.001). In order to improve breastfeeding rates, education for both mothers and midwives must be targeted towards ensuring mothers are able to independently attach their baby on discharge from hospital. The findings also support the discouragement of artificial feeding unless there is a medical indication or the mother has made an informed request.
虽然母乳喂养无疑对母亲和婴儿都最好，但许多因素会影响女性关于是否开始以及何时停止母乳喂养的决定。本研究旨在确定受助产实践影响的哪些变量可能会影响母乳喂养的时长。邀请在珀斯一家私立医院分娩活产婴儿的母亲填写一份经过验证的匿名问卷，询问她们在医院及出院后的母乳喂养经历。回复率为50%（n = 266）。尽管94%的女性在出院时进行母乳喂养，但这一比例在6个月时降至59%，在12个月时降至21%。母乳喂养的平均时长为7.4个月（标准差±4.1）。在被认为与母乳喂养时长增加相关的五个变量中，只有两个被发现具有统计学意义：母亲在出院时能否独立让婴儿正确含接乳头（p = 0.003）以及医院是否提供人工婴儿奶粉（p < 0.001）。为了提高母乳喂养率，必须针对母亲和助产士开展教育，以确保母亲在出院时能够独立让婴儿正确含接乳头。研究结果还支持除非有医学指征或母亲已做出知情请求，否则应不鼓励人工喂养。
