东兰开夏郡同伴支持项目中与哺乳期母亲停止母乳喂养相关的因素。
Factors associated with breastfeeding cessation in nursing mothers in a peer support programme in Eastern Lancashire.
机构信息
Manchester Urban Collaboration on Health, Manchester Academic Health Sciences Centre, Stopford Building, University of Manchester, Manchester, M13 9PT, UK.
出版信息
BMC Pediatr. 2010 Jan 27;10:3. doi: 10.1186/1471-2431-10-3.
BACKGROUND
The UK has one of the lowest breastfeeding rates worldwide and in recent years the Government has made breastfeeding promotion one of its priorities. The UNICEF UK Baby Friendly Initiative is likely to increase breastfeeding initiation but not duration. Other strategies which involve provision of support for breastfeeding mothers in the early weeks after birth are therefore required to encourage UK mothers to breastfeed for the recommended duration. This paper examines the effects of maternal socio-demographic factors, maternal obstetric factors, and in-hospital infant feeding practices on breastfeeding cessation in a peer support setting.
METHODS
Data on mothers from Blackburn with Darwen (BwD) and Hyndburn in Eastern Lancashire who gave birth at the Royal Blackburn Hospital and initiated breastfeeding while in hospital were linked to the Index of Multiple Deprivation (IMD). The data were analysed to describe infant feeding methods up to 6 months and the association between breastfeeding cessation, and maternal factors and in-hospital infant feeding practices.
RESULTS
The mean breastfeeding duration was 21.6 weeks (95% CI 20.86 to 22.37 weeks) and the median duration was 27 weeks (95% CI 25.6 to 28.30 weeks). White mothers were 69% more likely to stop breastfeeding compared with non-White mothers (HR: 0.59; 95% CI, 0.52 to 0.67 [White mothers were the reference group]). Breastfeeding cessation was also independently associated with parity and infant feeding practices in hospital. There were no significant associations between breastfeeding cessation and marital status, mode of delivery, timing of breastfeeding initiation and socio-economic deprivation.
CONCLUSION
In this study ethnicity, parity and in-hospital infant feeding practices remained independent predictors of breastfeeding cessation in this peer support setting. However other recognised predictors such as marital status, mode of delivery, timing of breastfeeding initiation and socio-economic deprivation were not found to be associated with breastfeeding cessation.
背景
英国的母乳喂养率在全球处于较低水平，近年来，政府已将促进母乳喂养作为优先事项之一。联合国儿童基金会英国婴儿友好倡议可能会增加母乳喂养的开始率，但不会延长母乳喂养时间。因此，需要其他策略为产后早期的母乳喂养母亲提供支持，以鼓励英国母亲按照建议的时间进行母乳喂养。本文研究了在同伴支持环境中，母亲的社会人口统计学因素、产科因素和住院期间婴儿喂养方式对母乳喂养停止的影响。
方法
将来自英格兰东部兰开夏郡布莱克本和海恩登的母亲的数据（BwD 和 Hyndburn）与贫困程度指数（IMD）相关联，这些母亲在皇家布莱克本医院分娩，并在住院期间开始母乳喂养。对婴儿喂养方式进行了分析，直至 6 个月，并分析了母乳喂养停止与母亲因素和住院期间婴儿喂养方式之间的关系。
结果
平均母乳喂养持续时间为 21.6 周（95%CI 20.86 至 22.37 周），中位数持续时间为 27 周（95%CI 25.6 至 28.30 周）。与非白人母亲相比，白人母亲停止母乳喂养的可能性要低 69%（HR：0.59；95%CI，0.52 至 0.67[白人母亲为参考组]）。母乳喂养的停止也与生育次数和医院内的婴儿喂养方式独立相关。婚姻状况、分娩方式、母乳喂养开始时间和社会经济贫困程度与母乳喂养的停止之间没有显著关联。
结论
在这项研究中，在这种同伴支持环境中，种族、生育次数和住院期间婴儿喂养方式仍然是母乳喂养停止的独立预测因素。然而，其他公认的预测因素，如婚姻状况、分娩方式、母乳喂养开始时间和社会经济贫困程度，与母乳喂养的停止无关。
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