Neonatal Unit, Department of Paediatrics, Falun Hospital, Sweden.
J Hum Lact. 2010 Aug;26(3):235-41; quiz 327-9. doi: 10.1177/0890334409359627. Epub 2010 Feb 5.
To investigate the duration of breastfeeding and the impact of maternal factors for cessation of breastfeeding in twin infants, the authors undertook a population-based cohort study. Breastfeeding data obtained from Child Health Centres were matched with data on infant and maternal demographics from Swedish national registers. A total of 1.657 twins were included, of whom 695 were born preterm. Breastfeeding frequencies in preterm twins were 79% at 2 months, 58% at 4 months, 39% at 6 months, 14% at 9 months, and 6% at 12 months. In term twins, the corresponding frequencies were 84%, 63%, 45%, 18%, and 6%, respectively. In both preterm and term mothers, mothers who had a lower educational level or smoked at first antenatal care visit were subject to earlier cessation of breastfeeding by 6 months of age. In addition, in mothers of term infants, mothers who were < 23 years old or primiparous had a higher risk for cessation of breastfeeding before 6 months. Thus, mothers of twins have a good potential to breastfeed, but additional support is needed for those more susceptible to early cessation of breastfeeding.
为了调查母乳喂养的持续时间以及母亲因素对双胞胎婴儿停止母乳喂养的影响，作者进行了一项基于人群的队列研究。从儿童健康中心获得的母乳喂养数据与来自瑞典国家登记处的婴儿和产妇人口统计学数据相匹配。共有 1657 对双胞胎被纳入研究，其中 695 对为早产儿。早产儿在 2 个月时的母乳喂养频率为 79%，4 个月时为 58%，6 个月时为 39%，9 个月时为 14%，12 个月时为 6%。对于足月产双胞胎，相应的频率分别为 84%、63%、45%、18%和 6%。在早产儿和足月产母亲中，首次产前检查时教育水平较低或吸烟的母亲在 6 个月龄前更早地停止母乳喂养。此外，在足月产婴儿的母亲中，年龄<23 岁或初产妇更早地停止母乳喂养的风险更高。因此，双胞胎母亲有很好的母乳喂养潜力，但对于那些更容易早期停止母乳喂养的母亲，需要额外的支持。
