Jang Gun-Ja, Kim Sun-Hee
Department of Nursing, Daegu Haany University, Daegu, Korea.
J Korean Acad Nurs. 2010 Apr;40(2):277-86. doi: 10.4040/jkan.2010.40.2.277.
This study was done to investigate the effects of breast-feeding education and support services on rate of breast-feeding three and six months after birth, and the effect on infant's growth (weight, height, body mass index [BMI]). The experimental group which had both education and support services was compared with the control group which had only breast-feeding education.
This study was a quasi-experimental study with a time-series design. The participants were 39 mothers who were hospitalized for childbirth. Twenty mother were assigned to the experimental group and 19 mothers, to the control group. The breast feeding education was done during hospitalization, and support services were provided once a week after discharge for a month (a total 4 times) by a maternity ward nurse. Data regarding breastfeeding rate at one month after childbirth was collected by phone call; the breast-feeding rates at three and six months after childbirth were collected in a visit to the families. The child's weight and height were also measured during the visit.
The experimental group had a statistically significant higher rate for frequency of breast-feeding at one, three and six months after childbirth than the control group. However, there was no meaningful difference between the two groups for infant growth.
The results of this study suggest that breast-feeding education is helpful for a start, but support services are also necessary to sustain breast-feeding.
本研究旨在调查母乳喂养教育及支持服务对产后3个月和6个月时母乳喂养率的影响,以及对婴儿生长(体重、身高、体重指数[BMI])的影响。将接受教育及支持服务的实验组与仅接受母乳喂养教育的对照组进行比较。
本研究是一项采用时间序列设计的准实验研究。参与者为39名住院分娩的母亲。20名母亲被分配到实验组,19名母亲被分配到对照组。母乳喂养教育在住院期间进行,出院后由产科病房护士每周提供一次支持服务,为期一个月(共4次)。通过电话收集产后1个月时的母乳喂养率数据;产后3个月和6个月时的母乳喂养率通过家访收集。家访期间还测量了孩子的体重和身高。
实验组在产后1个月、3个月和6个月时的母乳喂养频率在统计学上显著高于对照组。然而,两组在婴儿生长方面没有显著差异。
本研究结果表明,母乳喂养教育有助于开始母乳喂养,但支持服务对于维持母乳喂养也是必要的。