Forde Karen A, Miller Laura J
child and Adolescent Community Health, Child and Adolescent Health Service, Western Australia.
Breastfeed Rev. 2010 Jul;18(2):14-24.
Information about local breastfeeding rates and predictors of breastfeeding outcomes can assist with improving health planning and community support. Longitudinal infant feeding data were collected during scheduled contacts with a Community Child Health Nurse and a telephone survey at 6 months for 3828 infants in Perth, Western Australia. Breastfeeding rates were below recommended targets. Regression analyses identified several significant protective and risk predictors of breastfeeding outcomes. Factors that increased the likelihood of use of artificial baby milk in hospital were low birth weight, multiple births, private hospital, primiparity and mother of Asian ethnicity. At 6 months, factors that reduced the likelihood of breastfeeding were young mother, no tertiary education, multiple births, use of artiicial baby milk in hospital, low birth weight and mother seeking postnatal professional breastfeeding advice within 14 days. A strong commitment by health leaders and professionals is required across the continuum of care to provide timely and consistent support to maintain breastfeeding.
当地母乳喂养率以及母乳喂养结果预测因素的相关信息有助于改善健康规划和社区支持。在西澳大利亚州珀斯，对3828名婴儿进行了纵向婴儿喂养数据收集，数据收集是在与社区儿童健康护士的定期接触期间以及婴儿6个月时进行的电话调查中完成的。母乳喂养率低于推荐目标。回归分析确定了母乳喂养结果的几个显著的保护因素和风险预测因素。在医院中增加使用人工婴儿奶粉可能性的因素包括低出生体重、多胞胎、私立医院、初产以及亚洲族裔母亲。在6个月时，降低母乳喂养可能性的因素包括年轻母亲、未接受高等教育、多胞胎、在医院使用人工婴儿奶粉、低出生体重以及母亲在产后14天内寻求专业母乳喂养建议。在整个护理过程中，健康领导者和专业人员需要做出坚定承诺，提供及时且一致的支持以维持母乳喂养。
