Child Health Care Team, County Council Halland, Sweden.
Acta Paediatr. 2012 Jan;101(1):55-60. doi: 10.1111/j.1651-2227.2011.02405.x. Epub 2011 Jul 22.
Breastfeeding is associated with many benefits for both mother and child. Initiation rates are high in Sweden. Recently a slight decline is seen.
The aim of this study was to assess factors associated with discontinuation of breastfeeding during the first 4 weeks.
A population-based longitudinal birth cohort study recruiting from 2007 to 2008 in south-western Sweden. At the first visit to the child health centre, parents were asked to complete a questionnaire. Also, the infants' height, weight, head and waist circumference were collected. Response rate was 69.2%.
Twenty-seven per cent of mothers had breastfeeding problems. In a multivariate analysis, there was a negative correlation between breastfeeding and use of pacifier (OR 3.72; CI 2.09-6.63), maternal smoking (OR 2.09; CI 1.08-4.05) and breastfeeding problems (OR 2.54; CI 1.73-3.71). Breastfeeding problems were correlated with poor sucking technique (OR 2.96; CI 2.14-4.07), support from maternity ward (OR 2.56; CI 2.05-3.19) and perceived poor weight gain (OR 1.37; CI 1.00-1.86).
Many mothers reported breastfeeding problems that are associated with an early cessation. This is preventable with support, but the timing is crucial. To promote breastfeeding, the support from the child health centres must be tailored with the maternal perspective in mind.
母乳喂养对母婴双方都有许多益处。在瑞典，母乳喂养的初始率很高。最近，这一比率略有下降。
本研究旨在评估与产后 4 周内母乳喂养中断相关的因素。
这是一项基于人群的纵向出生队列研究，于 2007 年至 2008 年在瑞典西南部进行。在第一次儿童健康中心就诊时，父母被要求完成一份问卷。此外，还收集了婴儿的身高、体重、头围和腰围。应答率为 69.2%。
27%的母亲有母乳喂养问题。在多变量分析中，母乳喂养与使用奶嘴呈负相关（OR 3.72；CI 2.09-6.63）、母亲吸烟（OR 2.09；CI 1.08-4.05）和母乳喂养问题（OR 2.54；CI 1.73-3.71）。母乳喂养问题与吸吮技术差（OR 2.96；CI 2.14-4.07）、产房支持（OR 2.56；CI 2.05-3.19）和感知体重增长不良（OR 1.37；CI 1.00-1.86）相关。
许多母亲报告了与早期中断相关的母乳喂养问题。通过支持可以预防这种情况，但时机至关重要。为了促进母乳喂养，儿童健康中心的支持必须根据母亲的观点进行调整。
