Al-Sahab Ban, Feldman Mark, Macpherson Alison, Ohlsson Arne, Tamim Hala
Kinesiology & Health Science, York University;
Paediatr Child Health. 2010 Sep;15(7):427-31. doi: 10.1093/pch/15.7.427.
The aims of the present study were to assess the practices of breastfeeding supplementation methods, and to explore the opinions and beliefs of health professionals with regard to breastfeeding supplementation methods and the nipple confusion phenomenon. The study was cross-sectional in design, and participants were recruited from five hospitals in Toronto, Ontario. All of the nurses and attending paediatricians in postpartum floors and level II nurseries were invited to participate in the study. A total of 87 nurses and 16 paediatricians completed the survey questionnaire. Bottle feeding was the most common breastfeeding supplementation method used in the nurseries followed by cup feeding. Only 15.0% of the level II nurses agreed that frequent bottle feeds lead to the nipple confusion phenomenon, compared with 44.4% of the postpartum nurses and 56.2% of the paediatricians. Findings demonstrated considerable variation in the practices and beliefs surrounding supplementation methods. A randomized controlled trial comparing the safety, efficiency and subsequent breastfeeding rates of different breastfeeding supplementation methods is warranted.
本研究的目的是评估母乳喂养补充方法的实践情况，并探讨卫生专业人员对母乳喂养补充方法及乳头混淆现象的看法和信念。该研究采用横断面设计，参与者从安大略省多伦多市的五家医院招募。产后病房和二级保育室的所有护士及主治儿科医生均受邀参与研究。共有87名护士和16名儿科医生完成了调查问卷。奶瓶喂养是保育室中最常用的母乳喂养补充方法，其次是杯喂。只有15.0%的二级护士认为频繁奶瓶喂养会导致乳头混淆现象，相比之下，产后护士中有44.4%持此观点，儿科医生中有56.2%持此观点。研究结果表明，围绕补充方法的实践和信念存在相当大的差异。有必要进行一项随机对照试验，比较不同母乳喂养补充方法的安全性、有效性及后续母乳喂养率。
