Goyal Ram C, Banginwar Ashish S, Ziyo Fatima, Toweir Ahmed A
Department of Community Medicine, Datta Meghe Instt of Medical Sciences, Sawangi, Wardha, Maharashtra, India.
J Family Community Med. 2011 May;18(2):74-9. doi: 10.4103/2230-8229.83372.
PURPOSE/OBJECTIVE: To assess the correct position, attachment and effective suckling in the breastfeeding of infants as practiced by mothers attending hospitals at Benghazi.
An observational, descriptive, cross-sectional study was done at AlJamahiriya and AlFateh Hospital in Benghazi, Libya, from November 2009 to February 2010. One hundred ninety-two mother-neonate units were observed for mother's and baby's position, attachment and effective suckling using WHO B-R-E-A-S-T- Feed observation form. Grading of positioning, attachment and suckling was done according to the score of various characteristics. Data thus collected were analyzed using software SPSS 11.5 version.
About 15% of the infants were about a week old (early neonatal period) and 85% were in the late neonatal period. There was poorer positioning among primipara (24.0%) than multipara (8.9-12.5%)mothers. Poorer attachment was also more evident among primipara (30.0%) compared to multipara (20.9%) mothers. Parity was significantly associated with poor position (P = 0.028) and attachment (P = 0.002). Poor attachment was related to cracked nipples and mastitis. Preterm and low birth weight were significantly associated with poor attachment and poor effective suckling. Poor suckling was more (42.8%) in the early neonatal period than late neonatal period (32.9%).
Young (<20 years) and primipara mothers were more in need of support and guidance for appropriate breastfeeding techniques. It is recommended that each mother should be observed for mother's and infant's positioning and attachment at the onset of breastfeeding and if needed subsequent counseling should be given on correct positioning and attachment.
评估班加西各医院母亲在母乳喂养时婴儿的正确姿势、含接情况及有效吸吮情况。
2009年11月至2010年2月在利比亚班加西的人民医院和法塔赫医院开展了一项观察性、描述性横断面研究。使用世界卫生组织的B-R-E-A-S-T-Feed观察表，对192对母婴组合观察母亲和婴儿的姿势、含接情况及有效吸吮情况。根据各项特征的评分对姿势、含接和吸吮进行分级。使用SPSS 11.5版软件对收集到的数据进行分析。
约15%的婴儿约一周大（早期新生儿期），85%处于晚期新生儿期。初产妇（24.0%）的姿势比经产妇（8.9%-12.5%）的母亲差。初产妇（30.0%）的含接情况也比经产妇（20.9%）的母亲更差。产次与姿势不佳（P = 0.028）和含接不佳（P = 0.002）显著相关。含接不佳与乳头皲裂和乳腺炎有关。早产和低出生体重与含接不佳和有效吸吮不佳显著相关。早期新生儿期的吸吮不佳情况（42.8%）比晚期新生儿期（32.9%）更多。
年轻（<20岁）初产妇母亲更需要获得关于正确母乳喂养技巧的支持和指导。建议在母乳喂养开始时观察每位母亲和婴儿的姿势及含接情况，如有需要，应就正确姿势和含接提供后续咨询。
