伊斯法罕选定医院的纯母乳喂养情况及一些相关因素
Continuous exclusive breastfeeding and some related factors in the selected hospitals of Isfahan.
作者信息
Esfahani Mitra Savabi, Fathizadeh Nahid
机构信息
Faculty Member, Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
Iran J Nurs Midwifery Res. 2011 Summer;16(3):207-11.
BACKGROUND
Exclusive nutrition with breastfeeding is the health provider of the infant and mothers and its continuing would provide more advantages. Exclusive nutrition on different communities is affected by different factors. This study aimed to determine continuous exclusive breastfeeding and some of the related factors.
METHODS
This was a descriptive-analysis prospective study. The study population included all the breastfed mothers admitted in the obstetrics wards of the selected hospitals. Selecting the hospitals also was done randomly. Data collection tools included a questionnaire completed by 291 mothers. To obtain the data about breastfeeding duration, mothers were phone called at the first and sixth postpartum months. The collected data were analyzed using descriptive and analytical statistics and software SPSS.
RESULTS
Estimation of mean and standard deviation of exclusive breastfeeding duration at the first and sixth months after the delivery, respectively, were 3.86 (0.55) and 23.67 (6.63) weeks. One month after the delivery, 93.1%, 6.2% and 0.7% of the mothers, respectively, had exclusive breastfeeding, breastfeeding with formula milk or other ingredients and discontinuation of breastfeeding; 6 months after the delivery, these values changed to 86.3, 12 and 1.7%, respectively. The most frequent period of breastfeeding discontinuation (6.9%) was related to 1-4 weeks. The results indicated that statistically there was a significant correlation between breastfeeding duration and age and the birth hospital. While the results of the study showed no association between breastfeeding duration and number of the children, duration of marriage, educational level and mothers' occupation.
CONCLUSIONS
The findings of the present study represented a high continuous exclusive breastfeeding which perhaps was due to applied baby-friendly hospitals strategies. Furthermore, to prevent from discontinuation of exclusive breastfeeding, knowing the discontinuation time and its related factors, particularly the first four postpartum weeks, can increase the knowledge of the health staff about counseling and education.
背景
纯母乳喂养对婴儿和母亲的健康有益，持续进行纯母乳喂养会带来更多益处。不同社区的纯母乳喂养情况受不同因素影响。本研究旨在确定持续纯母乳喂养情况及一些相关因素。
方法
这是一项描述性分析前瞻性研究。研究对象包括所选医院产科病房所有接受母乳喂养的母亲。医院选择也采用随机方式。数据收集工具包括由291位母亲填写的问卷。为获取母乳喂养持续时间的数据，在产后第1个月和第6个月给母亲打电话。收集的数据使用描述性和分析性统计方法以及SPSS软件进行分析。
结果
分娩后第1个月和第6个月纯母乳喂养持续时间的均值和标准差估计分别为3.86（0.55）周和23.67（6.63）周。分娩后1个月，分别有93.1%、6.2%和0.7%的母亲进行纯母乳喂养、混合喂养或停止母乳喂养；分娩后6个月，这些数值分别变为86.3%、12%和1.7%。停止母乳喂养最常见的时间段（6.9%）与1 - 4周相关。结果表明，母乳喂养持续时间与年龄及分娩医院在统计学上存在显著相关性。而研究结果显示母乳喂养持续时间与子女数量、婚姻时长、教育水平和母亲职业之间无关联。
结论
本研究结果表明纯母乳喂养持续率较高，这可能归因于所采用的爱婴医院策略。此外，为防止纯母乳喂养中断，了解中断时间及其相关因素，尤其是产后前四周，可增加医护人员在咨询和教育方面的知识。
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