Department of Public Health, College of Medicine, University of Mansoura, Mansoura, Egypt.
East Mediterr Health J. 2012 Mar;18(3):250-4. doi: 10.26719/2012.18.3.250.
The World Health Organization recommends early initiation of breastfeeding (within 1 hour of giving birth). This study assessed the prevalence of timely initiation of breastfeeding by mothers of neonates in Al-Hassa province, Saudi Arabia. Mothers attending for birth registration at primary health care centres were interviewed and various sociodemographic, obstetric and health service related variables as well as breast problems were assessed for any influence on timely breastfeeding rates. While 91.9% of the 906 neonates studied were breastfed (8.1% were never breastfed), only 11.4% were given timely breastfeeding (within 1 hour after birth). Logistic regression revealed that the independent predictors of timely breastfeeding were: not giving prelacteal feed (OR 13.7), rural/hegar residence (OR 4.2), absence of breast problems (OR 3.4), parity 2 or 3 (OR 2.9) and parity 4+ (OR 2.4). Mothers at risk of delayed breastfeeding initiation should be the target of breastfeeding promotion during prenatal care.
世界卫生组织建议尽早开始母乳喂养（出生后 1 小时内）。本研究评估了沙特阿拉伯哈萨省新生儿母亲及时开始母乳喂养的流行情况。在初级保健中心为出生登记而就诊的母亲接受了访谈，并评估了各种社会人口统计学、产科和卫生服务相关变量以及乳房问题，以了解其对及时母乳喂养率的影响。虽然研究中的 906 名新生儿中有 91.9%（8.1%从未母乳喂养过）进行了母乳喂养，但只有 11.4%进行了及时母乳喂养（出生后 1 小时内）。逻辑回归显示，及时母乳喂养的独立预测因素为：不给予开奶（OR 13.7）、农村/哈加居住（OR 4.2）、无乳房问题（OR 3.4）、产次 2 或 3（OR 2.9）和产次 4+（OR 2.4）。应将有延迟母乳喂养开始风险的母亲作为产前护理期间母乳喂养促进的目标。
