Department of Pediatric and Adolescent Medicine, Albert Einstein Medical Center, Philadelphia, Pennsylvania 19141, USA.
Breastfeed Med. 2013 Feb;8(1):68-72. doi: 10.1089/bfm.2012.0004. Epub 2012 Jul 31.
This study assessed the degree to which women's intention to breastfeed prior to delivery translates to actual breastfeeding at hospital discharge and to investigate predictors of breastfeeding in a minority inner-city population.
We conducted a retrospective cohort study of consecutive mother-infant dyads born July-September 2010 and discharged from the nursery at an academic community hospital in Philadelphia.
The demographics of the 578 women who participated included a mean age of 25.3 years (SD 6.1), 61% African American and 18% Latina, 85% covered by Medicaid, and a mean postpartum hospital stay of 2.3 days. Overall, 60% expressed an intention to breastfeed prior to delivery (exclusively or with formula), but only 50% were breastfeeding at discharge. Of those who intended to breastfeed (exclusively or with formula), 75% were breastfeeding at discharge. Of those who intended to breastfeed exclusively, 40% were doing so at discharge. Of those who intended to bottle feed, 11% were breastfeeding at discharge. In multivariable analysis, older mothers and those with lower parity were more likely to breastfeed at discharge and also to breastfeed exclusively, controlling for ethnicity, parity, insurance, pregravida body mass index, score on the Edinburgh Postpartum Depression Scale, type of delivery, infant birth weight and gestational age.
In a minority inner-city population, only three in four women who intended to breastfeed prior to delivery were breastfeeding at hospital discharge. However, one in 10 women previously not intending to breastfeed did so. Strategies are needed to promote and strengthen women's intention to breastfeed and to help women's breastfeeding outcomes meet their intentions.
本研究评估了女性在分娩前母乳喂养的意愿转化为实际产后出院时母乳喂养的程度，并调查了少数族裔市中心人群母乳喂养的预测因素。
我们对 2010 年 7 月至 9 月在费城一所学术社区医院分娩并从托儿所出院的连续母婴对进行了回顾性队列研究。
参与的 578 名女性的人口统计学特征包括平均年龄 25.3 岁（标准差 6.1），61%为非裔美国人，18%为拉丁裔，85%由医疗补助覆盖，平均产后住院时间为 2.3 天。总体而言，60%的女性在分娩前表示有母乳喂养的意愿（纯母乳喂养或混合喂养），但只有 50%在出院时进行母乳喂养。在那些打算母乳喂养（纯母乳喂养或混合喂养）的人中，75%在出院时正在母乳喂养。在那些打算纯母乳喂养的人中，有 40%在出院时这样做。在那些打算瓶喂的人中，有 11%在出院时正在母乳喂养。在多变量分析中，年龄较大的母亲和生育次数较低的母亲更有可能在出院时进行母乳喂养，并且更有可能进行纯母乳喂养，同时控制了种族、生育次数、保险、孕前期体重指数、爱丁堡产后抑郁量表评分、分娩方式、婴儿出生体重和胎龄。
在少数族裔市中心人群中，只有四分之三的女性在分娩前表示打算母乳喂养，但只有十分之一之前不打算母乳喂养的女性在出院时进行了母乳喂养。需要采取策略来促进和加强女性母乳喂养的意愿，并帮助女性的母乳喂养结果符合她们的意愿。
