School of Nursing & Midwifery, University of Dundee, Dundee DD1 9SY, Scotland.
Midwifery. 2013 Jul;29(7):e49-56. doi: 10.1016/j.midw.2012.06.017. Epub 2012 Aug 15.
breast-feeding initiation rates have improved in Scotland, but exclusive and partial breast-feeding rates fall rapidly for several reasons. We aimed to examine whether antenatal feeding intention was associated with satisfaction with infant feeding method; and to explore the similarities and differences in infant feeding experience of women with different antenatal feeding intention scores.
METHOD(S): antenatal questionnaire assessment of infant feeding intentions, based on the theory of planned behaviour; two-weekly postnatal follow-up of infant feeding practice by text messaging; final telephone interview to determine reasons for and satisfaction with infant feeding practice.
355 women in eastern Scotland were recruited antenatally; 292 completed postnatal follow up. Antenatal feeding intentions broadly predicted postnatal practice. The highest satisfaction scores were seen in mothers with no breast-feeding intention who formula fed from birth, and those with high breast-feeding intention who breastfed for more than 8 weeks. The lowest satisfaction scores were seen in those with high intention scores who only managed to breast feed for less than 3 weeks. This suggests that satisfaction with infant feeding is associated with achieving feeding goals, whether artificial milk or breast feeding. Reasons for stopping breast feeding were broadly similar over time (too demanding, pain, latching, perception of amount of milk, lack of professional support, sibling jealousy). Perseverance appeared to mark out those women who managed to breast feed for longer; this was seen across the socio-economic spectrum. Societal and professional pressure to breast feed was commonly experienced.
satisfaction with actual infant feeding practice is associated with antenatal intention; levels are higher for those meeting their goals, whether formula feeding from birth or breast feeding for longer periods. Perceived pressure to breast feed raises questions about informed decision making. Identifying those who will benefit most from targeted infant feeding support is crucial.
苏格兰的母乳喂养初始率有所提高，但由于多种原因，纯母乳喂养和部分母乳喂养的比例迅速下降。我们旨在研究产前喂养意图是否与对婴儿喂养方式的满意度有关；并探讨具有不同产前喂养意图评分的女性在婴儿喂养体验方面的异同。
基于计划行为理论，在产前通过问卷调查评估婴儿喂养意图；通过短信对婴儿喂养实践进行两周一次的产后随访；最后通过电话访谈确定婴儿喂养实践的原因和满意度。
苏格兰东部招募了 355 名孕妇；292 名完成了产后随访。产前喂养意图大致预测了产后实践。无母乳喂养意图但从出生起就配方奶喂养的母亲和母乳喂养意愿高且母乳喂养 8 周以上的母亲满意度评分最高。母乳喂养意愿高但仅母乳喂养不足 3 周的母亲满意度评分最低。这表明，无论使用人工奶还是母乳喂养，实现喂养目标与婴儿喂养满意度相关。停止母乳喂养的原因在时间上大致相似（要求过高、疼痛、衔乳、对奶量的感知、缺乏专业支持、兄弟姐妹嫉妒）。坚持似乎标志着那些成功母乳喂养时间更长的女性；这在社会经济各个层面都有体现。社会和专业压力普遍存在于母乳喂养中。
实际婴儿喂养实践的满意度与产前意图有关；那些实现目标的人（无论是从出生开始配方奶喂养还是母乳喂养更长时间）的满意度更高。对母乳喂养的感知压力引发了关于知情决策的问题。确定最需要有针对性的婴儿喂养支持的人群至关重要。
