Al-Amoud Maysoon M
Family and Community Medicine Postgraduate Training Center, Ministry of Health, Riyadh, Saudi Arabia.
J Family Community Med. 2003 Jan;10(1):19-30.
(1) To study the patterns of breastfeeding of last children, duration, factors and reasons for it. (2) To study the factors affecting breastfeeding among mothers who are breastfeeding and the reasons for continuing or failure to continue, at the primary health care centers (PHC) in Riyadh.
A cross-sectional study was conducted by distributing 1000 questionnaires in 10 PHC centers. The breastfeeding practices were categorized on WHO terms.
Most of the studied last children (95.1%) were breastfed. Exclusive breastfeeding rate from birth was 62.9%, for up to four months was 13.2% and for six months was 3.3% . The mixed breastfeeding rate from birth was 32.2%, up to age of four months was 53.1% and for children more than six months old it was 20.3%. The mean age of the introduction of solid food was 4.6 ±1.4 months. Artificial feeding rate was 4.9% at birth , 30.3% up to four months and 49.7% for children more than six months old. The most frequent reason for the continuation of breastfeeding was Quranic instruction (55.1%) and its failure was inadequate milk (60.8%). The exclusive breastfeeding and the duration of breastfeeding had statistically significant association with the mothers' residence, marital status, number of children alive, occupation and the level of education. In addition, there was significant association of exclusive breastfeeding and the non-introduction of artificial feeding at the hospital but not with health education on breastfeeding at the centers .
To promote the education of mothers on breastfeeding, promote the training of PHC center health professionals and modify the policy of hospitals in the Kingdom on the feeding of newborns.
(1)研究最后一个孩子的母乳喂养模式、持续时间、影响因素及原因。(2)研究利雅得初级卫生保健中心(PHC)正在进行母乳喂养的母亲中影响母乳喂养的因素以及继续或停止母乳喂养的原因。
通过在10个初级卫生保健中心发放1000份问卷进行横断面研究。母乳喂养方式按照世界卫生组织的标准进行分类。
大多数被研究的最后一个孩子(95.1%)进行了母乳喂养。出生后纯母乳喂养率为62.9%,四个月时为13.2%,六个月时为3.3%。出生后混合喂养率为32.2%,四个月时为53.1%,六个月以上孩子为20.3%。引入固体食物的平均年龄为4.6±1.4个月。出生时人工喂养率为4.9%,四个月时为30.3%,六个月以上孩子为49.7%。母乳喂养持续的最常见原因是宗教教义(55.1%),母乳喂养失败的最常见原因是乳汁不足(60.8%)。纯母乳喂养及母乳喂养持续时间与母亲的居住地、婚姻状况、存活子女数量、职业和教育水平具有统计学显著关联。此外,纯母乳喂养以及在医院未引入人工喂养与中心的母乳喂养健康教育无显著关联,但与医院的母乳喂养政策显著相关。
加强对母亲的母乳喂养教育,加强对初级卫生保健中心卫生专业人员的培训,并修改沙特王国医院关于新生儿喂养的政策。