Health Services Research and International Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
Breastfeed Med. 2013 Apr;8(2):198-204. doi: 10.1089/bfm.2012.0130. Epub 2013 Feb 11.
This study reports the research methods and baseline data of a project aimed at assessing the effect of an intervention based on the 7 Steps of the Baby Friendly Community Initiative (BFCI) on the rate of exclusive breastfeeding at 6 months in Italy.
In this controlled, nonrandomized study, nine Local Health Authorities were assigned to an early and nine to a late intervention group. Data on breastfeeding in infants followed up from birth to 12 months were gathered at baseline and in two subsequent rounds, after the 7 Steps were implemented in the early and late intervention groups, respectively. Step-down logistic regression analysis, corrected for the cluster effect, was used to compare breastfeeding rates between groups.
At baseline, there were no significant differences in breastfeeding rates at birth (n=1,781) and at 3 (n=1,854), 6 (n=1,601), and 12 (n=1,510; loss to follow-up, 15.2%) months between groups. At birth, 96% of mothers initiated breastfeeding, 72% exclusively (recall from birth). At 3 months, 77% of infants were breastfed, 54% exclusively with 24-hour and 46% with 7-day recall. At 6 months, the rate of any breastfeeding was 62%, with 10% and 7% exclusive breastfeeding with 24-hour and 7-day recall, respectively. At 12 months, 31% of the children continued to breastfeed.
The project is ongoing and will allow estimation of the effect of the BFCI.
本研究报告了一项旨在评估基于婴儿友好社区倡议（BFCI）7 步计划的干预措施对意大利 6 个月内纯母乳喂养率影响的项目的研究方法和基线数据。
在这项对照、非随机研究中，9 个地方卫生局被分配到早期干预组，9 个被分配到晚期干预组。在基线和随后的两轮中收集了从出生到 12 个月的婴儿母乳喂养数据，分别在早期和晚期干预组实施了 7 步之后。采用逐步逻辑回归分析（校正聚类效应）比较了组间的母乳喂养率。
在基线时，各组在出生时（n=1781）和 3 个月（n=1854）、6 个月（n=1601）和 12 个月（n=1510；失访率 15.2%）时的母乳喂养率没有显著差异。出生时，96%的母亲开始母乳喂养，72%的母亲纯母乳喂养（从出生开始回忆）。3 个月时，77%的婴儿接受母乳喂养，54%的婴儿纯母乳喂养，24 小时回忆率为 46%，7 天回忆率为 46%。6 个月时，任何母乳喂养率为 62%，24 小时回忆率为 10%，7 天回忆率为 7%。12 个月时，31%的儿童继续母乳喂养。
该项目正在进行中，将能够估计 BFCI 的效果。
