Maycock Bruce, Binns Colin W, Dhaliwal Satvinder, Tohotoa Jenny, Hauck Yvonne, Burns Sharyn, Howat Peter
1School of Public Health and Curtin Health Innovation Research Institute, Curtin University, Perth, Australia.
J Hum Lact. 2013 Nov;29(4):484-90. doi: 10.1177/0890334413484387. Epub 2013 Apr 19.
Studies have identified numerous factors affecting breastfeeding initiation and duration, including maternal education, mode of delivery, birth weight, socioeconomic status, and support of the infant's father.
The objective was to investigate the effects of an antenatal education session and postnatal support targeted to fathers.
The Fathers Infant Feeding Initiative (FIFI Study) is a randomized controlled trial to increase the initiation and duration of breastfeeding that was conducted in 8 public maternity hospitals in Perth, Western Australia. A total of 699 couples were randomized within hospitals to either intervention or control groups. The intervention consisted of a 2-hour antenatal education session and postnatal support provided to fathers.
The any breastfeeding rate for the intervention group was significantly greater at 6 weeks: 81.6% in the intervention group compared to 75.2% in the control group, odds ratio 1.46 (95% CI, 1.01-2.13). After adjustment for age and hospital, the odds ratio for any breastfeeding in the intervention group was 1.58 (1.06-2.35) and for socioeconomic status (SES), 1.56 (1.06-2.30). The infants of older fathers were more likely to be breastfed at 6 weeks compared to infants of younger fathers (P < .01), and infants of fathers with high SES more likely than infants of fathers with low SES (P = .013).
Even a small increase in breastfeeding rates brings public health benefits. In this study, a minimal intervention was found to significantly increase any breastfeeding at 6 weeks: 81.6% in the intervention group compared to 75.2% in the control group.
研究已确定了许多影响母乳喂养开始时间和持续时间的因素，包括产妇教育程度、分娩方式、出生体重、社会经济地位以及婴儿父亲的支持。
旨在调查针对父亲的产前教育课程和产后支持的效果。
“父亲婴儿喂养倡议”（FIFI研究）是一项在澳大利亚西部珀斯的8家公立妇产医院进行的随机对照试验，旨在提高母乳喂养的开始时间和持续时间。共有699对夫妇在医院内被随机分为干预组或对照组。干预措施包括为父亲提供为期2小时的产前教育课程和产后支持。
干预组在6周时的任何母乳喂养率显著更高：干预组为81.6%，而对照组为75.2%，优势比为1.46（95%CI，1.01 - 2.13）。在对年龄和医院进行调整后，干预组任何母乳喂养的优势比为1.58（1.06 - 2.35），对社会经济地位（SES）调整后的优势比为1.56（1.06 - 2.30）。与年轻父亲的婴儿相比，年龄较大父亲的婴儿在6周时更有可能接受母乳喂养（P < 0.01），社会经济地位高的父亲的婴儿比社会经济地位低的父亲的婴儿更有可能接受母乳喂养（P = 0.013）。
即使母乳喂养率有小幅提高也会带来公共卫生益处。在本研究中，发现一项最小化干预措施能显著提高6周时的任何母乳喂养率：干预组为81.6%，而对照组为75.2%。
