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芬兰初产妇和经产妇在产后即刻的妇产医院实践与母乳喂养自我效能感

Maternity hospital practices and breast feeding self-efficacy in Finnish primiparous and multiparous women during the immediate postpartum period.

作者信息

Koskinen Katja S, Aho Anna L, Hannula Leena, Kaunonen Marja

机构信息

Department of Gynaecology and Pediatrics, Helsinki University Central Hospital, Helsinki, Finland; National Institute for Health and Welfare, Helsinki, Finland.

School of Health Sciences, Nursing Science, University of Tampere, Finland.

出版信息

Midwifery. 2014 Apr;30(4):464-70. doi: 10.1016/j.midw.2013.05.003. Epub 2013 Jun 13.

DOI:10.1016/j.midw.2013.05.003
PMID:23768951
Abstract

OBJECTIVE

to explore the relationship between maternity hospital practices and breast feeding self-efficacy.

DESIGN

the data were collected using a cross-sectional survey. The study is a part of a larger longitudinal research and development project called 'Urban parenthood'.

SETTING

three urban maternity hospitals in Southern Finland.

PARTICIPANTS

altogether 1400 questionnaires were given out and 573 primiparous and multiparous women completed the questionnaire within a week after childbirth. The response rate was 41%.

FINDINGS

early and successful initiation of breast feeding, rooming-in and exclusive breast feeding during the hospital stay were associated with higher maternal breast feeding self-efficacy in both primiparous and multiparous women. The reason (medical or non-medical), frequency or method (bottle or cup) for supplementation was not associated with breast feeding self-efficacy.

KEY CONCLUSION AND IMPLICATIONS FOR PRACTICE

breast feeding experiences during the immediate postpartum period have an association with breast feeding self-efficacy. Mothers who are not able to initiate breast feeding within an hour after birth or whose infants are supplemented during the hospital stay may benefit from additional support and breast feeding counselling.

摘要

目的

探讨妇产医院的做法与母乳喂养自我效能之间的关系。

设计

采用横断面调查收集数据。该研究是一个名为“城市育儿”的更大规模纵向研究与发展项目的一部分。

地点

芬兰南部的三家城市妇产医院。

参与者

共发放1400份问卷,573名初产妇和经产妇在产后一周内完成了问卷。回复率为41%。

研究结果

初产妇和经产妇中,早期成功开始母乳喂养、母婴同室以及住院期间纯母乳喂养与更高的母乳喂养自我效能相关。补充喂养的原因(医疗或非医疗)、频率或方式(奶瓶或杯子)与母乳喂养自我效能无关。

关键结论及对实践的启示

产后即刻的母乳喂养经历与母乳喂养自我效能相关。在出生后一小时内无法开始母乳喂养或其婴儿在住院期间接受补充喂养的母亲可能会从额外的支持和母乳喂养咨询中受益。

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