Hull V, Thapa S, Pratomo H
Family Health International, Research Triangle Park, NC 27709-3950.
Soc Sci Med. 1990;30(5):625-33. doi: 10.1016/0277-9536(90)90161-k.
This paper presents findings of a study of postpartum women in major hospitals throughout Indonesia. The objective was to assess the mothers' practices and attitudes regarding several key aspects of breast-feeding and 'rooming-in'. The study found that most of the women breast-fed their babies, with many believing infants should be breast-fed for 18 months or longer. However, many mothers lacked information about ideal infant feeding patterns and were unaware of how to solve problems that may arise. Only 38% recognized the value of feeding colostrum, and many feared the effect of breast-feeding on breast shape. They often gave supplementary formula. Almost none understood the importance of frequent suckling in promoting milk production. Only 50% of infants were kept in the same hospital room with their mothers for 24 hr a day, or full rooming-in. Women who kept their infants in the nursery (39%) were generally younger, better educated, primiparous, or had non-normal deliveries. They knew little about rooming-in, and if given more information to allay their doubts, they might consider rooming-in as a viable and safe arrangement. The results of this study reinforce the importance of identifying the perceptions and the knowledge of women concerning breast-feeding and rooming-in, so that hospital administrator, and health professionals can design programs and provide environments that encourage women to breast-feed their infants in optimal ways.
本文介绍了一项针对印度尼西亚各大医院产后女性的研究结果。目的是评估母亲们在母乳喂养和母婴同室几个关键方面的做法和态度。研究发现，大多数女性会母乳喂养婴儿，许多人认为婴儿应该母乳喂养18个月或更长时间。然而，许多母亲缺乏关于理想婴儿喂养模式的信息，并且不知道如何解决可能出现的问题。只有38%的人认识到初乳喂养的价值，许多人担心母乳喂养对乳房形状的影响。她们经常给婴儿喂补充配方奶。几乎没有人理解频繁吸吮对促进乳汁分泌的重要性。只有50%的婴儿每天24小时与母亲同处一室，即完全母婴同室。将婴儿留在托儿所的女性（39%）通常更年轻、受教育程度更高、是初产妇或有难产情况。她们对母婴同室了解甚少，如果能得到更多信息来消除疑虑，她们可能会认为母婴同室是一种可行且安全的安排。这项研究的结果强化了识别女性对母乳喂养和母婴同室的看法及知识的重要性，以便医院管理人员和卫生专业人员能够设计方案并提供环境，鼓励女性以最佳方式母乳喂养婴儿。
