Brodribb Wendy E, Miller Yvette D
Discipline of General Practice, School of Medicine, Royal Brisbane and Women's Hospital, The University of Queensland, Level 8, Health Sciences Building, Herston, Brisbane, QLD, 4029, Australia,
Matern Child Health J. 2014 Sep;18(7):1591-8. doi: 10.1007/s10995-013-1398-3.
This study investigated the effect of any health professional contact and the types of contact new mothers received in the first 10 days post-discharge on breastfeeding rates at 3 months. This cross-sectional retrospective self-report survey was distributed to women who birthed in Queensland, Australia between 1st February and 31st May 2010 at 4-5 months postpartum. Data were collected on pregnancy, birth, postpartum care and infant feeding. Logistic regression was used to assess the relationship between health professional contact and breastfeeding at 3 months. Data were analysed by birthing facility sector because of significant differences between sectors in health professional contact. The study cohort consisted of 6,852 women. Women in the public sector were more likely to be visited at home than women birthing in the private sector. Any health professional contact (AOR 1.65 99 % CI 0.98-2.76 public sector, AOR 0.78 99 % CI 0.59-1.03 private sector) and home visits (AOR 1.50 99 % CI 0.89-2.54 public sector, AOR 0.80 99 % CI 0.46-1.39 private sector) were not associated with breastfeeding at 3 months in either sector. A telephone call (AOR 2.07 99 % CI 1.06-4.03) or visit to a general practitioner (GP) (AOR 1.83 99 % CI 1.04-3.21) increased the odds of breastfeeding in public sector women. Health professional contact or home visiting in the first 10 days post-discharge did not have a significant impact on breastfeeding rates at 3 months. Post-discharge telephone contact for all women and opportunities for self-initiated clinic visits for women assessed to be at higher risk of ceasing breastfeeding may be the most effective care.
本研究调查了产后10天内与任何健康专业人员的接触以及初为人母者接受的接触类型对3个月时母乳喂养率的影响。这项横断面回顾性自我报告调查针对2010年2月1日至5月31日在澳大利亚昆士兰州分娩、产后4至5个月的女性进行。收集了有关怀孕、分娩、产后护理和婴儿喂养的数据。采用逻辑回归分析来评估健康专业人员接触与3个月时母乳喂养之间的关系。由于不同部门在健康专业人员接触方面存在显著差异，因此按分娩机构部门对数据进行了分析。研究队列包括6852名女性。与在私立机构分娩的女性相比，公立部门的女性更有可能在家中接受访视。在两个部门中，与任何健康专业人员的接触（公立部门优势比1.65，99%置信区间0.98 - 2.76；私立部门优势比0.78，99%置信区间0.59 - 1.03）和家访（公立部门优势比1.50，99%置信区间0.89 - 2.54；私立部门优势比0.80，99%置信区间0.46 - 1.39）均与3个月时的母乳喂养无关。一次电话（优势比2.07，99%置信区间1.06 - 4.03）或拜访全科医生（GP）（优势比1.83，99%置信区间1.04 - 3.21）会增加公立部门女性母乳喂养的几率。出院后10天内与健康专业人员的接触或家访对3个月时的母乳喂养率没有显著影响。对所有女性进行出院后电话随访以及为评估有较高停止母乳喂养风险的女性提供主动到诊所就诊的机会可能是最有效的护理方式。
