Esan O T, Olajide F O, Olubosede O A, Adeyanju T A
Afr J Med Med Sci. 2013 Dec;42(4):293-9.
Physician-mothers' breastfeeding behaviour is being studied because it is believed to impact their anticipatory guidance to their patients, which in turn influences patients' breastfeeding initiation and continuation. Study assessed the breastfeeding practices of physician-mothers; their reasons for stopping exclusive breastfeeding and factors associated with their breastfeeding practices.
Study design was cross-sectional, conducted in Osun East Senatorial District, Nigeria. A self-administered semi-structured questionnaire was administered to all eligible 56 physician-mothers in public primary, secondary and tertiary health facilities in the reproductive age-group whose youngest child was aged d"five years. Informed consent was obtained. Outcome measures were time breastfeeding was initiated, duration of exclusive breastfeeding; reasons for stopping exclusive breastfeeding and duration of continued breastfeeding. Data was analysed using SPSS version 17, statistical significance was determined at p-value < 0.05.
Fifty (89.3%) responded. Seventy per cent initiated breastfeeding within 1 hour after birth; exclusive breastfeeding rate was 28.0% with a mean duration of 4.1 +/- 1.9 months. Mean duration of continued breastfeeding was 14.5 +/- 4.5 months. Commonest reason for stopping exclusive breastfeeding was 'baby old enough' (35.8%). Mode of delivery was statistically significantly associated with time to initiate breastfeeding. Time to initiate breastfeeding was statistically significantly associated with duration of exclusive breastfeeding.
Breastfeeding practices of physician-mothers do not conform to the standards in the Innocenti Declaration. The impact of this on their professional support to clients' should be measured in further studies. It is recommended that targeted interventions be done to improve the attitude and breastfeeding practices of physician-mothers.
医生母亲的母乳喂养行为正在被研究，因为人们认为这会影响她们对患者的预期指导，进而影响患者开始和持续母乳喂养的情况。本研究评估了医生母亲的母乳喂养行为；她们停止纯母乳喂养的原因以及与她们母乳喂养行为相关的因素。
本研究为横断面研究，在尼日利亚奥孙东参议院选区进行。对生殖年龄组中所有符合条件的56位医生母亲进行了自我管理的半结构化问卷调查，这些医生母亲在公立小学、中学和三级卫生设施工作，其最小的孩子年龄在5岁以下。获得了知情同意。观察指标包括开始母乳喂养的时间、纯母乳喂养的持续时间；停止纯母乳喂养的原因以及持续母乳喂养的持续时间。使用SPSS 17版对数据进行分析，p值<0.05时确定具有统计学意义。
50位（89.3%）做出了回应。70%的人在产后1小时内开始母乳喂养；纯母乳喂养率为28.0%，平均持续时间为4.1±1.9个月。持续母乳喂养的平均持续时间为14.5±4.5个月。停止纯母乳喂养最常见的原因是“宝宝足够大了”（35.8%）。分娩方式与开始母乳喂养的时间在统计学上有显著关联。开始母乳喂养的时间与纯母乳喂养的持续时间在统计学上有显著关联。
医生母亲的母乳喂养行为不符合《因诺琴蒂宣言》中的标准。这对她们为客户提供专业支持的影响应在进一步研究中进行衡量。建议采取有针对性的干预措施，以改善医生母亲的态度和母乳喂养行为。
