Mortazavi Forough, Mousavi Seyed Abbas, Chaman Reza, Khosravi Ahmad
Department of Midwifery, Faculty of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar 9613873136, Iran.
Research Center of Psychiatry, Golestan University of Medical Sciences, Golestan 49189 36316, Iran.
Int J Pediatr. 2014;2014:156049. doi: 10.1155/2014/156049. Epub 2014 Apr 28.
Objectives. This study was conducted to determine whether maternal quality of life (QOL) and breastfeeding difficulties influence the continuation of exclusive breastfeeding (EBF). Methods. In a survey, 358 consecutive pregnant women filled out a quality of life questionnaire in the third trimester of pregnancy and the breastfeeding experience scale at 4 weeks postpartum. We assessed breastfeeding practices every month up to 6 months postpartum. Results. Only 11.8% of women continued EBF at six months. Mothers who continued EBF at 2 and 4 months postpartum had better QOL in late pregnancy than mothers who discontinued it (P < 0.05). There were no significant differences between the two groups in QOL scores at 6 months postpartum. Mothers who continued EBF at 2 months postpartum experienced less breastfeeding difficultties during one month postpartum than mothers who discontinued it (P < 0.05). Conclusion. In attempts to promote EBF, mothers with poor QOL or breastfeeding difficulties in early postpartum should be identified and helped.
目的。本研究旨在确定母亲的生活质量（QOL）和母乳喂养困难是否会影响纯母乳喂养（EBF）的持续时间。方法。在一项调查中，358名连续入选的孕妇在妊娠晚期填写了生活质量问卷，并在产后4周填写了母乳喂养体验量表。我们在产后6个月内每月评估母乳喂养情况。结果。只有11.8%的女性在6个月时仍坚持纯母乳喂养。产后2个月和4个月时继续纯母乳喂养的母亲在妊娠晚期的生活质量优于停止纯母乳喂养的母亲（P<0.05）。产后6个月时，两组的生活质量得分无显著差异。产后2个月时继续纯母乳喂养的母亲在产后1个月内经历的母乳喂养困难少于停止纯母乳喂养的母亲（P<0.05）。结论。为了促进纯母乳喂养，应识别并帮助产后早期生活质量差或有母乳喂养困难的母亲。
