Hongo Hiroko, Nanishi Keiko, Shibanuma Akira, Jimba Masamine
Department of Community and Global Health, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Matern Child Health J. 2015 Jun;19(6):1252-62. doi: 10.1007/s10995-014-1631-8.
While the World Health Organization's Baby-Friendly Hospital Initiative has increased breastfeeding duration and exclusivity, a survey found that only 8.5 % of maternity hospitals in 31 developed countries could be designated baby-friendly. Baby-friendly breastfeeding support is sometimes criticized as mother unfriendly. This study examined whether baby-friendly breastfeeding support was associated with breastfeeding satisfaction, duration, and exclusivity among Japanese mothers. In this cross-sectional study, 601 breastfeeding Japanese mothers completed questionnaires at their infants' 4-month health checkups at two wards in Yokohama, Japan; 363 were included in the analysis. Baby-friendly breastfeeding support was measured based on the WHO's "Ten Steps to Successful Breastfeeding." We measured satisfaction using two subscales of the Japanese version of the Maternal Breastfeeding Evaluation Scale. The association of baby-friendly support with maternal satisfaction was assessed using multiple linear regression, while the prevalence ratios (PRs) for breastfeeding were estimated using Poisson regression. Mothers were stratified by prepartum exclusive breastfeeding intention (yes, n = 256; no, n = 107). Mothers who experienced early skin-to-skin contact with their infants were more likely to report breastfeeding satisfaction than those who did not. Among mothers without exclusive breastfeeding intention, those who were encouraged to feed on demand were more likely to be breastfeeding without formula at 1 month (PR 2.66 [95 % CI 1.32, 5.36]) and to perceive breastfeeding as beneficial for their baby (regression coefficient = 3.14 [95 % CI 0.11, 6.17]) than those who were not so encouraged. Breastfeeding satisfaction was a useful measure of breastfeeding outcome. Early skin-to-skin contact and encouragement to feed on demand in the hospital facilitate breastfeeding satisfaction.
虽然世界卫生组织的爱婴医院倡议提高了母乳喂养的时长和纯母乳喂养率，但一项调查发现，在31个发达国家中，只有8.5%的妇产医院可被认定为爱婴医院。爱婴母乳喂养支持有时被批评为对母亲不友好。本研究调查了爱婴母乳喂养支持与日本母亲的母乳喂养满意度、时长和纯母乳喂养率之间是否存在关联。在这项横断面研究中，601名进行母乳喂养的日本母亲在日本横滨两个病房为其婴儿进行4个月健康检查时填写了问卷；363名母亲的数据纳入分析。爱婴母乳喂养支持是根据世界卫生组织的“成功母乳喂养十步骤”来衡量的。我们使用日文版的《母亲母乳喂养评估量表》的两个子量表来测量满意度。使用多元线性回归评估爱婴支持与母亲满意度之间的关联，同时使用泊松回归估计母乳喂养的患病率比（PR）。母亲们按产前纯母乳喂养意愿进行分层（是，n = 256；否，n = 107）。与未与婴儿进行早期肌肤接触的母亲相比，有过此类接触的母亲更有可能报告母乳喂养满意度。在没有纯母乳喂养意愿的母亲中，与未得到按需喂养鼓励的母亲相比，得到鼓励的母亲在1个月时更有可能不使用配方奶进行母乳喂养（PR 2.66 [95%CI 1.32, 5.36]），并且更有可能认为母乳喂养对宝宝有益（回归系数 = 3.14 [95%CI 0.11, 6.17]）。母乳喂养满意度是衡量母乳喂养结果的一个有用指标。医院里的早期肌肤接触和按需喂养鼓励有助于提高母乳喂养满意度。
