极早产儿长期母乳喂养情况的改善。

Improvement in long-term breastfeeding for very preterm infants.

作者信息

Sharp Mary, Campbell Catherine, Chiffings Debbie, Simmer Karen, French Noel

机构信息

UWA Centre for Neonatal Education and Research , School of Paediatrics and Child Health, Perth, Western Australia, Australia; Neonatal Clinical Care Unit , King Edward Memorial Hospital, Subiaco, Western Australia, Australia .

出版信息

Breastfeed Med. 2015 Apr;10(3):145-9. doi: 10.1089/bfm.2014.0117. Epub 2015 Mar 18.

DOI:10.1089/bfm.2014.0117

PMID:25786115

Abstract

INTRODUCTION

The extensive health benefits of breastfeeding preterm infants for both mother and infant have been widely reported. However, establishing and maintaining breastfeeding for very preterm (VP) infants remain challenging. The aim of this study was to examine changes in breastfeeding of VP infants over time.

SUBJECTS AND METHODS

Breastfeeding questionnaires were administered to two cohorts of parents of VP infants (<32 weeks) cared for at the tertiary perinatal or surgical neonatal unit in Western Australia. Of these, 488 infants were included in cohort 1 (C1) (births from January 1, 1990 to June 30, 1992) and 253 in cohort 2 (C2) (from January 1, 2011 to September 14, 2012).

RESULTS

More mothers (96.8%) initiated breastfeeding in C2 compared with those in C1 (65.6%) (p<0.001). Additionally, 41.4% of mothers in C2 breastfed for more than 6 months, relative to 25.8% in C1 (p<0.001). The benefits of breastfeeding were endorsed by more women in C2 (45.8%) compared with C1 (11.4%) (p<0.01). Reasons for stopping feeding remained largely consistent.

CONCLUSIONS

Significant improvements were evident in the initiation and duration of breastfeeding of the VP infant over time. This improvement was associated with attitudinal shifts in mothers about the benefits of breastfeeding.

摘要

引言

母乳喂养对早产婴儿及母亲的广泛健康益处已得到广泛报道。然而，为极早产（VP）婴儿建立并维持母乳喂养仍具有挑战性。本研究旨在探讨VP婴儿母乳喂养情况随时间的变化。

对象与方法

对在西澳大利亚州三级围产期或外科新生儿病房接受护理的两组VP婴儿（<32周）的父母进行母乳喂养问卷调查。其中，队列1（C1）纳入488名婴儿（出生时间为1990年1月1日至1992年6月30日），队列2（C2）纳入253名婴儿（出生时间为2011年1月1日至2012年9月14日）。

结果

与C1组（65.6%）相比，C2组开始母乳喂养的母亲更多（96.8%）（p<0.001）。此外，C2组41.4%的母亲母乳喂养超过6个月，而C1组为25.8%（p<0.001）。认可母乳喂养益处的女性在C2组中更多（45.8%），高于C1组（11.4%）（p<0.01）。停止母乳喂养的原因基本保持一致。