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住院期间的母乳喂养及重返工作岗位的意愿会影响母亲的母乳喂养意向。

In-hospital Breastfeeding and Intention to Return to Work Influence Mothers' Breastfeeding Intentions.

作者信息

Thomas-Jackson Shera C, Bentley Gail E, Keyton Kristina, Reifman Alan, Boylan Mallory, Hart Sybil L

机构信息

1 Texas Tech University, Lubbock, TX, USA.

2 South Plain College, Levelland, TX, USA.

出版信息

J Hum Lact. 2016 Nov;32(4):NP76-NP83. doi: 10.1177/0890334415597636. Epub 2016 Jul 11.

Abstract

BACKGROUND

Research continues to demonstrate that formula feeding is associated with numerous long-term negative outcomes for a mother and her infant. However, many women cease breastfeeding sooner than intended and recommended. Breastfeeding has been found to be related to demographics, maternal mood, and returning to work outside the home.

OBJECTIVES

This study aimed to shed light on the woman's perception of the effect of working on intended breastfeeding duration. This study used intentions to return to work and in-hospital breastfeeding to predict breastfeeding intentions.

METHODS

Women (N = 160) were surveyed during the first 48 hours postdelivery of healthy, full-term infants. Survey instruments included demographics (socioeconomic status, maternal age, education, and marital status), depression, fetal attachment, current exclusive breastfeeding status, as well as breastfeeding and return-to-work intentions for the next year. A path analysis was used to explore relationships and predictors of breastfeeding intentions.

RESULTS

The model had a good fit and breastfeeding intentions were predicted by exclusive breastfeeding in the hospital (β = 0.21, P < .01) and negatively predicted by return to work (β = -0.18, P < .05).

CONCLUSION

Exclusive breastfeeding in the hospital within the first 48 hours postpartum and intention to return to work influence how long a mother intends to breastfeed. Attention to these areas can be provided immediately postpartum to support exclusive breastfeeding and provide informational support on continuing to breastfeed/express milk upon return to work if the mother intends to return to work.

摘要

背景

研究不断表明,配方奶喂养会给母亲及其婴儿带来诸多长期负面后果。然而,许多女性停止母乳喂养的时间比预期和建议的要早。研究发现,母乳喂养与人口统计学特征、母亲情绪以及外出工作有关。

目的

本研究旨在阐明女性对工作对预期母乳喂养持续时间影响的看法。本研究使用重返工作岗位的意向和住院期间的母乳喂养情况来预测母乳喂养意向。

方法

在健康足月婴儿出生后的头48小时内,对160名女性进行了调查。调查工具包括人口统计学特征(社会经济地位、母亲年龄、教育程度和婚姻状况)、抑郁情况、对胎儿的依恋、当前的纯母乳喂养状况,以及下一年的母乳喂养和重返工作岗位的意向。采用路径分析来探讨母乳喂养意向的关系和预测因素。

结果

该模型拟合良好,住院期间的纯母乳喂养情况可预测母乳喂养意向(β = 0.21,P <.01),而重返工作岗位则对母乳喂养意向有负向预测作用(β = -0.18,P <.05)。

结论

产后48小时内在医院进行纯母乳喂养以及重返工作岗位的意向会影响母亲打算母乳喂养的时长。产后可立即关注这些方面,以支持纯母乳喂养,并在母亲打算重返工作岗位时,提供关于重返工作后继续母乳喂养/挤奶的信息支持。

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