Sharp Deborah, Entwistle Francesca
Pract Midwife. 2015 Oct;18(9):30-3.
Increasing breastfeeding prevalence rates has been identified as key to improving health and well being outcomes for mothers and babies. (Dyson et al 2008, Unicef 2013; Renfrew et al 2012a; Renfrew et al 2012b). Within one maternity unit in England, in 2014, 80 per cent of women initiated breastfeeding at birth, but by day 10, only 45 per cent were breastfeeding exclusively, identifying a drop off rate of 35 per cent. As part of achieving the Unicef UK Baby Friendly standards, retrospective audit was undertaken to investigate why women were not continuing to exclusively breastfeed. Findings from the study identified that when a baby received a supplement of formula milk before 72 hours of age, the mother was less likely to be exclusively breastfeeding at 10 days. This was statistically significant (Sharp 2014). An innovation was implemented for some mothers to receive additional one-to-one feeding support in hospital and the community, as a result of which supplementation rates decreased.
提高母乳喂养普及率已被视为改善母婴健康和福祉的关键。(戴森等人,2008年;联合国儿童基金会,2013年;伦弗鲁等人,2012年a;伦弗鲁等人,2012年b)。2014年,在英格兰的一个产科病房,80%的女性在分娩时开始母乳喂养,但到第10天,只有45%的女性进行纯母乳喂养,下降率为35%。作为实现联合国儿童基金会英国爱婴医院标准的一部分,进行了回顾性审计,以调查女性为何没有继续进行纯母乳喂养。该研究的结果表明,当婴儿在出生72小时内接受配方奶补充时,母亲在第10天进行纯母乳喂养的可能性较小。这具有统计学意义(夏普,2014年)。针对一些母亲实施了一项创新措施,让她们在医院和社区获得额外的一对一喂养支持,结果补充率下降了。