Duan Yifan, Pan Lili, Wang Jie, Yang Zhenyu, Xu Lili, Li Juanjuan, Wan Qingqing, Liu Shumei, Wan Rong, Yin Shian
National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention; Key Laboratory of Trace Element Nutrition, National Health and Family Planning Commission of the Peoples' Republic of China, Beijing 100050, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2016 Jan;50(1):61-6. doi: 10.3760/cma.j.issn.0253-9624.2016.01.011.
To investigate the status of exclusive breastfeeding(EBF) and possible influencing factors during 0-7 days postpartum in China.
During 2011 to 2013, healthy mothers and neonates who were in the period of 0- 7 days postpartum from 8 provinces across different regions of China were recruited to take the questionnaire investigations and physical examinations. Information about socio-economic, pregnant, and delivery status, infant healthy situation and feeding indicators was collected to calculate the rate of exclusive breastfeeding during 0- 7 days postpartum and analyze the influencing factors.
A total of 1 882 pairs of mothers and neonates were covered by this study. The rate of EBF was 13.3% (250 cases) during 0- 7 days postpartum. Bottle feeding (OR=0.08, 95% CI: 0.05- 0.12), the mothers themselves mixed fed at their 0-4 months old (OR=0.22, 95%CI: 0.08-0.58), the mothers who had used methods to stimulate milk secretion (OR=0.58, 95% CI: 0.35- 0.94) might decrease the EBF rate. Compared with the mothers who believed that their breast milk was not enough for their infants, the mothers who believed breastmilk was enough may increase the EBF rate (OR=6.04, 95%CI: 3.34-10.94). Comparing to the EBF rate of Beijing, Yunnan (OR=0.10, 95%CI: 0.04-0.24), and Gansu(OR=0.03,95%CI: 0.01-0.08) had lower EBF rate during 0-7 days postpartum. What's more, the EBF rate increased with the increasing neonates' age (OR=1.33, 95% CI: 1.16- 1.53).
The EBF rate during 0- 7 days postpartum is still low in China and had significant differences in different regions. Suboptimal feeding knowledge and practices affected the EBF rate significantly.
调查中国产后0至7天纯母乳喂养(EBF)的状况及可能的影响因素。
在2011年至2013年期间,招募了来自中国不同地区8个省份产后0至7天的健康母亲和新生儿进行问卷调查和体格检查。收集社会经济、怀孕和分娩状况、婴儿健康状况及喂养指标等信息,以计算产后0至7天纯母乳喂养率并分析影响因素。
本研究共纳入1882对母婴。产后0至7天纯母乳喂养率为13.3%(250例)。奶瓶喂养(OR=0.08,95%CI:0.05 - 0.12)、母亲在其0至4个月时进行混合喂养(OR=0.22,95%CI:0.08 - 0.58)、使用过促进乳汁分泌方法的母亲(OR=0.58,95%CI:0.35 - 0.94)可能会降低纯母乳喂养率。与认为自己的母乳不足以喂养婴儿的母亲相比,认为母乳充足的母亲可能会提高纯母乳喂养率(OR=6.04,95%CI:3.34 - 10.94)。与北京的纯母乳喂养率相比,云南(OR=0.10,95%CI:0.04 - 0.24)和甘肃(OR=0.03,95%CI:0.01 - 0.08)产后0至7天的纯母乳喂养率较低。此外,纯母乳喂养率随新生儿年龄的增加而升高(OR=1.33,95%CI:1.16 - 1.53)。
中国产后0至7天的纯母乳喂养率仍然较低,且不同地区存在显著差异。喂养知识和行为欠佳对纯母乳喂养率有显著影响。