婴儿喂养姿势的数量与6个月纯母乳喂养率。

The Number of Infant Feeding Positions and the 6-Month Exclusive Breastfeeding Rates.

作者信息

Puapornpong Pawin, Raungrongmorakot Kasem, Manolerdtewan Wichian, Ketsuwan Sukwadee, Sinutchanan Wongin

出版信息

J Med Assoc Thai. 2015 Nov;98(11):1075-81.

DOI:

PMID:26817177

Abstract

BACKGROUND

Appropriate infant feeding positions will help with latching. Good latching will help decrease cracked nipple and complication leading to early breastfeeding cessation.

OBJECTIVE

To investigate the association of the number of infant feeding positions on exclusive breastfeeding during the first six months postpartum period.

MATERIAL AND METHOD

The subjects were primiparous women who delivered without complications and intended to breastfeed their newborns at least six months at the HRH Princess Maha Chakri Sririndhorn Medical Center in Nakhon Nayok Province, Thailand, between May 2012 and April 2013. On the first day postpartum, the mothers had received instructions on four infant feeding positions. These included the cradle, cross cradle, football carry, and side-lying positions, and all were practiced. The mothers were assessed on their use of the numbers of infant feeding positions at the second day postpartum prior to their discharge. Telephone follow-ups at the second, fourth, and sixth month postpartum periods were collected and used for exclusive breastfeeding data collection following discharge. Demographic data and exclusive breastfeeding rates were analyzed by Chi-square test, one-way ANOVA test, and relative risk with a 95% confidence interval (CI).

RESULTS

Five hundred forty five primiparous women were enrolled in the present study. The data showed that the 6-month exclusive breastfeeding rates of the studied group who could breastfeed by one, two, three, and four positions, had statistically signifcant differences (p-value < 0.05). The relative risks for exclusive breastfeeding rates between the mothers who used two infant breastfeeding positions or more and the mothers who used only one position were 1.68 (95% CI 1.45-1.95) at the 2-month, 1.69 (95% CI 1.38-2.09) at the 4-month, and 1.51 (95% CI 1.18-1.94) at the 6-month postpartum periods.

CONCLUSION

The number of infant breastfeeding positions had an association with the exclusive breastfeeding rates during the six months postpartum period.

摘要

背景

合适的婴儿喂养姿势有助于正确含接乳头。良好的含接有助于减少乳头皲裂以及导致早期停止母乳喂养的并发症。

目的

调查产后头六个月内婴儿喂养姿势的数量与纯母乳喂养之间的关联。

材料与方法

研究对象为2012年5月至2013年4月期间在泰国那空那育府诗琳通公主殿下医疗中心分娩且无并发症、打算至少母乳喂养新生儿六个月的初产妇。产后第一天，母亲们接受了四种婴儿喂养姿势的指导。这些姿势包括摇篮式、交叉摇篮式、橄榄球式抱姿和侧卧式，并且都进行了练习。在产后第二天出院前，对母亲们使用婴儿喂养姿势的数量进行了评估。收集产后第二个月、第四个月和第六个月的电话随访数据，用于出院后纯母乳喂养数据的收集。通过卡方检验、单因素方差分析以及95%置信区间（CI）的相对风险分析人口统计学数据和纯母乳喂养率。

结果

本研究共纳入545名初产妇。数据显示，能够采用一种、两种、三种和四种姿势进行母乳喂养的研究组6个月纯母乳喂养率存在统计学显著差异（p值<0.05）。在产后2个月时，使用两种或更多种婴儿喂养姿势的母亲与仅使用一种姿势的母亲相比，纯母乳喂养率的相对风险为1.68（95%CI 1.45 - 1.95）；在产后4个月时为1.69（95%CI 1.38 - 2.09）；在产后6个月时为1.51（95%CI 1.18 - 1.94）。