Garth Emily, Messer Abigail L, Spatz Diane L
Emily Garth is a May 2015 BSN Graduate of University of Pennsylvania School of Nursing, NICU RN I, INOVA Children's Hospital, INOVA, Fairfax, VA. Abigail L. Messer is a May 2015 BSN Graduate of University of Pennsylvania School of Nursing, Staff Nurse, Intensive Care Nursery, Lankenau Medical Center, Wynnewood, PA. Diane L. Spatz is a Professor of Perinatal Nursing and Helen M. Shearer Professor of Nutrition, University of Pennsylvania School of Nursing, Nurse Researcher-Lactation, The Children's Hospital of Philadelphia, Philadelphia, PA. She can be reached via e-mail at
MCN Am J Matern Child Nurs. 2016 May-Jun;41(3):154-61. doi: 10.1097/NMC.0000000000000229.
The purpose of this study was to investigate individual child care centers' attitudes and policies related to breastfeeding in two distinct areas in Philadelphia. Little is known about individual centers' approach to breastfeeding despite returning to work being cited as a major barrier to continued breastfeeding.
Data were collected by compiling a list of child care centers in the areas of study and conducting telephone surveys of the 166 centers that met inclusion criteria. Surveys were administered using an adapted tool from the New York State Department of Health. Data were analyzed using descriptive statistics.
A total of 47 of the 166 (28%) of centers completed the survey. Results indicate there is room for improvement in education and training of staff on benefits of breastfeeding and human milk. The majority of centers (95%) surveyed indicated they would not feed an infant anything besides human milk unless specifically stated in a feeding plan. However, only 40% of centers had staff trained about benefits of breastfeeding and how to prepare and store human milk. Results varied between West Philadelphia and Center City.
Widespread education of healthcare providers and child care center staff is necessary to ensure adherence to breastfeeding support guidelines and dissemination of accurate information to breastfeeding families. Nurses and other healthcare providers need to be aware of child care as a barrier to breastfeeding and the importance of providing comprehensive education and referral to community resources.
本研究旨在调查费城两个不同区域内各个儿童保育中心对母乳喂养的态度和政策。尽管重返工作岗位被认为是持续母乳喂养的主要障碍，但对于各个保育中心在母乳喂养方面的做法却知之甚少。
通过编制研究区域内儿童保育中心的名单，并对符合纳入标准的166个中心进行电话调查来收集数据。调查使用的是纽约州卫生部改编的工具。数据采用描述性统计方法进行分析。
166个中心中有47个（28%）完成了调查。结果表明，在对工作人员进行母乳喂养和母乳益处的教育与培训方面仍有改进空间。接受调查的大多数中心（95%）表示，除非喂养计划中有明确说明，否则他们不会给婴儿喂食母乳以外的任何东西。然而，只有40%的中心对工作人员进行了母乳喂养益处以及如何制备和储存母乳方面的培训。费城西部和中心城的结果有所不同。
对医疗保健提供者和儿童保育中心工作人员进行广泛教育，对于确保遵守母乳喂养支持指南以及向母乳喂养家庭传播准确信息是必要的。护士和其他医疗保健提供者需要意识到儿童保育是母乳喂养的一个障碍，以及提供全面教育和转介社区资源的重要性。
