Robert Emmanuelle, Coppieters Yves, Swennen Béatrice, Dramaix Michéle
Research Center of Epidemiology, Biostatistics and Clinical Research, School of Public Health, Université Libre de Bruxelles, Route de Lennik 808, 1070 Brussels, Belgium.
Research Center of Health Policy and Systems-International Health, School of Public Health, Université Libre de Bruxelles, Route de Lennik 808, 1070 Brussels, Belgium.
Int Sch Res Notices. 2014 Nov 9;2014:678564. doi: 10.1155/2014/678564. eCollection 2014.
Objective and Method. To report on the weaning reasons at the maternity ward, at 3, 6, and 12 months and to report the socioeconomic characteristics of mothers not satisfied with breastfeeding duration as well as of those who have weaned their child because of perceived insufficient milk (PIM). Two cross-sectional studies were performed in 2012. Results. 62.9% of mothers in Wallonia and 56.8% in Brussels are dissatisfied with the duration of breastfeeding. In the two regions, younger mothers, ignoring the WHO recommendations, having a low level of education, or thinking not having sufficient milk production, were more likely to be dissatisfied. According to the analysed period, PIM and return to work are the two leading causes of weaning. While in Brussels PIM seemed to be associated only with partial BF at the maternity ward, in Wallonia, PIM was associated with a less educated environment and with ignoring the WHO recommendations. Conclusions. Too many mothers, especially destitute, are dissatisfied. They more often evoke PIM as reason for weaning. However, the literature shows that the real lack of milk only affects 1-5% of the mothers. Professionals need to be better informed of this discrepancy between mothers' perception and physiology. They should be more supportive, especially among more precarious mothers.
目的与方法。报告产科病房中3个月、6个月和12个月时的断奶原因，并报告对母乳喂养持续时间不满意的母亲以及因认为母乳不足（PIM）而给孩子断奶的母亲的社会经济特征。2012年进行了两项横断面研究。结果。瓦隆大区62.9%的母亲和布鲁塞尔56.8%的母亲对母乳喂养持续时间不满意。在这两个地区，年轻母亲、无视世界卫生组织建议、教育水平低或认为自己产奶不足的母亲更容易不满意。根据分析时期，母乳不足和重返工作岗位是断奶的两个主要原因。在布鲁塞尔，母乳不足似乎仅与产科病房的部分母乳喂养有关，而在瓦隆大区，母乳不足与教育程度较低的环境以及无视世界卫生组织建议有关。结论。太多母亲，尤其是贫困母亲，不满意。她们更常将母乳不足作为断奶原因。然而，文献表明真正母乳不足的母亲仅占1 - 5%。专业人员需要更好地了解母亲认知与生理之间的这种差异。他们应该给予更多支持，尤其是在情况更不稳定的母亲中。
