Di Mattei Valentina E, Carnelli Letizia, Bernardi Martina, Jongerius Chiara, Brombin Chiara, Cugnata Federica, Ogliari Anna, Rinaldi Stefania, Candiani Massimo, Sarno Lucio
Faculty of Psychology, Vita-Salute San Raffaele UniversityMilan, Italy; Clinical and Health Psychology Unit, Department of Clinical Neurosciences, IRCCS San Raffaele HospitalMilan, Italy.
Clinical and Health Psychology Unit, Department of Clinical Neurosciences, IRCCS San Raffaele Hospital Milan, Italy.
Front Psychol. 2016 Nov 29;7:1872. doi: 10.3389/fpsyg.2016.01872. eCollection 2016.
Exclusive breastfeeding until 6 months postpartum is a World Health Organization objective and benefits have been demonstrated for both mother and infant. It is important to clarify which factors influence breastfeeding intentions. Our objective was to assess and identify socio-demographic and psychological factors associated with breastfeeding intention in a sample of pregnant Italian women. This prospective study included 160 pregnant women. The following psychological constructs were measured using standardized questionnaires: anxiety, prenatal attachment, adult attachment, personality traits, and intention to breastfeed. Socio-demographic data were also collected using a self-report questionnaire. Assessment took place after the 20th gestational week. Self-employment, age and feeding received as an infant were significantly related to breastfeeding intention. Regarding psychological factors, we also found that Neuroticism was negatively associated with mother's breastfeeding intentions. Relationships between psychological constructs and breastfeeding attitude were examined and represented within a graphical modeling framework. It may be possible to identify women that are less inclined to breastfeed early on in pregnancy. This may aid healthcare staff to pay particular attention to women who show certain socio-demographic and psychological characteristics, so as to fulfill more focused programs.
产后6个月内纯母乳喂养是世界卫生组织的目标，且已证明对母婴双方均有益处。明确哪些因素会影响母乳喂养意愿很重要。我们的目标是在一组意大利孕妇样本中评估并确定与母乳喂养意愿相关的社会人口统计学和心理因素。这项前瞻性研究纳入了160名孕妇。使用标准化问卷对以下心理结构进行了测量：焦虑、产前依恋、成人依恋、人格特质以及母乳喂养意愿。还通过自填问卷收集了社会人口统计学数据。评估在妊娠第20周后进行。个体经营、年龄以及婴儿时期的喂养方式与母乳喂养意愿显著相关。关于心理因素，我们还发现神经质与母亲的母乳喂养意愿呈负相关。在图形建模框架内对心理结构与母乳喂养态度之间的关系进行了检验并呈现。有可能在孕期早期识别出不太倾向于母乳喂养的女性。这可能有助于医护人员特别关注具有某些社会人口统计学和心理特征的女性，从而实施更有针对性的项目。
