Kim Bo-Yeoul
College of Nursing, Eulji University, 77 Gyeryong-ro 771 beon-gil, Jung-gu, Daejeon, 301-746 South Korea.
Int Breastfeed J. 2017 Jan 7;12:4. doi: 10.1186/s13006-016-0094-5. eCollection 2016.
This study aimed to evaluate the factors that influence breastfeeding throughout the hospital stay, including prenatal preparation, early skin-to-skin contact directly after delivery, rooming-in, feeding before the first breastfeed, time to first breastfeed, and postpartum support. This study also aimed to verify whether these factors were significant after adjusting for the mother's characteristics, the newborn's characteristics, and the delivery characteristics.
A retrospective survey was used to collect the data. Factors that influenced breastfeeding throughout the hospital stay, and differences between the types of newborns were analyzed.
Among twins, a higher likelihood of breastfeeding throughout the hospital stay was associated with not feeding before the first breastfeeding and an earlier start time for the first breastfeeding. Among singletons, a higher likelihood of breastfeeding throughout the hospital stay was associated with early skin-to-skin contact, no other feeding before the first breastfeed, and an earlier commencement of the first breastfeed.
Effort should encourage early breastfeeding, without restriction, to improve the breastfeeding rate among mothers of twins. Moreover, an individualized approach that addresses the factors that influence breastfeeding for each type of newborn may help improve the corresponding rates of breastfeeding throughout the hospital stay.
本研究旨在评估影响住院期间母乳喂养的因素，包括产前准备、分娩后立即进行的早期皮肤接触、母婴同室、首次母乳喂养前的喂养、首次母乳喂养时间以及产后支持。本研究还旨在验证在调整母亲特征、新生儿特征和分娩特征后，这些因素是否具有显著性。
采用回顾性调查收集数据。分析了影响住院期间母乳喂养的因素以及不同类型新生儿之间的差异。
在双胞胎中，住院期间母乳喂养可能性较高与首次母乳喂养前不进行其他喂养以及首次母乳喂养开始时间较早有关。在单胎中，住院期间母乳喂养可能性较高与早期皮肤接触、首次母乳喂养前不进行其他喂养以及首次母乳喂养开始时间较早有关。
应鼓励不受限制地尽早进行母乳喂养，以提高双胞胎母亲的母乳喂养率。此外，针对每种类型新生儿影响母乳喂养的因素采取个性化方法，可能有助于提高住院期间相应的母乳喂养率。
