1SaPeRiDoc-Documentation Centre on Perinatal and Reproductive Health,Primary Care Service,Regional Health Authority of Emilia-Romagna,Viale Aldo Moro 21,40127 Bologna,Italy.
2Primary Care Service,Regional Health Authority of Emilia-Romagna,Bologna,Italy.
Public Health Nutr. 2017 Aug;20(11):1895-1902. doi: 10.1017/S136898001700074X. Epub 2017 May 9.
An efficient breast-feeding monitoring system should be in place in every country to assist policy makers and health professionals plan activities to reach optimal breast-feeding rates. Design/Setting/Subjects From March to June 2015, breast-feeding rates at 3 and 5 months of age were monitored in Emilia-Romagna, an Italian region, using four questions added to a newly developed paediatric immunization database with single records for each individual. Data were collected at primary-care centres. Breast-feeding definitions and 24 h recall as recommended by the WHO were used. Direct age standardization was applied to breast-feeding rates. Record linkage with the medical birth database was attempted to identify maternal, pregnancy and delivery factors associated with full breast-feeding rates at 3 and 5 months of age.
Data on breast-feeding were collected for 14044 infants. The mean regional full breast-feeding rate at 3 months was 52 %; differences between local health authorities ranged from 42 to 62 %. At 5 months of age, the mean regional full breast-feeding rate dropped to 33 % (range between local health authorities: 26 to 46 %). Record linkage with the birth certificate database was successful for 93 % of records. Total observations more than doubled with respect to the previous regional survey.
The new monitoring system implemented in 2015 in Emilia-Romagna region, totally integrated with the immunization database, has proved to be feasible, sustainable and more efficient than the previous one. This system can be a model for other regions and countries where the vast majority of mothers obtain vaccinations from public health facilities and that already have an immunization database in place.
每个国家都应建立有效的母乳喂养监测系统，以帮助政策制定者和卫生专业人员规划活动，实现最佳母乳喂养率。
设计/背景/研究对象：2015 年 3 月至 6 月，在意大利艾米利亚-罗马涅地区，使用新开发的儿科免疫接种数据库中的四个问题监测了 3 个月和 5 个月龄婴儿的母乳喂养率，该数据库每个个体都有单独的记录。数据是在初级保健中心收集的。使用世界卫生组织推荐的母乳喂养定义和 24 小时回忆法。对母乳喂养率进行了直接年龄标准化。尝试与医疗出生数据库进行记录链接，以确定与 3 个月和 5 个月龄时完全母乳喂养率相关的产妇、妊娠和分娩因素。
共收集了 14044 名婴儿的母乳喂养数据。3 个月时区域内完全母乳喂养率的平均值为 52%；地方卫生当局之间的差异范围为 42%至 62%。5 个月时，区域内完全母乳喂养率降至 33%（地方卫生当局的范围为 26%至 46%）。与出生证明数据库的记录链接成功率为 93%。与之前的区域调查相比，总观察值增加了一倍多。
2015 年在艾米利亚-罗马涅地区实施的新监测系统与免疫接种数据库完全集成，已被证明是可行、可持续且比以前的系统更有效的系统。该系统可以作为其他地区和国家的模式，这些地区和国家的绝大多数母亲都从公共卫生机构获得疫苗接种，并且已经建立了免疫接种数据库。
