Cato Karin, Sylvén Sara M, Lindbäck Johan, Skalkidou Alkistis, Rubertsson Christine
Department of Women´s and Children´s Health, Uppsala University, Uppsala, Sweden.
Department of Neuroscience, Psychiatry, Uppsala University, Uppsala, Sweden.
PLoS One. 2017 Jun 14;12(6):e0179402. doi: 10.1371/journal.pone.0179402. eCollection 2017.
Breastfeeding rates in Sweden are declining, and it is important to identify women at risk for early cessation of exclusive breastfeeding.
The aim of this study was to investigate factors associated with exclusive breastfeeding lasting less than two months postpartum.
A population-based longitudinal study was conducted at Uppsala University Hospital, Sweden. Six hundred and seventy-nine women were included in this sub-study. Questionnaires were sent at five days, six weeks and six months postpartum, including questions on breastfeeding initiation and duration as well as several other background variables. The main outcome measure was exclusive breastfeeding lasting less than two months postpartum. Multivariable logistic regression analysis was used in order to calculate adjusted Odds Ratios (AOR) and 95% Confidence Intervals (95% CI).
Seventy-seven percent of the women reported exclusive breastfeeding at two months postpartum. The following variables in the multivariate regression analysis were independently associated with exclusive breastfeeding lasting less than two months postpartum: being a first time mother (AOR 2.15, 95% CI 1.32-3.49), reporting emotional distress during pregnancy (AOR 2.21, 95% CI 1.35-3.62) and giving birth by cesarean section (AOR 2.63, 95% CI 1.34-5.17).
Factors associated with shorter exclusive breastfeeding duration were determined. Identification of women experiencing emotional distress during pregnancy, as well as scrutiny of caregiving routines on cesarean section need to be addressed, in order to give individual targeted breastfeeding support and promote longer breastfeeding duration.
瑞典的母乳喂养率正在下降，识别有早期停止纯母乳喂养风险的女性很重要。
本研究的目的是调查与产后纯母乳喂养持续时间少于两个月相关的因素。
在瑞典乌普萨拉大学医院进行了一项基于人群的纵向研究。本亚研究纳入了679名女性。在产后5天、6周和6个月发放问卷，包括关于母乳喂养开始和持续时间的问题以及其他几个背景变量。主要结局指标是产后纯母乳喂养持续时间少于两个月。使用多变量逻辑回归分析来计算调整后的优势比（AOR）和95%置信区间（95%CI）。
77%的女性报告在产后两个月进行纯母乳喂养。多变量回归分析中的以下变量与产后纯母乳喂养持续时间少于两个月独立相关：初产妇（AOR 2.15，95%CI 1.32 - 3.49）、孕期报告有情绪困扰（AOR 2.21，95%CI 1.35 - 3.62）和剖宫产分娩（AOR 2.63，95%CI 1.34 - 5.17）。
确定了与纯母乳喂养持续时间较短相关的因素。需要关注孕期有情绪困扰的女性，以及对剖宫产护理常规进行审查，以便提供个性化的针对性母乳喂养支持并促进更长的母乳喂养持续时间。
