1School of Health Sciences and Human Performance,Ithaca College,Ithaca,NY 14850,USA.
2International Maternal and Child Health Unit (IMCH),Department of Women's and Children's Health,University Hospital,Uppsala University,Uppsala,Sweden.
Public Health Nutr. 2017 Oct;20(15):2810-2818. doi: 10.1017/S1368980017001136. Epub 2017 Jun 29.
To determine if exclusive breast-feeding counselling modifies the association of experience of any lifetime or specific forms of domestic violence (DV) on duration of exclusive breast-feeding (EBF).
In the MINIMat trial pregnant women were randomized to receive either usual health messages (UHM) or usual health messages with breast-feeding counselling (BFC) in eight visits. During pregnancy (30 weeks), lifetime experience of any or specific forms of DV was measured. Infant feeding practice information was collected from 0 to 6 months at 15 d intervals.
Matlab, Bangladesh.
Pregnant and postpartum women (n 3186) and their infants.
Among women in the UHM group, those who had experienced any lifetime DV exclusively breast-fed for a shorter duration than women who did not experience any lifetime DV (P=0·02). There was no difference, however, in duration of EBF among women in the BFC group based on their experience of any lifetime DV exposure (P=0·48). Using Cox regression analysis, there was an interaction of exposure to any lifetime DV, sexual violence and controlling behaviour, and counselling group with duration of breast-feeding at or before 6 months (P-interaction≤0·08). Among the UHM group, experience of any lifetime DV, sexual violence or controlling behaviour was associated with fewer days of EBF (P<0·05). In contrast, among the BFC group, experience of DV was not associated with duration of EBF.
The experience of DV compromises EBF and the support of breast-feeding counselling programmes could assist this vulnerable group towards better infant feeding practices.
确定纯母乳喂养咨询是否会改变任何终身经历或特定形式的家庭暴力（DV）对纯母乳喂养（EBF）持续时间的影响。
MINIMat 试验中，孕妇被随机分配接受常规健康信息（UHM）或在 8 次访视中接受常规健康信息加母乳喂养咨询（BFC）。在妊娠 30 周时，测量了终身经历的任何或特定形式的 DV。在 0 至 6 个月期间，每 15 天收集一次婴儿喂养实践信息。
孟加拉国 Matlab。
孕妇和产后妇女（n=3186）及其婴儿。
在 UHM 组中，与未经历任何终身 DV 的妇女相比，经历过任何终身 DV 的妇女纯母乳喂养时间更短（P=0·02）。然而，在 BFC 组中，经历过任何终身 DV 暴露的妇女的 EBF 持续时间没有差异（P=0·48）。使用 Cox 回归分析，在暴露于任何终身 DV、性暴力和控制行为以及咨询组与 6 个月或之前的母乳喂养持续时间之间存在交互作用（P 交互值≤0·08）。在 UHM 组中，经历过任何终身 DV、性暴力或控制行为与 EBF 天数减少相关（P<0·05）。相比之下，在 BFC 组中，经历过 DV 与 EBF 持续时间无关。
DV 的经历会影响 EBF，支持母乳喂养咨询计划可能会帮助这一脆弱群体改善婴儿喂养实践。
