Lok Kris Yuet Wan, Bai Dorothy Li, Tarrant Marie
School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
Midwifery. 2017 Oct;53:49-54. doi: 10.1016/j.midw.2017.07.003. Epub 2017 Jul 4.
Maternal breastfeeding intentions are strongly associated with breastfeeding exclusivity and duration. Factors that affect new mothers' exclusive breastfeeding intentions have not been adequately examined.
The purpose of this study was to examine the association between family member's infant feeding preferences, breastfeeding exposures, and womens' exclusive breastfeeding intentions.
1277 breastfeeding mother-infant pairs were recruited from four public hospitals in Hong Kong. We used multiple logistic and linear regression models to explore the impact of the family members' infant feeding preferences and breastfeeding exposures on exclusive breastfeeding intentions.
78.1% mothers reported an intention to exclusively breastfeed, and the median intended duration of exclusive breastfeeding was 26 weeks. The husband's preference for breastfeeding (aOR = 1.67; 95% CI 1.20-2.31), previous breastfeeding experience (aOR = 1.56; 95% CI 1.10-2.23) and attendance at an antenatal breastfeeding class (aOR = 2.09; 95% CI 1.45-3.02) were all strongly associated with higher maternal intention to exclusively breastfeed. For every additional family member who preferred breastfeeding, the odds of intending to exclusively breastfeed increased by 32% (aOR1.32; 95% CI, 1.13-1.55). Similarly, the proportion of participants intending to exclusively breastfeed increased progressively with more breastfeeding exposures.
Including fathers and other significant family members in antenatal breastfeeding education can help to maximize breastfeeding support for the new mother and encourage new mothers to exclusively breastfeed.
母亲的母乳喂养意愿与纯母乳喂养及母乳喂养持续时间密切相关。影响初产妇纯母乳喂养意愿的因素尚未得到充分研究。
本研究旨在探讨家庭成员的婴儿喂养偏好、母乳喂养经历与女性纯母乳喂养意愿之间的关联。
从香港四家公立医院招募了1277对母乳喂养的母婴。我们使用多元逻辑回归和线性回归模型来探讨家庭成员的婴儿喂养偏好和母乳喂养经历对纯母乳喂养意愿的影响。
78.1%的母亲表示有纯母乳喂养的意愿，纯母乳喂养的预期持续时间中位数为26周。丈夫对母乳喂养的偏好（调整后比值比[aOR]=1.67；95%置信区间[CI]1.20-2.31）、既往母乳喂养经历（aOR=1.56；95%CI 1.10-2.23）以及参加产前母乳喂养课程（aOR=2.09；95%CI 1.45-3.02）均与母亲更高的纯母乳喂养意愿密切相关。每增加一名偏好母乳喂养的家庭成员，纯母乳喂养的意愿几率增加32%（aOR 1.32；95%CI，1.13-1.55）。同样，随着母乳喂养经历的增加，打算纯母乳喂养的参与者比例也逐渐增加。
让父亲和其他重要家庭成员参与产前母乳喂养教育有助于为新妈妈提供最大程度的母乳喂养支持，并鼓励新妈妈进行纯母乳喂养。
