Yılmaz Elif, Doğa Öcal Fatma, Vural Yılmaz Zehra, Ceyhan Meryem, Kara Osman Fadıl, Küçüközkan Tuncay
Dr. Sami Ulus Maternity and Child Health and Diseases Training and Research Hospital, Clinic of Obstetrics and Gynecology, Ankara, Turkey.
Amasya University Faculty of Medicine, Department of Obstetrics and Gynecology, Amasya, Turkey.
Turk J Obstet Gynecol. 2017 Mar;14(1):1-9. doi: 10.4274/tjod.90018. Epub 2017 Mar 15.
To investigate the initation time of breastfeeding, exclusive breastfeeding rates, and complementary feeding practices during the first six months of life among mothers who gave birth in a baby-friendly hospital.
A cross-sectional study was conducted with 350 mothers. Demographic characteristics, obstetric history and information about breastfeeding initiation were collected at the hospital. Information about factors affecting breastfeeding duration and feeding practices of the infants were obtained at the end of six months.
Some 97.4% of the mothers initiated breastfeeding, 60.1% within the first hour. Exclusive breastfeeding was maintained for six months in 38.9%. Low education levels of mother/father, random breastfeeding, rare breastfeeding at night, nipple problems, bottle/pacifier use, and lack of social support were found associated with early cessation. Planned pregnancy [odds ratio (OR=2.02)] and vaginal delivery (OR=0.3) were found as the most important factors in early initiation, whereas antepartum breastfeeding education (OR=7.17) was the most important factor for exclusive breastfeeding duration in the logistic analysis. More than half (61.1%) of the infants were partially/bottle fed for six months; the most common reason was the belief that breast milk was insufficient.
Efforts to encourage mothers and society to breastfeed exclusively should be made as part of a primary public health strategy to prevent early cessation of breastfeeding.
调查在爱婴医院分娩的母亲在婴儿出生后前六个月的母乳喂养开始时间、纯母乳喂养率及辅食添加情况。
对350名母亲进行了一项横断面研究。在医院收集了人口统计学特征、产科病史及母乳喂养开始的相关信息。在六个月结束时获取了影响母乳喂养持续时间及婴儿喂养方式的相关因素信息。
约97.4%的母亲开始母乳喂养，其中60.1%在产后一小时内开始。38.9%的母亲纯母乳喂养持续了六个月。母亲/父亲教育水平低、随意哺乳、夜间很少哺乳、乳头问题、使用奶瓶/安抚奶嘴以及缺乏社会支持与过早停止母乳喂养有关。在逻辑分析中，计划妊娠[比值比（OR=2.02）]和阴道分娩（OR=0.3）是早期开始母乳喂养的最重要因素，而产前母乳喂养教育（OR=7.17）是纯母乳喂养持续时间的最重要因素。超过一半（61.1%）的婴儿在六个月时部分/用奶瓶喂养；最常见的原因是认为母乳不足。
应努力鼓励母亲和社会进行纯母乳喂养，作为预防过早停止母乳喂养的初级公共卫生策略的一部分。
