Buttham Sucharat, Kongwattanakul Kiattisak, Jaturat Natiya, Soontrapa Sukree
Department of Obstetrics and Gynecology.
Breastfeeding Clinic, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Int J Womens Health. 2017 Sep 26;9:689-694. doi: 10.2147/IJWH.S148464. eCollection 2017.
The objective of this study was to assess the rate of non-exclusive breastfeeding and associated factors among Thai women under the Breastfeeding Promotion Program.
This was a prospective descriptive study that involved term postpartum women who attended the Breastfeeding Clinic at Srinagarind Hospital in Thailand, from April to December 2016. Abstracted data included baseline characteristics, obstetric history, breastfeeding history, problems in breastfeeding at day 3 and 2 weeks, and feeding status at 12 weeks postpartum. Univariate and multivariate logistic regression methods were used to determine significant factors predicting non-exclusive breastfeeding.
Of the 500 postpartum women enrolled in this study, follow-up data at 12 weeks postpartum were available for 368 women (73.6%). The rate of non-exclusive breastfeeding assessed at 12 weeks postpartum was 26.4% (95% CI 21.9%-31.2%). Nipple problems and pain during the first 3 days postpartum and milk storage problems at 2 weeks postpartum were the major reasons for non-exclusive breastfeeding (69.4% and 59.1%, respectively). The significant independent factors that predicted these included patients not having confidence in their ability to breastfeed exclusively or not having any intention to do so (OR 7.22; 95% CI 3.26-14.24), no rooming-in (OR 2.31; 95% CI 1.04-5.12), and low milk quantity at 2 weeks postpartum (OR 3.75; 95% CI 1.70-8.29).
The rate of non-exclusive breastfeeding in this study was ~26%, and significant associated factors included having lack of confidence/intention, no rooming-in, and low milk quantity reported at 2 weeks postpartum.
本研究的目的是评估泰国母乳喂养促进项目下泰国女性非纯母乳喂养率及相关因素。
这是一项前瞻性描述性研究，纳入了2016年4月至12月在泰国诗里拉吉医院母乳喂养诊所就诊的足月产后女性。提取的数据包括基线特征、产科病史、母乳喂养史、产后第3天和第2周的母乳喂养问题以及产后12周的喂养状况。采用单因素和多因素逻辑回归方法确定预测非纯母乳喂养的显著因素。
本研究纳入的500名产后女性中，368名女性（73.6%）有产后12周的随访数据。产后12周评估的非纯母乳喂养率为26.4%（95%CI 21.9%-31.2%）。产后前3天的乳头问题和疼痛以及产后2周的乳汁储存问题是非纯母乳喂养的主要原因（分别为69.4%和59.1%）。预测这些情况的显著独立因素包括患者对纯母乳喂养能力缺乏信心或无意纯母乳喂养（OR 7.22；95%CI 3.26-14.24）、母婴不同室（OR 2.31；95%CI 1.04-5.12）以及产后2周乳汁量少（OR 3.75；95%CI 1.70-8.29）。
本研究中的非纯母乳喂养率约为26%，显著相关因素包括缺乏信心/意愿、母婴不同室以及产后2周报告的乳汁量少。
