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中国大陆母亲纯母乳喂养意愿的横断面研究。

Maternal intention to exclusively breast feed among mainland Chinese mothers: A cross-sectional study.

作者信息

Yang Xiao, Ip Wan-Yim, Gao Ling-Ling

机构信息

School of Nursing, Zhengzhou University, Henan, China.

New Asia College, The Chinese University of Hong Kong, Shatin, Hong Kong, China.

出版信息

Midwifery. 2018 Feb;57:39-46. doi: 10.1016/j.midw.2017.11.001. Epub 2017 Nov 10.

DOI:10.1016/j.midw.2017.11.001
PMID:29169075
Abstract

OBJECTIVE

to examine postpartum maternal recall of their intentions to exclusively breast feed among breastfeeding women and identify its predictors.

DESIGN AND SETTING

a cross-sectional descriptive study was conducted in a regional teaching hospital at Guangzhou, China between April 1 and July 14, 2014.

PARTICIPANTS

571 mothers who were within four days after delivery were recruited to the study.

MEASUREMENTS

data were collected by four research assistants with maternal intention to breast feed data sheet, the Network Support for Breastfeeding Scale (NSBS), and a socio-demographic data sheet.

FINDINGS

greater than half of the mothers (69.5%) intended to exclusively breast feed. The logistic regression analysis revealed six variables which predicted postpartum maternal recall of their intentions to exclusively breast feed. They were support from husband, being breast-fed as an infant, previous breast feeding experience, attending antenatal breast feeding class, time of decision to breast feed, and the rating of the importance of my baby's health.

CONCLUSION AND IMPLICATIONS FOR PRACTICE

health care professionals could develop strategies to enhance mothers' intention to exclusively breast feed, such as providing antenatal breast feeding class on internet, a strong focus on the benefits of exclusive breast feeding on the baby's health in the education programme, and more efforts directed toward educating school-aged children and adolescents to modify societal perceptions of what are considered normal infant feeding. Mothers' husband could be encouraged in supporting exclusive breast feeding.

摘要

目的

调查产后母亲对母乳喂养女性纯母乳喂养意愿的回忆情况,并确定其预测因素。

设计与地点

2014年4月1日至7月14日在中国广州的一家区域教学医院进行了一项横断面描述性研究。

参与者

招募了571名产后四天内的母亲参与研究。

测量方法

由四名研究助理通过母亲母乳喂养意愿数据表、母乳喂养网络支持量表(NSBS)和社会人口数据表收集数据。

研究结果

超过一半的母亲(69.5%)打算纯母乳喂养。逻辑回归分析揭示了六个预测产后母亲纯母乳喂养意愿回忆的变量。它们分别是丈夫的支持、婴儿期接受母乳喂养、以前的母乳喂养经历、参加产前母乳喂养课程、决定母乳喂养的时间以及对宝宝健康重要性的评分。

结论及对实践的启示

医护人员可以制定策略来增强母亲纯母乳喂养的意愿,例如在互联网上提供产前母乳喂养课程,在教育项目中大力强调纯母乳喂养对宝宝健康的益处,以及加大力度教育学龄儿童和青少年,以改变社会对正常婴儿喂养方式的认知。可以鼓励母亲的丈夫支持纯母乳喂养。

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