Nguyen Phuong Thi Kim, Tran Hoang Thi, Thai Thuy Thi Thanh, Foster Kirsty, Roberts Christine L, Marais Ben J
1Discipline of Paediatrics and Adolescent Medicine, The Children's Hospital at Westmead, The University of Sydney, Sydney, Australia.
2Da Nang Hospital for Women and Children, Da Nang, Viet Nam.
Int Breastfeed J. 2018 Jan 11;13:2. doi: 10.1186/s13006-017-0144-7. eCollection 2018.
Breastfeeding is recognized as the single most cost-effective intervention to reduce child morbidity and mortality. However, few studies have explored perceived barriers to breastfeeding and factors associated with breastfeeding intent among mothers of newborn babies in Viet Nam. We conducted a study to assess breastfeeding initiation rates, intent to breastfeed exclusively for 6 months or more and perceived barriers to breastfeed among mothers of newborn babies in Da Nang, Viet Nam.
We conducted a cross-sectional questionnaire survey of mothers in the postnatal wards of Da Nang Hospital for Women and Children in central Viet Nam from 10 February 2017 to 24 February 2017, following implementation of the World Health Organization (WHO) Essential Newborn Care (ENC) package.
Of 286 mothers surveyed, 259 (90.6%) initiated breastfeeding; 203/258 (78.7%) within 1 hour (h) of birth. Most (207, 72.4%) mothers indicated intent to breastfeed exclusively for 6 months or more, but this was lower among mothers of preterm babies (82.2% versus 20.0%, < 0.001) and those without post-secondary school education (74.8% versus 55.6%, = 0.02). Amongst mothers struggling to establish breastfeeding, 18/27 (66.7%) had a Cesarean section. Planned non-exclusive breastfeeding was mostly (39, 60.9%) motivated by mothers' concern that their milk supply would be insufficient for their baby's growth requirements. Most mothers had good knowledge about the benefits of breastfeeding and indicated strong decision autonomy.
We documented high rates of early breastfeeding establishment and intent to breastfeed exclusively for 6 months or more. This probably reflects high levels of maternal education and successful implementation of the WHO ENC package. Mothers of premature babies may benefit from additional support.
母乳喂养被认为是降低儿童发病率和死亡率最具成本效益的单一干预措施。然而，在越南，很少有研究探讨新生儿母亲在母乳喂养方面察觉到的障碍以及与母乳喂养意愿相关的因素。我们开展了一项研究，以评估越南岘港新生儿母亲的母乳喂养启动率、纯母乳喂养6个月及以上的意愿以及母乳喂养察觉到的障碍。
在越南中部岘港妇女儿童医院产后病房，于2017年2月10日至2017年2月24日，在实施世界卫生组织（WHO）基本新生儿护理（ENC）套餐后，我们对母亲进行了横断面问卷调查。
在接受调查的286名母亲中，259名（90.6%）开始母乳喂养；203/258名（78.7%）在出生后1小时内开始母乳喂养。大多数（207名，72.4%）母亲表示打算纯母乳喂养6个月及以上，但早产儿母亲中这一比例较低（82.2%对20.0%，P<0.001），未接受过高等教育的母亲中这一比例也较低（74.8%对55.6%，P=0.02）。在难以建立母乳喂养的母亲中，18/27名（66.7%）进行了剖宫产。计划非纯母乳喂养大多（39名，60.9%）是因为母亲担心自己的乳汁供应不足以满足婴儿的生长需求。大多数母亲对母乳喂养的益处有充分了解，并表示有很强的决策自主性。
我们记录到早期母乳喂养建立率和纯母乳喂养6个月及以上的意愿很高。这可能反映了母亲受教育程度较高以及WHO ENC套餐的成功实施。早产儿母亲可能需要额外的支持。
