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产后三个月纯母乳喂养的维持：瓦伦西亚自治区一个卫生部门的经验

[Maintenance of exclusive breastfeeding after three months postpartum: An experience in a health department of a Valencian Community].

作者信息

Vila-Candel Rafael, Soriano-Vidal Francisco J, Murillo-Llorente Mayte, Pérez-Bermejo Marcelino, Castro-Sánchez Enrique

机构信息

Departamento de Obstetricia y Ginecología, Hospital Universitario de la Ribera, Alzira, Valencia, España; Facultad de Enfermería Nuestra Señora de los Desamparados, Universidad Católica de Valencia, Valencia, España.

Facultad de Enfermería Nuestra Señora de los Desamparados, Universidad Católica de Valencia, Valencia, España; Departamento de Obstetricia y Ginecología, Hospital Lluis Alcanyis, Xàtiva, Valencia, España.

出版信息

Aten Primaria. 2019 Feb;51(2):91-98. doi: 10.1016/j.aprim.2017.09.002. Epub 2018 Feb 14.

DOI:10.1016/j.aprim.2017.09.002
PMID:29454498
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6837006/
Abstract

AIMS

To investigate the prevalence of EBF at 3-months postpartum, and the early factors for discontinuation.

DESIGN

Observational, retrospective study.

LOCATION

Health department of La Ribera, Valencia, Spain.

PARTICIPANTS

Newborns between December 2012 to January 2017.

METHODS

Pregnant women were interviewed at postpartum and at 3 months regarding variables associated with breastfeeding initiation and continuation, matched with socio-demographic and obstetric-neonatal information.

MAIN MEASUREMENTS

Prevalence of breastfeeding at discharge and exclusive breastfeeding at 3 months. Reasons for interrupt exclusive breastfeeding. Chi-square determination between qualitative variables.

FINDINGS

One thousand three hundred and thirty-eighth women were recruited. EBF at discharge was 68.2% (913) and at 3 months 46.7% (625). EBF duration was 68.7±32.7 days (95% CI: 66.9-71.2). We found statistically significant differences between the type of breastfeeding and the variables, year of study, country of origin and parity (P<0.001, P=0.005 and P=0.05 respectively). Hypogalactia (21.8%) and lower than recommended increase in newborn weight gain (14.9%) were most frequent factors for discontinuation.

CONCLUSION

The prevalence of EBF at 3 months is low compared to other similar studies, although we see an upward trend. Belief in hypogalactia influenced the maintenance of exclusive breastfeeding.

摘要

目的

调查产后3个月时纯母乳喂养的患病率以及停止纯母乳喂养的早期因素。

设计

观察性回顾性研究。

地点

西班牙巴伦西亚拉里韦拉的卫生部门。

参与者

2012年12月至2017年1月期间的新生儿。

方法

在产后和3个月时对孕妇进行访谈，询问与母乳喂养开始和持续相关的变量，并与社会人口统计学和产科 - 新生儿信息相匹配。

主要测量指标

出院时母乳喂养的患病率和3个月时纯母乳喂养的患病率。停止纯母乳喂养的原因。定性变量之间的卡方检验。

结果

招募了1338名女性。出院时纯母乳喂养率为68.2%（913人），3个月时为46.7%（625人）。纯母乳喂养持续时间为68.7±32.7天（95%置信区间：66.9 - 71.2）。我们发现母乳喂养类型与变量、研究年份、原籍国和产次之间存在统计学显著差异（分别为P<0.001、P = 0.005和P = 0.05）。乳汁分泌不足（21.8%）和新生儿体重增加低于推荐水平（14.9%）是停止纯母乳喂养最常见的因素。

结论

与其他类似研究相比，3个月时纯母乳喂养的患病率较低，尽管呈上升趋势。对乳汁分泌不足的观念影响了纯母乳喂养的维持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5705/6837006/ffb8cadcc4ef/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5705/6837006/dc8941668b41/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5705/6837006/ffb8cadcc4ef/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5705/6837006/dc8941668b41/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5705/6837006/ffb8cadcc4ef/gr1.jpg

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