Luo Ye, Zhao Hua, Liu Rui-Fang, Shi Hong-Juan
Medical School, Quzhou College of Technology, Quzhou, Zhejiang 324000, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2018 May;20(5):392-396. doi: 10.7499/j.issn.1008-8830.2018.05.011.
To investigate the current status of exclusive breastfeeding for the second child in the context of the universal two-child policy and the factors influencing exclusive breastfeeding.
A self-designed questionnaire for the current status of breastfeeding and related factors influencing breastfeeding for the second child were used to survey 836 mothers with a second child, who were selected by cluster sampling, in Quzhou, Zhejiang, China.
A total of 680 usable questionnaires were obtained. The rate of exclusive breastfeeding for the second child was significantly lower than for the first child (34.9% vs 42.2%; P<0.05). The univariate analysis revealed that there were significant differences between the exclusive and non-exclusive breastfeeding groups in the mother′s age, education background, occupation and time of maternity leave, mode of delivery of the first child, sex of the first child, feeding pattern of the first child, mode of delivery of the second child, whether the second child was admitted to the intensive care unit, whether the father supported breastfeeding, and whether the grandmother/maternal grandmother supported breastfeeding (P<0.05). The multivariate logistic regression analysis showed that artificial feeding+partial breastfeeding for the first child (OR=12.286, P<0.05), cesarean section for the second child (OR=1.724, P<0.05), and having no breastfeeding support from the maternal grandmother (OR=1.651, P<0.05) were main factors for influencing exclusive breastfeeding.
The current status of exclusive breastfeeding for the second child is not optimistic in the context of the universal two-child policy. Education about breastfeeding should be taken seriously at the birth of the first child, the rate of cesarean section should be reduced, and the family members should support exclusive breastfeeding, in order to improve the status of exclusive breastfeeding.
探讨全面二孩政策背景下二孩纯母乳喂养现状及影响纯母乳喂养的因素。
采用自行设计的二孩母乳喂养现状及相关影响因素调查问卷，对浙江省衢州市采用整群抽样法选取的836名二孩母亲进行调查。
共获得有效问卷680份。二孩纯母乳喂养率显著低于一孩（34.9%对42.2%；P<0.05）。单因素分析显示，纯母乳喂养组与非纯母乳喂养组在母亲年龄、教育背景、职业、产假时间、一孩分娩方式、一孩性别、一孩喂养方式、二孩分娩方式、二孩是否入住重症监护病房、父亲是否支持母乳喂养、祖母/外祖母是否支持母乳喂养方面存在显著差异（P<0.05）。多因素logistic回归分析显示，一孩人工喂养+部分母乳喂养（OR=12.286，P<0.05）、二孩剖宫产（OR=1.724，P<0.05）、外祖母不支持母乳喂养（OR=1.651，P<0.05）是影响纯母乳喂养的主要因素。
全面二孩政策背景下二孩纯母乳喂养现状不容乐观。应在一孩出生时重视母乳喂养宣教，降低剖宫产率，家庭成员应支持纯母乳喂养，以提高纯母乳喂养率。
