O'Sullivan Elizabeth J, Alberdi Goiuri, Scully Helena, Kelly Niamh, Kincaid Regina, Murtagh Rosie, Murray Stephanie, McGuinness Denise, Clive Ashamole, Brosnan Mary, Sheehy Lucille, Dunn Elizabeth, McAuliffe Fionnuala M
UCD Perinatal Research Centre, School of Medicine, University College Dublin, The National Maternity Hospital, Dublin 2, Ireland.
The National Maternity Hospital, Dublin 2, Ireland.
Ir J Med Sci. 2019 May;188(2):569-578. doi: 10.1007/s11845-018-1884-0. Epub 2018 Aug 21.
Breastfeeding rates in Ireland are among the lowest worldwide. A feasibility study of a breastfeeding-support intervention explored maternal characteristics associated with antenatal breastfeeding self-efficacy and with infant-feeding mode at 6 weeks postpartum among women giving birth in Ireland.
We conducted a prospective study across two sites, urban and rural: The National Maternity Hospital (NMH), Dublin and Wexford General Hospital (WGH), Wexford. Nulliparous, pregnant women were recruited at approximately 32 weeks gestation from the hospitals' antenatal out-patient departments. Participants attended an antenatal class with a support partner, received a one-to-one session with a lactation consultant after delivery and had access to a breastfeeding-support clinic and telephone advice postpartum. Our aim was to understand maternal variables associated with breastfeeding self-efficacy and infant-feeding mode. We explored associations between continuous and categorical variables and any breastfeeding and exclusive breastfeeding using t tests and Chi-squared analyses.
One hundred mothers provided baseline data; 64 provided follow-up data. Lower maternal age and non-Irish nationality were associated with higher antenatal breastfeeding self-efficacy. At the rural unit, mothers with tertiary education were more likely to be exclusively breastfeeding than those with secondary education. Though not statistically significant, more normal-weight mothers from the urban unit were exclusively breastfeeding at 6 weeks than overweight/obese mothers.
Breastfeeding outcomes differed by maternal education. Future interventions should target mothers with lower education and possibly also overweight and obese mothers. Increasing breastfeeding self-efficacy, particularly among older and Irish-born mothers, may be a mechanism for improving breastfeeding outcomes.
爱尔兰的母乳喂养率在全球处于最低水平之列。一项关于母乳喂养支持干预措施的可行性研究，探讨了爱尔兰分娩女性中与产前母乳喂养自我效能以及产后6周时婴儿喂养方式相关的产妇特征。
我们在两个地点（城市和农村）开展了一项前瞻性研究：都柏林的国家妇产医院（NMH）和韦克斯福德的韦克斯福德综合医院（WGH）。从医院产前门诊招募妊娠约32周的初产妇。参与者与一名支持伙伴一起参加产前课程，产后接受与泌乳顾问的一对一咨询，并可使用母乳喂养支持诊所及产后电话咨询服务。我们的目的是了解与母乳喂养自我效能和婴儿喂养方式相关的产妇变量。我们使用t检验和卡方分析探讨连续变量和分类变量与任何母乳喂养及纯母乳喂养之间的关联。
100名母亲提供了基线数据；64名提供了随访数据。产妇年龄较小和非爱尔兰国籍与较高的产前母乳喂养自我效能相关。在农村地区，受过高等教育的母亲比受过中等教育的母亲更有可能进行纯母乳喂养。虽然无统计学意义，但城市地区体重正常的母亲在产后6周进行纯母乳喂养的比例高于超重/肥胖母亲。
母乳喂养结果因产妇教育程度而异。未来的干预措施应针对教育程度较低的母亲，可能还包括超重和肥胖的母亲。提高母乳喂养自我效能，尤其是在年龄较大和爱尔兰出生的母亲中，可能是改善母乳喂养结果的一种机制。
