一组埃及母亲的配方奶喂养及其相关因素
Formula Feeding and Associated Factors among a Group of Egyptian Mothers.
作者信息
Tawfik Safaa, Saied Dina, Mostafa Ola, Salem Marwa, Habib Eman
机构信息
Medical School, Faculty of Medicine, Kasr Al Ainy, Cairo, Egypt.
出版信息
Open Access Maced J Med Sci. 2019 May 31;7(11):1854-1859. doi: 10.3889/oamjms.2019.462. eCollection 2019 Jun 15.
BACKGROUND
Breastfeeding provides an unequalled way of infant nutrition, despite that, the rate of exclusive breastfeeding for the first 6 months in Egypt is only 13%, and the rates of artificial feeding are rising.
AIM
The current study aimed to explore the reasons for the use of artificial feeding among mothers receiving subsidised milk from formula dispensing centres in Egypt, and to detect the reasons behind the use of a formula only for infant feeding rather than mixed breastfeeding and artificial feeding.
METHODS
This exploratory cross-sectional study involved 197 mothers; who attended centres for dispensing subsidised artificial formula at primary health care facilities (PHC) in El-Fayom and Ismailia governorates via a purposive sampling technique. The study spanned over 6-months duration from June till December 2018.
RESULTS
A statistically significant higher percentage of artificial feeding only was noticed in male infants (47.5% in the AF group only versus 28.7% in the mixed feeding group (p = 0.018), and infants aged 6-12 months (47.5% in the AF group only versus 28.7% in the mixed feeding group, p = 0.032). A statistically significant higher percentage of artificial feeding only was noticed among infants born to mothers who have general anaesthesia during labour (67.2% in the AF group only versus 41.9% in the mixed feeding group, p = 0.004), and among infants born to mothers who think that formula feeding is better (13.1% in the AF group only versus 0.7% in the mixed feeding group, or that formula has a similar quality to breast milk (6.6%% in the AF group only versus 4.4% in the mixed feeding group, p = 0.0004. The most common reasons for formula feeding reported by both groups were perceived breast milk insufficiency (60.9%), weak babies (50.3%), and doctors' advice (37%). Previous negative breastfeeding experience and the need for own body privacy were the two reasons which differed statistically in both groups p = 0.004 and 0.008, respectively.
CONCLUSION
Antenatal care education is essential to improve mothers' knowledge and practice of breastfeeding. Baby-friendly hospital initiative implementation is essential to ensure early initiation and continuation of breastfeeding.
背景
母乳喂养是婴儿营养的绝佳方式，尽管如此，埃及纯母乳喂养头6个月的比例仅为13%，且人工喂养率在上升。
目的
本研究旨在探究埃及从配方奶粉发放中心领取补贴奶粉的母亲中使用人工喂养的原因，并找出仅使用配方奶粉进行婴儿喂养而非混合母乳喂养和人工喂养的背后原因。
方法
本探索性横断面研究涉及197名母亲；她们通过立意抽样技术，前往法尤姆省和伊斯梅利亚省初级卫生保健机构（PHC）的补贴人工配方奶粉发放中心。该研究从2018年6月持续到12月，为期6个月。
结果
男婴中仅进行人工喂养的比例在统计学上显著更高（仅人工喂养组为47.5%，而混合喂养组为28.7%，p = 0.018），以及6至12个月大的婴儿（仅人工喂养组为47.5%，而混合喂养组为28.7%，p = 0.032）。在分娩时接受全身麻醉的母亲所生婴儿中，仅进行人工喂养的比例在统计学上显著更高（仅人工喂养组为67.2%，而混合喂养组为41.9%，p = 0.004），以及在认为配方奶粉喂养更好的母亲所生婴儿中（仅人工喂养组为13.1%，而混合喂养组为0.7%），或认为配方奶粉质量与母乳相似的母亲所生婴儿中（仅人工喂养组为6.6%，而混合喂养组为4.4%，p = 0.0004）。两组报告的配方奶粉喂养最常见原因是认为母乳不足（60.9%）、婴儿体弱（50.3%）和医生建议（37%）。之前的负面母乳喂养经历和对自身身体隐私的需求是两组在统计学上有差异的两个原因，分别为p = 0.004和0.008。
结论
产前护理教育对于提高母亲的母乳喂养知识和实践至关重要。实施爱婴医院倡议对于确保母乳喂养的早期开始和持续至关重要。
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