支持初产妇：母乳喂养促进计划成功评估。
'Supporting a first-time mother': Assessment of success of a breastfeeding promotion programme.
机构信息
Sección de Enfermería, Facultad de Ciencias de la Salud, Centro de Investigaciones Biomédicas de Canarias (CIBICAN), Universidad de La Laguna, La Laguna, Spain; Research Institute of the College of Nursing of Santa Cruz de Tenerife, Santa Cruz de Tenerife, Spain; Unidad de Cuidados de la Salud. Dirección Gral. de Programas Asistenciales, Servicio Canario de Salud, Canary Islands, Spain.
Sección de Enfermería, Facultad de Ciencias de la Salud, Centro de Investigaciones Biomédicas de Canarias (CIBICAN), Universidad de La Laguna, La Laguna, Spain.
出版信息
Midwifery. 2020 Jun;85:102687. doi: 10.1016/j.midw.2020.102687. Epub 2020 Mar 3.
BACKGROUND
The aim of this study was to measure the effectiveness on breast feeding rates by the program 'Supporting a First-time Mother', a web-based platform of interactionbetween first-time mothers and breastfeeding-experienced women who act as peer-supporters.
METHODS
A randomized study with a control and intervention group was conducted between April and October 2016. Participants were recruited from Hospital Universitario de Canarias (Spain). Inclusive criteria were singleton pregnancy, healthy term baby, vaginal or assisted delivery. Participants were randomly assigned to either an intervention or control group. Type of feeding (exclusive, partial or artificial) was noted at 3 and 6 months. The study also gathered information from the peer-supporters.
RESULTS
Data showed higher rates of exclusive breastfeeding in the intervention group,at both 3 and 6 months post delivery (76% vs 56%, p = 0.020; 47% vs 35%, p = 0.049). Taking part in the study also increased the overall success of breastfeeding 2.65 times (IC95%, 1.21-5.78, p = 0.014) at 3 months and 3.30 times (IC95% 1.52-7.17, p = 0.003) at 6 months.
CONCLUSIONS
A limitation of the study is mainly related to participation in the intervention. In spite of this limitation, this support programme increased breastfeeding rates 3 fold.
背景
本研究旨在通过“支持初产妇”项目来衡量母乳喂养率的有效性，这是一个基于网络的互动平台，让初产妇与作为同伴支持者的母乳喂养经验丰富的女性进行互动。
方法
2016 年 4 月至 10 月期间，进行了一项随机对照研究，参与者来自加那利群岛大学医院（西班牙）。纳入标准为单胎妊娠、健康足月婴儿、阴道分娩或辅助分娩。参与者被随机分配到干预组或对照组。在 3 个月和 6 个月时记录喂养方式（纯母乳喂养、部分母乳喂养或人工喂养）。该研究还收集了同伴支持者的信息。
结果
数据显示，干预组在产后 3 个月和 6 个月时纯母乳喂养率更高（76%比 56%，p=0.020；47%比 35%，p=0.049）。参与研究还使母乳喂养的总体成功率提高了 2.65 倍（95%CI，1.21-5.78，p=0.014），3 个月时提高了 3.30 倍（95%CI，1.52-7.17，p=0.003）。
结论
该研究的一个局限性主要与参与干预有关。尽管存在这一局限性，该支持计划仍使母乳喂养率提高了 3 倍。
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