2017 年，巴西巴伊亚西南部足月活产儿生命最初 1 小时内母乳喂养的流行情况及其相关因素。
Prevalence and factors associated with maternal breastfeeding in the first hour of life in full-term live births in southwest Bahia, Brazil, 2017.
机构信息
Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia, Vitória da Conquista, BA, Brazil.
Departamento de Nutrição, Faculdade de Tecnologia e Ciências, Jequié, BA, Brasil.
出版信息
Epidemiol Serv Saude. 2020;29(2):e2018384. doi: 10.5123/s1679-49742020000200016. Epub 2020 May 11.
OBJECTIVE
to analyze prevalence and factors associated with maternal breastfeeding in the first hour of life (MBFFHL) in full-term live births in Vitória da Conquista, BA, Brazil.
METHODS
this was a cohort-nested cross-sectional study; data were collected between February and August 2017 using a questionnaire answered by mothers as well as medical records; hierarchical multivariable analysis with Poisson regression was used.
RESULTS
the study included 388 mother-liveborn baby pairs; MBFFHL prevalence was 49.5%; outcome was associated with maternal education ≥12 years (PR=0.63 - 95%CI 0.46;0.87), prenatal guidance on child holding and positioning (PR=1.44 - 95%CI 1.07;1.95), liveborn baby taken to its mother soon after delivery (PR=1.41 - 95%CI 1.04;1.92), mother and baby kept together in the same room (PR=2.42 - 95%CI 1.09;5.36), and delivery at a Baby-Friendly Hospital (PR=2.43 - 95%CI 1.72;3.43).
CONCLUSION
MBFFHL was associated with maternal factors, prenatal care and hospital care.
目的
分析巴西维多利亚达孔基斯塔市足月活产儿生命最初 1 小时内母乳喂养（MBFFHL）的流行情况及其相关因素。
方法
这是一项队列嵌套的横断面研究；2017 年 2 月至 8 月期间，通过母亲回答问卷和医疗记录收集数据；采用 Poisson 回归分层多变量分析。
结果
该研究共纳入 388 对母婴；MBFFHL 的流行率为 49.5%；结果与母亲接受过≥12 年教育（PR=0.63-95%CI 0.46；0.87）、分娩前有关于抱持和定位的指导（PR=1.44-95%CI 1.07；1.95）、婴儿在出生后尽快被带到母亲身边（PR=1.41-95%CI 1.04；1.92）、母婴同住一室（PR=2.42-95%CI 1.09；5.36）以及在母婴友好医院分娩（PR=2.43-95%CI 1.72；3.43）有关。
结论
MBFFHL 与产妇因素、产前保健和医院护理有关。
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