Universiti Sains Malaysia, School of Health Sciences, 16150 Kubang Kerian, Kelantan, Malaysia.
Universiti Sains Malaysia, School of Dental Sciences, 16150 Kubang Kerian, Kelantan, Malaysia.
Med J Malaysia. 2020 May;75(3):274-280.
The intention of a woman to breastfeed is one of the predictors of breastfeeding initiation and duration.
The aim of this study is to determine exclusive breastfeeding (EBF) intention among women admitted for elective cesarean delivery in Kelantan and their postnatal EBF practices.
A total of 171 women, mostly Malays, admitted for elective cesarean delivery at two tertiary hospitals in Kelantan participated in this prospective cohort study. The Malay version of Infant Feeding Intentions (IFI) scale was administered one day before the surgery to determine the EBF intention, and follow-up phone calls were made at one month, three months, and six months after delivery to determine the actual EBF practices.
Before delivery, 86.5%, 82.5% and 77.2% of the women somewhat agreed or very much agreed to practice EBF for 1, 3 and 6 months respectively and the actual EBF practices after delivery were 80.1%, 59.6%, and 42.1%. Women who had the intention to practice EBF for 6 months were about 2 times more likely to practice EBF for 6 months than those who did not have the intention to EBF (OR 2.19, 95% CI: 1.01-4.76). No significant association was found between EBF intention and the actual EBF practices at 1 month and 3 months postnatal.
The number of women who practiced EBF after cesarean delivery was lower than those who had the intention prior to delivery. The number further declined as the child grew older. Prenatal EBF intention was associated with actual postnatal EBF practices at 6 months.
女性母乳喂养的意愿是母乳喂养开始和持续时间的预测因素之一。
本研究旨在确定在吉兰丹接受选择性剖宫产的妇女的纯母乳喂养（EBF）意愿及其产后 EBF 实践。
共有 171 名马来裔妇女参与了这项前瞻性队列研究，她们因选择性剖宫产而入住吉兰丹的两家三级医院。在手术前一天使用马来语婴儿喂养意图（IFI）量表来确定 EBF 意愿，并在产后一个月、三个月和六个月进行随访电话以确定实际的 EBF 实践。
在分娩前，86.5%、82.5%和 77.2%的妇女表示或多或少同意在 1、3 和 6 个月内进行 EBF，产后实际的 EBF 实践率分别为 80.1%、59.6%和 42.1%。有意愿进行 6 个月 EBF 的妇女与没有 EBF 意愿的妇女相比，进行 6 个月 EBF 的可能性约高 2 倍（OR 2.19，95%CI：1.01-4.76）。在产后 1 个月和 3 个月时，EBF 意愿与实际 EBF 实践之间没有显著关联。
接受剖宫产的妇女进行 EBF 的人数低于分娩前有意愿的妇女。随着孩子的成长，这一数字进一步下降。产前 EBF 意愿与产后 6 个月的实际 EBF 实践相关。
