Granberg Agnes, Ekström-Bergström Anette, Bäckström Caroline
Psykologiteamet, Göteborg, Sweden.
Department of Health Sciences, University West, Trollhättan, Sweden.
Nurs Res Pract. 2020 Jun 19;2020:8194389. doi: 10.1155/2020/8194389. eCollection 2020.
Many women do not reach their own breastfeeding goals regarding duration of breastfeeding. Different factors influence breastfeeding, and to learn more about breastfeeding within a multidimensional and longitudinal perspective, further research is needed. Therefore, the aim of the present study was to investigate diverse factors correlated with first-time mothers' enjoyment of breastfeeding and breastfeeding duration, between childbirth and two years after birth.
In a prospective longitudinal cohort study, 324 newly become mothers were followed. The Spearman correlation test was used to investigate factors correlated with the degree to which mothers enjoy breastfeeding and the duration of breastfeeding. The Mann-Whitney test was conducted for comparisons of demographic characteristics between mothers who did or did not breastfeed.
Among the mothers, 99.2% initiated breastfeeding after birth. Frequencies of breastfeeding were 54.8% at six months, 9.1% at one year, and 1.0% at two years. The degree to which the mother enjoyed breastfeeding was correlated positively with (1) the duration of breastfeeding, (2) more positive feelings for and relation to the child, (3) the partner's perceived relation to the child, (4) a higher sense of coherence, and (5) stronger perceived parental couple's relationship. Longer breastfeeding duration was correlated positively with (1) a higher degree of enjoyment of breastfeeding, (2) more positive relation to the child, and (3) stronger perceived parental couple's relationship. Additionally, breastfeeding during the first two hours after birth, more positive feelings for and relation to the child, and a higher degree of enjoyment of breastfeeding were more frequently reported among breastfeeding mothers, in comparison with not breastfeeding mothers.
Mothers' subjective experience from breastfeeding, sense of coherence, and couple relationship with partner and relationship with the child are valuable factors in regard to breastfeeding.
许多女性在母乳喂养时长方面未达成自己的目标。不同因素会影响母乳喂养，为了从多维和纵向角度更深入了解母乳喂养，还需要进一步研究。因此，本研究的目的是调查分娩至产后两年间与初产妇母乳喂养的愉悦感和母乳喂养时长相关的各种因素。
在一项前瞻性纵向队列研究中，对324名初为人母的女性进行了随访。采用Spearman相关性检验来调查与母亲母乳喂养愉悦程度和母乳喂养时长相关的因素。采用Mann-Whitney检验对进行或未进行母乳喂养的母亲的人口统计学特征进行比较。
在这些母亲中，99.2%在产后开始母乳喂养。六个月时母乳喂养的频率为54.8%，一年时为9.1%，两年时为1.0%。母亲母乳喂养的愉悦程度与以下因素呈正相关：（1）母乳喂养时长；（2）对孩子更积极的情感和关系；（3）伴侣对孩子的感知关系；（4）更高的连贯感；（5）更强的夫妻间父母关系感知。更长的母乳喂养时长与以下因素呈正相关：（1）更高的母乳喂养愉悦程度；（2）与孩子更积极的关系；（3）更强的夫妻间父母关系感知。此外，与未进行母乳喂养的母亲相比，进行母乳喂养的母亲更常报告在产后两小时内进行母乳喂养、对孩子更积极的情感和关系以及更高的母乳喂养愉悦程度。
母亲母乳喂养的主观体验、连贯感以及与伴侣的夫妻关系和与孩子的关系是与母乳喂养相关的重要因素。
