DiTomasso Diane, Wambach Karen Ann, Roberts Mary B, Erickson-Owens Debra A, Quigley Aimee, Newbury Jessica M
4260 College of Nursing, University of Rhode Island, USA.
12251 School of Nursing, University of Kansas, USA.
J Hum Lact. 2022 Feb;38(1):177-189. doi: 10.1177/08903344211000284. Epub 2021 Mar 11.
Maternal worry about infant weight has inconsistently been reported as a breastfeeding barrier. Weight monitoring is a critical tool to assess adequacy of infant feeding. Yet, little is known about the intensity of maternal worry about infant weight or associated breastfeeding outcomes.
To examine (1) the frequency and intensity of maternal worry about infant weight; (2) the relationship between worry about weight and use of artificial milk; and 3) the relationship between worry about weight and breastfeeding cessation.
A prospective cross-sectional design was used. A questionnaire was completed by women in the United States ( = 287) from 12 web-based maternal support groups.
Sixty-three percent of women ( = 182) had some worry about infant weight. Participants breastfeeding for the first time had more worry ( = .035). Participants still breastfeeding had less worry about weight compared to those who had stopped (67%, = 147 vs. 41%, = 28). Exclusive breastfeeding participants had less worry ( < .001) compared to those who supplemented with artificial milk. Increased worry was associated with the use of artificial milk within 1 week of birth ( < .001) and early breastfeeding cessation ( < .001).
Worry about weight is a significant breastfeeding barrier. It is associated with first time breastfeeding, less exclusive breastfeeding, use of artificial milk, and earlier breastfeeding cessation. Lactating mothers need anticipatory guidance about expected neonatal weight changes and interventions to help relieve worry about infant weight.
母亲对婴儿体重的担忧一直被认为是母乳喂养的一个障碍，但相关报道并不一致。体重监测是评估婴儿喂养充足与否的关键工具。然而，对于母亲对婴儿体重担忧的程度以及相关母乳喂养结果，我们知之甚少。
研究（1）母亲对婴儿体重担忧的频率和强度；（2）体重担忧与人工喂养使用之间的关系；以及（3）体重担忧与母乳喂养停止之间的关系。
采用前瞻性横断面设计。美国12个网络母亲支持小组的女性（n = 287）完成了一份问卷。
63%的女性（n = 182）对婴儿体重有所担忧。首次进行母乳喂养的参与者担忧更多（P = 0.035）。与已经停止母乳喂养的母亲相比，仍在进行母乳喂养的母亲对体重的担忧较少（67%，n = 147 对 41%，n = 28）。与补充人工喂养的母亲相比，纯母乳喂养的参与者担忧较少（P < 0.001）。担忧增加与出生后1周内使用人工喂养（P < 0.001）和早期停止母乳喂养（P < 0.001）有关。
对体重的担忧是母乳喂养的一个重要障碍。它与首次母乳喂养、较少的纯母乳喂养、人工喂养的使用以及更早停止母乳喂养有关。哺乳期母亲需要关于新生儿预期体重变化的前瞻性指导以及相关干预措施，以帮助缓解对婴儿体重的担忧。
