Department of Pediatrics, Falu Hospital, Falun, Sweden.
Center for Clinical Research Dalarna, Uppsala University, Falun, Sweden.
Int Breastfeed J. 2021 Mar 25;16(1):28. doi: 10.1186/s13006-021-00374-4.
Mothers' satisfaction with breastfeeding is important for breastfeeding duration but rarely investigated in mothers of preterm infants. The aim of this study was to describe breastfeeding satisfaction and associated factors during the first year in mothers of preterm infants (gestational age < 37 weeks).
This longitudinal cohort study, based on secondary analysis data from a randomized controlled trial, included 493 mothers of 547 preterm infants. Data on breastfeeding duration and satisfaction, parental stress and attachment were collected at 8 weeks post discharge, and at 6 and 12 months after birth. Breastfeeding satisfaction was measured by the Maternal Breastfeeding Evaluation Scale. Descriptive statistics and linear mixed effect models were used when analyzing the data.
During the first 12 months breastfeeding satisfaction increased in the mean summary scores and points in the dimensions "role attainment" and "lifestyle and maternal body image". In the dimension "infant growth and satisfaction", there was an increase in mean points from 6 to 12 months after birth, but not between 8 weeks after discharge and 12 months after birth. The findings also showed that partial and no breastfeeding, higher parental stress, and infant gestational age < 32 weeks were associated with decreased breastfeeding satisfaction. Older maternal age and greater maternal attachment were associated with increased maternal breastfeeding satisfaction. There were no associations between maternal breastfeeding satisfaction and maternal educational level, parity, multiple birth, or maternal birth country other than Sweden, during the first 12 months after birth.
Breastfeeding satisfaction was clearly associated with breastfeeding duration during the first year after birth. Breastfeeding satisfaction may be important to take into account when supporting breastfeeding and when designing interventions to support breastfeeding. Furthermore, these findings highlight the complexity of breastfeeding and emphasize the need for early and good support during neonatal care, so that mothers feel trust in themselves and their infant and in exclusive breastfeeding at discharge and in the first months thereafter.
The randomized controlled trial was registered NCT01806480 with www.clinicaltrials.gov on 2013-03-07.
母亲对母乳喂养的满意度对母乳喂养的持续时间很重要，但很少有研究调查早产儿母亲的母乳喂养满意度。本研究的目的是描述早产儿母亲（胎龄<37 周）在出生后第一年的母乳喂养满意度及其相关因素。
本纵向队列研究基于一项随机对照试验的二次分析数据，纳入了 493 名 547 例早产儿的母亲。在出院后 8 周、出生后 6 个月和 12 个月收集母乳喂养持续时间和满意度、父母压力和依恋的数据。母乳喂养满意度采用母乳喂养评估量表进行测量。数据分析采用描述性统计和线性混合效应模型。
在出生后的前 12 个月中，母乳喂养满意度在“角色实现”和“生活方式和母亲身体形象”维度的总分和各点上均有所提高。在“婴儿生长和满意度”维度，出生后 6 个月至 12 个月的平均分有所提高，但出院后 8 周至 12 个月之间没有提高。研究结果还表明，部分或完全母乳喂养、较高的父母压力以及婴儿胎龄<32 周与母乳喂养满意度降低有关。母亲年龄较大和母亲依恋程度较高与母乳喂养满意度增加有关。在出生后 12 个月内，母亲母乳喂养满意度与母亲教育水平、产次、多胎妊娠或母亲出生国（除瑞典外）之间没有关联。
母乳喂养满意度与出生后第一年的母乳喂养持续时间明显相关。在支持母乳喂养和设计支持母乳喂养的干预措施时，可能需要考虑母乳喂养满意度。此外，这些发现强调了母乳喂养的复杂性，需要在新生儿护理期间提供早期和良好的支持，以便母亲对自己和婴儿充满信任，能够在出院后以及之后的头几个月内坚持纯母乳喂养。
这项随机对照试验于 2013 年 3 月 7 日在 www.clinicaltrials.gov 上以 NCT01806480 号注册。
