Nursing Department, Guangzhou Women and Children Medical Center, Guangzhou, China.
School of Nursing, Guangzhou Medical University, Guangzhou, China.
Breastfeed Med. 2021 Sep;16(9):734-740. doi: 10.1089/bfm.2020.0395. Epub 2021 Apr 27.
To evaluate the effects of a baby-led self-attachment breastfeeding support intervention on the prevalence and duration of exclusive breastfeeding and nipple pain at 3 days, 6 weeks, 3 months, and 6 months postpartum among Chinese mothers. A randomized study was conducted with 504 mother-infant dyads allocated to the baby-led self-attachment breastfeeding support intervention ( = 251) and standard postpartum care ( = 253). Data on the prevalence and duration of exclusive breastfeeding and nipple pain were collected at 3 days, 6 weeks, 3 months and 6 months postpartum. Mothers in the intervention group were significantly more likely exclusively breastfeeding at 3 days (mean difference = 12.1%, 95% confidence interval [CI]: 3.9-20.2%, = 0.004) and 6 months postpartum (mean difference = 17.8%, 95% CI: 8.3-27.4%, < 0.001). They were less likely to stop breastfeeding over the 6-month period, compared with the control group (Hazard ratio = 0.65; 95% CI: 0.49-0.87). They were also less likely to experience nipple pain at 3 days (mean difference = -8.1%, 95% CI: -15.9 to -0.4%, = 0.04) and 3 months postpartum (mean difference = -4.9%, 95% CI: -8.7 to -1.2%, = 0.01). The baby-led self-attachment breastfeeding support is clinically effective in increasing the prevalence and duration of exclusive breastfeeding and reducing nipple pain among Chinese mothers.
评价婴儿主导的自我依附式母乳喂养支持干预对中国母亲产后 3 天、6 周、3 个月和 6 个月纯母乳喂养率和持续时间以及乳头疼痛的影响。采用随机研究，将 504 对母婴对分为婴儿主导的自我依附式母乳喂养支持干预组（n=251）和标准产后护理组（n=253）。在产后 3 天、6 周、3 个月和 6 个月收集纯母乳喂养率和持续时间以及乳头疼痛的数据。干预组的母亲在产后 3 天（平均差异=12.1%，95%置信区间[CI]：3.9-20.2%， = 0.004）和 6 个月（平均差异=17.8%，95% CI：8.3-27.4%， < 0.001）时更倾向于纯母乳喂养。与对照组相比，她们在 6 个月内停止母乳喂养的可能性较小（风险比=0.65；95% CI：0.49-0.87）。她们在产后 3 天（平均差异=-8.1%，95% CI：-15.9 至-0.4%， = 0.04）和 3 个月（平均差异=-4.9%，95% CI：-8.7 至-1.2%， = 0.01）时也较少经历乳头疼痛。婴儿主导的自我依附式母乳喂养支持在增加中国母亲的纯母乳喂养率和持续时间以及减少乳头疼痛方面具有临床效果。
