Palti H, Valderama C, Pogrund R, Jarkoni J, Kurtzman C
Department of Social Medicine, Hadassah Medical Organization, Jerusalem, Israel.
Isr J Med Sci. 1988 Jul;24(7):342-8.
A community program for promotion of breast-feeding integrated into the Maternal and Child Health (MCH) services is presented and evaluated, using two quasi-experimental designs, comparison groups and time trends. The program, which began in 1981, included guidance from the 7th month of pregnancy to 6 months post-delivery. An increase in the percentage of breast-feeding mothers and the duration of breast-feeding was noted in the post-intervention cohorts (1981-82 and 1985) compared with the preintervention cohorts (1979-81). The comparison of the breast-feeding pattern of the 1985 birth cohort from the MCH service exposed to the program with a similar group receiving routine MCH care indicated that the percentage of mothers breast-feeding fully or partially was consistently higher among the intervention group compared with the control group at 4, 13 and 26 weeks (P = 0.0045), and the mean duration of full breast-feeding was 9.3 weeks compared with 7.0 weeks (P = 0.028). The program had a greater effect on mothers with a lower educational standard, thus closing the gap in the breast-feeding pattern by educational level in the intervention group. The evaluation indicates that a structured breast-feeding promotion program is more effective than the routine guidance received in the MCH service.
本文介绍并评估了一项纳入母婴健康（MCH）服务的促进母乳喂养社区项目，采用了两种准实验设计、对照组和时间趋势分析。该项目始于1981年，包括从怀孕第7个月到产后6个月的指导。与干预前队列（1979 - 1981年）相比，干预后队列（1981 - 1982年和1985年）中母乳喂养母亲的比例和母乳喂养持续时间有所增加。将接受该项目的MCH服务中1985年出生队列的母乳喂养模式与接受常规MCH护理的类似组进行比较，结果表明，在4周、13周和26周时，干预组中完全或部分母乳喂养的母亲比例始终高于对照组（P = 0.0045），纯母乳喂养的平均持续时间为9.3周，而对照组为7.0周（P = 0.028）。该项目对教育水平较低的母亲影响更大，从而缩小了干预组中按教育水平划分的母乳喂养模式差距。评估表明，结构化的母乳喂养促进项目比MCH服务中提供的常规指导更有效。
