Department of Pediatrics, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Departmant of Pediatrics, Aksaray Education and Research Hospital, Aksaray, Turkey.
Breastfeed Med. 2021 Oct;16(10):827-834. doi: 10.1089/bfm.2021.0073. Epub 2021 May 31.
There are no national data on the prevalence of breastfeeding during pregnancy (BDP) in the world. Also, there is no consensus for the BDP. The purpose was to determine the prevalence of breastfeeding status in pregnant mothers having children younger than 24 months of age and to evaluate the associated sociodemographic factors and characteristics of the last-born child and current pregnancy through two consecutive national health survey. Data from the 2012 and 2017 Jordan Family Health and Population Survey were merged. Individual, household, and community-level factors associated with BDP were analyzed by using complex sample multivariate logistic regression. Two surveys enrolled 6,858 women having at least one child younger than 24 months and 8.8% (weighted count: 603) of them got pregnant also. Of the pregnant women, 8.9% continued breastfeeding their last-born children. Being younger than 12 months positively affected breastfeeding compared to last-born child aged 12-23 months. Multivariate analysis revealed that BDP was associated positively with wealth index (richest vs. poorest) and postnatal care for the last-born child within 2 months (presence vs. absence), whereas negatively with bottle use (presence vs. absence), traditional contraceptive methods (abstinence/withdrawn vs. modern, lactational amenorrhea vs. modern), short interpregnancy interval (months), and current pregnancy duration (months) in Jordan. The prevalence for BDP differs according to some maternal, last-born infant, and current pregnancy characteristics. Prospective cohort studies are necessary to evaluate the impact of BDP on "mother, last-child, and future-child," and to detect the duration and prevalence of BDP in different countries.
目前，全球范围内尚无关于孕期母乳喂养（BDP）流行率的国家数据，且对于 BDP 也没有达成共识。本研究旨在通过两项连续的国家健康调查，确定年龄在 24 个月以下的产妇母乳喂养状况的流行率，并评估相关的社会人口学因素以及最后出生婴儿和当前妊娠的特征。合并了 2012 年和 2017 年约旦家庭健康和人口调查的数据。采用复杂样本多变量逻辑回归分析与 BDP 相关的个体、家庭和社区水平因素。两项调查共纳入了 6858 名至少有一名年龄在 24 个月以下子女的妇女，其中 8.8%（加权计数：603）的妇女也怀孕了。在这些孕妇中，8.9%的人仍在给最后出生的孩子母乳喂养。与最后出生的婴儿年龄为 12-23 个月相比，年龄小于 12 个月时更有利于母乳喂养。多变量分析显示，BDP 与财富指数（最富有与最贫穷）和最后出生婴儿的产后护理（2 个月内有/无）呈正相关，与奶瓶使用（有/无）、传统避孕方法（禁欲/撤回与现代、哺乳期闭经与现代）、两次妊娠间隔（月）和当前妊娠时间（月）呈负相关。BDP 的流行率因产妇、最后出生婴儿和当前妊娠的某些特征而有所不同。需要前瞻性队列研究来评估 BDP 对“母亲、最后一个孩子和未来孩子”的影响，并检测不同国家 BDP 的持续时间和流行率。
