School of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, People's Republic of China.
Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China.
Matern Child Health J. 2022 Feb;26(2):441-448. doi: 10.1007/s10995-021-03274-5. Epub 2021 Oct 20.
Women frequently report breastfeeding problems in the early postpartum period. Women who have self-endorsed beliefs that breastfeeding benefits their babies and themselves are more likely to continue breastfeeding despite breastfeeding barriers. Maternal self-endorsed beliefs is a key component of maternal self-regulated motivation. The present study examined the association between maternal self-regulated motivation, breastfeeding duration and exclusivity in Chinese women.
This was a prospective cohort study, of which we recruited participants in postnatal maternity units of publicly funded hospitals in Hong Kong. Postpartum women were asked to fill in the validated breastfeeding self-regulation questionnaire (BSRQ) before hospital discharge and their breastfeeding status was assessed by telephone follow-ups at 6 and 12 weeks postpartum. Multiple logistic regression was used to study the relationship between breastfeeding self-regulated motivation and the duration of breastfeeding at follow-up.
At 6 and 12 weeks postpartum, women who breastfed exclusively scored significantly higher in self-regulated motivation than those who formula-fed. The self-regulated motivation was associated with higher odds of exclusive breastfeeding at 6 weeks and any breastfeeding at 12 weeks postpartum.
The study found that self-regulated motivation was positively related to breastfeeding duration. Maternal self-regulated motivation toward breastfeeding could be enhanced by the availability of social support and breastfeeding-friendly facilities, resulting in longer breastfeeding duration.
女性在产后早期经常会报告母乳喂养问题。那些自我认同母乳喂养对婴儿和自身有益的女性，即使面临母乳喂养障碍，也更有可能继续母乳喂养。母亲自我认同是母亲自我调节动机的关键组成部分。本研究旨在探讨中国女性的母亲自我调节动机、母乳喂养持续时间和纯母乳喂养之间的关系。
这是一项前瞻性队列研究，我们在香港公立医院的产后产妇病房招募参与者。在出院前，产后女性被要求填写经过验证的母乳喂养自我调节问卷（BSRQ），并在产后 6 周和 12 周通过电话随访评估其母乳喂养状况。多因素逻辑回归用于研究母乳喂养自我调节动机与随访时母乳喂养持续时间之间的关系。
在产后 6 周和 12 周时，纯母乳喂养的女性在自我调节动机方面的得分明显高于配方奶喂养的女性。自我调节动机与 6 周时纯母乳喂养和 12 周时任何形式母乳喂养的几率更高有关。
本研究发现，自我调节动机与母乳喂养持续时间呈正相关。通过提供社会支持和母乳喂养友好设施，可以增强母亲对母乳喂养的自我调节动机，从而延长母乳喂养的持续时间。
