Department of Obstetrics & Gynaecology, University Hospital of Larisa, 41334 Larisa, Greece.
Hellenic National Public Health Organization-ECDC, 15123 Athens, Greece.
Int J Environ Res Public Health. 2021 Oct 28;18(21):11359. doi: 10.3390/ijerph182111359.
Breastfeeding rates remain extremely low in Greece and women with gestational diabetes mellitus and hypothyroidism may experience additional difficulties. The aim of the study was to investigate the effect of a structured individualized lactation educational intervention by a midwife on increasing breastfeeding rates in women with endocrine disorders and low-risk women compared to women receiving standard care, 24 months after delivery. Two-hundred women made up the study population. Half of them were experiencing endocrine pregnancy disorders and 100 women constituted the low-risk pregnancy standard care control group. Women who were breastfeeding exclusively were significantly higher in the midwifery intervention group with endocrine disorders, namely breastfeeding continued at four months (breastfeeding: 20% vs. 12%, exclusive breastfeeding: 50% vs. 26%, = 0.0228), and at six months after childbirth (breastfeeding: 54% vs. 28%, exclusive breastfeeding: 32% vs. 12%, = 0.0011), compared to the standard care control group with endocrine disorder. The low-risk midwifery intervention group breastfed at four months (22% vs. 14%, = 0.0428) and at six months (52% vs. 26%, = 0.0018) at higher rates compared to the standard care control group. In addition, exclusive breastfeeding was significantly higher in the low-risk midwifery intervention group at four months (46% vs. 20%, = 0.0102) and six months (38% vs. 4%, < 0.0001) compared to the standard care control group. This study was the first attempt of a structured midwifery breastfeeding education in Greece and its major contribution reflects a significant positive impact on breastfeeding rates in terms of duration and exclusivity in women with gestational endocrine disorders as well as in low-risk women, and could possibly be applied and instituted in everyday clinical practice to increase the low breastfeeding rates in Greece.
母乳喂养率在希腊仍然极低，患有妊娠糖尿病和甲状腺功能减退症的女性可能会遇到更多困难。本研究旨在调查由助产士进行结构化个体化母乳喂养教育干预对患有内分泌疾病的女性和低风险女性的母乳喂养率的影响，与接受标准护理的女性相比，在分娩后 24 个月。共有 200 名女性入组研究。其中一半患有内分泌妊娠疾病，100 名女性构成低风险妊娠标准护理对照组。在患有内分泌疾病的助产士干预组中，纯母乳喂养的女性明显更高，即母乳喂养持续到四个月（母乳喂养：20%比 12%，纯母乳喂养：50%比 26%， = 0.0228）和分娩后六个月（母乳喂养：54%比 28%，纯母乳喂养：32%比 12%， = 0.0011），与内分泌疾病的标准护理对照组相比。低风险助产士干预组在四个月（22%比 14%， = 0.0428）和六个月（52%比 26%， = 0.0018）时母乳喂养的比例更高与标准护理对照组相比。此外，低风险助产士干预组在四个月（46%比 20%， = 0.0102）和六个月（38%比 4%， < 0.0001）时纯母乳喂养的比例明显更高与标准护理对照组相比。本研究是希腊首次尝试进行结构化的助产士母乳喂养教育，其主要贡献反映了在妊娠内分泌疾病以及低风险女性中，母乳喂养率在持续时间和排他性方面的显著积极影响，并且可能在日常临床实践中得到应用和实施，以提高希腊的低母乳喂养率。
