Department of Obstetrics and Gynecology, Shanghai Changzheng Hospital, Shanghai 200003, China.
School of Public Health, Fudan University, Shanghai 200032, China.
Int J Environ Res Public Health. 2021 Oct 30;18(21):11430. doi: 10.3390/ijerph182111430.
Studies have shown that implementing the Ten Steps to Successful Breastfeeding of the Baby-Friendly Hospital Initiative can protect, promote, and support breastfeeding. However, few studies have valuated the quality of breastfeeding supportive services provided by Baby-Friendly Hospitals from the perspective of service users.
This was a hospital-based prospective study, conducted at eight Baby-Friendly Hospitals with a total of 707 pregnant women in Shanghai, China between October 2016 and September 2021. Breastfeeding supportive services during hospitalization were assessed at childbirth discharge using a 12-question questionnaire based on the Chinese "Baby-Friendly Hospital Evaluation Standards". Women were followed up on six months postpartum. The impact of breastfeeding supportive services during hospitalization on the exclusive breastfeeding at discharge and six months postpartum were assessed.
Of the 707 mothers who completed the survey at discharge, 526 were followed up on six months after delivery. The overall exclusive breastfeeding rate among participants was 34.4% at discharge and 52.1% at six months postpartum. Mothers who received better breastfeeding supportive services during hospitalization were more likely to practice exclusive breastfeeding at hospitalization discharge compared with mothers who received poorer services (aOR: 3.00; 95% CI: 2.08, 4.35; < 0.001). Furthermore, they were also more likely to exclusively breastfeed at six months postpartum (aOR: 1.50; 95% CI: 1.03, 2.22; = 0.033).
Better breastfeeding supportive services during hospitalization were significantly associated with higher rate of exclusive breastfeeding at discharge and six months postpartum. More effective measures should be adopted to improve the implementation of the breastfeeding supportive services in Baby-Friendly Hospitals to promote exclusive breastfeeding and better maternal and child health.
研究表明，实施《促进母乳喂养十项措施》可保护、促进和支持母乳喂养。然而，很少有研究从服务使用者的角度评估爱婴医院提供的母乳喂养支持服务的质量。
这是一项基于医院的前瞻性研究，在中国上海的 8 家爱婴医院进行，共有 707 名孕妇参与，研究时间为 2016 年 10 月至 2021 年 9 月。在分娩出院时，使用基于中国《爱婴医院评估标准》的 12 个问题问卷评估住院期间的母乳喂养支持服务。对产后 6 个月进行随访。评估住院期间母乳喂养支持服务对出院时和产后 6 个月时纯母乳喂养的影响。
在 707 名出院时完成调查的母亲中，有 526 名在产后 6 个月时进行了随访。参与者出院时的纯母乳喂养率为 34.4%，产后 6 个月时为 52.1%。与接受较差母乳喂养支持服务的母亲相比，在住院期间接受更好母乳喂养支持服务的母亲更有可能在住院期间进行纯母乳喂养（aOR：3.00；95%CI：2.08，4.35；<0.001）。此外，她们在产后 6 个月时也更有可能进行纯母乳喂养（aOR：1.50；95%CI：1.03，2.22；=0.033）。
住院期间更好的母乳喂养支持服务与出院时和产后 6 个月时更高的纯母乳喂养率显著相关。应采取更有效的措施来改善爱婴医院母乳喂养支持服务的实施，以促进纯母乳喂养和改善母婴健康。
