产后病房经历与住院期间纯母乳喂养的关联：一项横断面在线调查。
Postnatal Unit Experiences Associated With Exclusive Breastfeeding During the Inpatient Stay: A Cross-Sectional Online Survey.
机构信息
University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
出版信息
J Hum Lact. 2022 May;38(2):287-297. doi: 10.1177/08903344211057876. Epub 2021 Nov 28.
BACKGROUND
Efforts to provide accessible and effective infant feeding support are advancing to set up new families to meeting their goals. However, data continue to be limited for understanding how inpatient postpartum support and experiences contribute to exclusive breastfeeding during hospitalization.
RESEARCH AIMS
To explore postnatal unit experiences including skin-to-skin contact, overnight support, rooming-in, responsive clinicians, and understandable communication that correlate with early infant feeding outcomes among a sample of mothers who intended to breastfeed.
METHODS
This was a prospective cross-sectional survey study. Through secure online survey, participants submitted ( = 2,401) responses from November 2016 to May 2017 about their experiences with maternity healthcare and offered thoughts on the postnatal unit environment. Descriptive statistics were used to examine distributions of maternal characteristics, postpartum experience, and birthing facility characteristics.
RESULTS
Exclusive breastfeeding was positively correlated with the following postnatal unit experiences: mother did not ask that her infant be taken out of the postnatal unit room; infant staying in postnatal unit room except for treatment(s); mother got help from clinical staff when needed after pressing the call button; and nurse, midwife, and/or doctor always explained information to mother in ways that they understood.
CONCLUSION
Postnatal unit experiences associated with exclusive breastfeeding during postpartum hospitalization were rooming in; parents who did not ask for their infant to be taken out of the unit room; whether mothers received timely help from clinical staff; and information was explained in a way they could understand.
背景
为了让新家庭能够获得可及且有效的婴儿喂养支持，人们正在努力满足他们的目标。然而，关于了解住院期间的产后支持和体验如何有助于纯母乳喂养的数据仍然有限。
研究目的
本研究旨在探索产后病房的体验，包括皮肤接触、夜间支持、母婴同室、有反应的临床医生和可理解的沟通，这些因素与打算母乳喂养的母亲的早期婴儿喂养结果相关。
方法
这是一项前瞻性的横断面调查研究。通过安全的在线调查，参与者在 2016 年 11 月至 2017 年 5 月期间提交了（=2401）关于其在产妇保健方面的经验，并对产后病房环境提出了自己的想法。描述性统计用于检查产妇特征、产后体验和分娩设施特征的分布。
结果
纯母乳喂养与以下产后病房体验呈正相关：母亲没有要求将婴儿带出产后病房；婴儿除了接受治疗外，都留在产后病房房间内；母亲在按下呼叫按钮后需要时，得到临床工作人员的帮助；护士、助产士和/或医生总是以母亲能够理解的方式向母亲解释信息。
结论
与住院期间纯母乳喂养相关的产后病房体验包括母婴同室；父母没有要求将婴儿带出病房；母亲是否及时得到临床工作人员的帮助；以及以他们能够理解的方式解释信息。
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