Kersting M, Wember T, Goddemeier T, Koester H, Wennemann J, Schöch G
Monatsschr Kinderheilkd. 1987 Jun;135(6):314-9.
With two collectives of mothers from the large maternity wards in Dortmund (n = 998) and Haltern (n = 500) breast-feeding patterns were studied prospectively after dismissal. 95 and 93% of initially breast-feeding mothers kept simple protocols of duration and intensity of breast-feeding. 20 and 13% respectively of the breast-feeding mothers in Dortmund and Haltern stopped breast-feeding within 3 days following discharge, only 2 and 6% respectively of all mothers fully breast-fed for a period of a months as recommended. Already from the beginning of the 2nd month some mothers introduced (unnecessarily) juices as Beikost. Reasons given by the mothers for termination of breast-feeding were mostly connected with problems concerning the mother (50%) and nursing problems (35%). Statistical analysis (Cox proportional hazards model) revealed that the mothers' age (less than 25 years), low educational level, bad breast-feeding experience and use of a pump significantly reduce duration of breast-feeding. Promotion and support of breast-feeding is urgently needed especially during the first weeks after birth and with inexperienced, young and less educated mothers.
对来自多特蒙德大型产科病房（n = 998）和哈尔滕（n = 500）的两组母亲群体在出院后进行了前瞻性母乳喂养模式研究。95%和93%最初进行母乳喂养的母亲记录了母乳喂养的持续时间和频率。多特蒙德和哈尔滕分别有20%和13%的母乳喂养母亲在出院后3天内停止母乳喂养，只有2%和6%的母亲按照建议进行了为期一个月的纯母乳喂养。从第二个月开始，一些母亲（不必要地）引入了果汁作为辅食。母亲们停止母乳喂养的原因大多与母亲自身问题（50%）和哺乳问题（35%）有关。统计分析（Cox比例风险模型）显示，母亲年龄（小于25岁）、低教育水平、不良母乳喂养经历和使用吸奶器会显著缩短母乳喂养持续时间。尤其在产后头几周以及对于缺乏经验、年轻和受教育程度较低的母亲，迫切需要对母乳喂养进行推广和支持。
