PhD. Nutritionist, Departamento de Tocoginecologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.
MD. Resident Physician, Departamento de Tocoginecologia, Faculdade de Ciências Médicas Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.
Sao Paulo Med J. 2023 Nov 20;142(3):e2022647. doi: 10.1590/1516-3180.2022.0647.R1.260723. eCollection 2023.
Exclusive breastfeeding is recommended for the first six months, and mother's age impact early weaning. Educational support and relevant information can increase breastfeeding rates.
To determine whether antenatal education enhances the maintenance, intention, and confidence in breastfeeding among adolescents.
A prospective cohort study involving primiparous adolescents who gave birth at the Woman's Hospital (CAISM), Universidade Estadual de Campinas, Brazil.
Adolescent mothers were categorized into two groups based on the location of prenatal care: those at the Woman's Hospital (WH) who received antenatal education, and at the Primary Care (PC) who did not receive antenatal education. All adolescents received breastfeeding orientation during their postpartum hospital stay. The groups were compared using the Student's t-test, Mann-Whitney U test, and chi-squared test. Log-binomial models were used to compare the groups at different time intervals.
The study included 132 adolescents: 59 in the WH group and 73 in the PC group. Six months postpartum, adolescents in the WH group demonstrated higher engagement in breastfeeding (P < 0.005) and exclusive breastfeeding (P = 0.04) than PC group. PC group showed greater lack of confidence in breastfeeding (P = 0.02) and felt less prepared (P = 0.01). Notably, all WH adolescents reported a stronger desire to breastfeed after antenatal education.
Antenatal education significantly improves the maintenance, intention, and confidence of breastfeeding among adolescents. This education approach can be implemented across all healthcare levels and should be made accessible to all women throughout the pregnancy and postpartum period.
建议婴儿在出生后的头六个月内进行纯母乳喂养，而母亲的年龄会影响早期断奶。教育支持和相关信息可以提高母乳喂养率。
确定产前教育是否能提高青少年母乳喂养的维持率、意愿和信心。
这是一项在巴西坎皮纳斯州立大学妇女医院（CAISM）进行的前瞻性队列研究，涉及到初产的青少年母亲。
根据产前护理的地点，将青少年母亲分为两组：在妇女医院（WH）接受产前教育的一组，以及在初级保健（PC）未接受产前教育的一组。所有青少年在产后住院期间都接受了母乳喂养指导。使用学生 t 检验、Mann-Whitney U 检验和卡方检验比较两组。使用对数二项式模型比较不同时间间隔的两组。
该研究共纳入 132 名青少年：WH 组 59 名，PC 组 73 名。产后 6 个月，WH 组青少年母乳喂养（P<0.005）和纯母乳喂养（P=0.04）的参与度更高。PC 组青少年母乳喂养的信心较低（P=0.02），且感觉准备不足（P=0.01）。值得注意的是，所有接受过产前教育的 WH 青少年在接受教育后都表示更强烈的母乳喂养意愿。
产前教育显著提高了青少年母乳喂养的维持率、意愿和信心。这种教育方法可以在所有医疗保健水平上实施，并且应该在整个怀孕期间和产后期间向所有妇女提供。
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