不同产科干预措施和分娩方式对母乳喂养的影响：匈牙利全国性横断面调查。

Impact of different obstetric interventions and types of delivery on breastfeeding: a nationwide cross-sectional survey of Hungarian women.

机构信息

Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, 4 Vörösmarty str, Pécs, H-7621, Hungary.

Institute of Emergency Care, Pedagogy of Health and Nursing Sciences, University of Pécs, 4 Vörösmarty str, Pécs, H-7621, Hungary.

出版信息

BMC Pregnancy Childbirth. 2024 Jul 11;24(1):473. doi: 10.1186/s12884-024-06666-x.

DOI:10.1186/s12884-024-06666-x

PMID:38992633

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11241934/

Abstract

BACKGROUND

We assessed the effect of different obstetric interventions and types of delivery on breastfeeding.

METHODS

A quantitative, cross-sectional study was carried out using an online questionnaire. Data collection was performed in 2021 in Hungary. We included biological mothers who had raised their at least 5-year-old child(ren) at home (N = 2,008). The questionnaire was completed anonymously and voluntarily. In addition to sociodemographic data (age, residence, marital status, education, occupation, income status, number of biological children, and anthropometric questions about the child and the mother), we asked about the interventions used during childbirth, and the different ways of infant feeding used. Statistical analysis was carried out using Microsoft Excel 365 and SPSS 25.0. Descriptive statistics, two-sample t tests, χ tests and ANOVA were used to analyse the relationship or differences between the variables (p < 0,05).

RESULTS

We found that in deliveries where synthetic oxytocin was used for both induction and acceleration, there was a higher incidence of emergency cesarean section. However, the occurrence of vaginal deliveries was significantly higher in cases where oxytocin administration was solely for the purpose of accelerating labour (p < 0.001).Mothers who received synthetic oxytocin also received analgesics (p < 0.001). Women giving birth naturally who used oxytocin had a lower success of breastfeeding their newborn in the delivery room (p < 0.001). Children of mothers who received obstetric analgesia had a higher rate of complementary formula feeding (p < 0.001). Newborns born naturally had a higher rate of breastfeeding in the delivery room (p < 0.001) and less formula feeding in the hospital (p < 0.001). Infants who were breastfed in the delivery room were breastfed for longer periods (p < 0.001). Exclusive breastfeeding up to six months was longer for infants born naturally (p = 0.005), but there was no difference in the length of breastfeeding (p = 0.081).

CONCLUSIONS

Obstetric interventions may increase the need for further interventions and have a negative impact on early or successful breastfeeding.

TRIAL REGISTRATION

Not relevant.

摘要

背景

我们评估了不同产科干预措施和分娩方式对母乳喂养的影响。

方法

这是一项使用在线问卷进行的定量、横断面研究。数据收集于 2021 年在匈牙利进行。我们纳入了在家中抚养至少 5 岁孩子（N=2008）的亲生母亲。问卷是匿名自愿填写的。除了社会人口统计学数据（年龄、居住地、婚姻状况、教育程度、职业、收入状况、亲生子女数量以及儿童和母亲的人体测量问题），我们还询问了分娩时使用的干预措施以及不同的婴儿喂养方式。使用 Microsoft Excel 365 和 SPSS 25.0 进行统计分析。使用描述性统计、两样本 t 检验、卡方检验和方差分析来分析变量之间的关系或差异（p<0.05）。

结果

我们发现，在催产素用于引产和加速分娩的分娩中，急诊剖宫产的发生率更高。然而，催产素仅用于加速分娩的情况下，阴道分娩的发生率明显更高（p<0.001）。接受合成催产素的母亲还接受了镇痛（p<0.001）。自然分娩并使用催产素的母亲在分娩室中成功母乳喂养新生儿的比例较低（p<0.001）。接受产科镇痛的母亲的孩子接受补充配方奶喂养的比例更高（p<0.001）。自然分娩的新生儿在分娩室中母乳喂养的比例更高（p<0.001），在医院中配方奶喂养的比例更低（p<0.001）。在分娩室中母乳喂养的婴儿母乳喂养时间更长（p<0.001）。自然分娩的婴儿在 6 个月内进行纯母乳喂养的时间更长（p=0.005），但母乳喂养时间长短没有差异（p=0.081）。