Department of Obstetrics and Gynecology, Wolfson Medical Center, Holon, Israel.
School of Nursing, College of Health Sciences and Professions, Ohio University, Athens, Ohio, USA.
Isr Med Assoc J. 2024 Aug;26(7):421-427.
Exclusive breastfeeding is recommended through six months as it supports infant growth and development. Yet, many mothers do not exclusively breastfeed in early postpartum.
To examine factors associated with exclusive breastfeeding at hospital discharge among culturally diverse women.
This cross-sectional study used data of women who gave birth at a major medical center in Israel in 2015-2017. Descriptive statistics and regression analysis were conducted to examine maternal characteristics and associated breastfeeding outcomes by hospital discharge.
Among 10,978 women, 17.8% (n=1958) exclusively breastfed, 57.9% (n=6357) partially breastfed, and 24.3% (n=2663) did not breastfeed. Among Israeli-born and former Soviet Union-born Jewish women, breastfeeding intention (odds ratio [OR] 19.59, 95% confidence interval [95%CI] 10.27-37.35 and OR 15.92, 95%CI 5.79-43.80, respectively) and early breastfeeding (OR 2.415, 95%CI 1.91-3.05 and OR 2.04, 95%CI 1.57-2.64, respectively) were associated with exclusive breastfeeding. The only significant factor associated with exclusive breastfeeding among refugees and Israeli-born Muslim women was early breastfeeding (OR 1.61, 95%CI 1.20-2.16). For Ethiopian-born Jewish women, not married (OR 0.330, 95%CI 0.114-0.955) and cesarean delivery (OR 0.481, 95%CI 0.232-0.998) were negatively associated with exclusive breastfeeding.
Despite having access to the same hospital-based breastfeeding support, there were differences among ethno-culturally diverse women in Israel. In this study, we identified maternal characteristics associated with early breastfeeding among women of diverse ethno-cultural backgrounds. Study findings highlight the importance of ethno-cultural considerations in breastfeeding practices and inform health professionals of factors associated with exclusive breastfeeding in early postpartum.
建议婴儿在六个月内进行纯母乳喂养，因为这有助于婴儿的生长和发育。然而，许多母亲在产后早期并未进行纯母乳喂养。
研究文化多样性背景下与产妇出院时纯母乳喂养相关的因素。
本横断面研究使用了 2015 年至 2017 年在以色列一家主要医疗中心分娩的产妇数据。采用描述性统计和回归分析，按出院时的母乳喂养情况分析产妇特征和相关母乳喂养结局。
在 10978 名产妇中，17.8%（n=1958）进行了纯母乳喂养，57.9%（n=6357）进行了部分母乳喂养，24.3%（n=2663）未进行母乳喂养。在以色列出生和前苏联出生的犹太妇女中，母乳喂养意愿（比值比[OR]19.59，95%置信区间[95%CI]10.27-37.35 和 OR 15.92，95%CI 5.79-43.80）和早期母乳喂养（OR 2.415，95%CI 1.91-3.05 和 OR 2.04，95%CI 1.57-2.64）与纯母乳喂养相关。对于难民和以色列出生的穆斯林妇女，唯一与纯母乳喂养相关的显著因素是早期母乳喂养（OR 1.61，95%CI 1.20-2.16）。对于埃塞俄比亚出生的犹太妇女，未结婚（OR 0.330，95%CI 0.114-0.955）和剖宫产（OR 0.481，95%CI 0.232-0.998）与纯母乳喂养呈负相关。
尽管获得了相同的基于医院的母乳喂养支持，但以色列不同种族和文化背景的妇女之间存在差异。在这项研究中，我们确定了与不同种族和文化背景的妇女早期母乳喂养相关的产妇特征。研究结果强调了在母乳喂养实践中考虑种族和文化因素的重要性，并为医疗保健专业人员提供了有关产后早期纯母乳喂养相关因素的信息。
