Christou Evangelos, Liakou Eftychia, Pouliakis Abraham, Sokou Rozeta, Volaki Paraskevi, Paliatsou Styliani, Boutsikou Theodora, Iacovidou Nicoletta, Iliodromiti Zoi
Neonatal Department, Aretaieio Hospital, National and Kapodistrian University of Athens, 115 28 Athens, Greece.
2nd Department of Pathology, "ATTIKON" University Hospital, National and Kapodistrian University of Athens, 124 61 Athens, Greece.
Children (Basel). 2024 Jul 31;11(8):932. doi: 10.3390/children11080932.
BACKGROUND/OBJECTIVES: The primary purpose of this study was to correlate the factors influencing the onset and duration of exclusive breastfeeding (EBF) and breastfeeding (BF) rates at different time points in baby-friendly hospitals (BFHs) in Greece.
This study was conducted from October 2020 to January 2022. The sample consisted of 1201 mothers with corresponding newborn births out of the total 7201 that took place during the same period. We used a questionnaire that the mothers answered during the first hour after birth, before being discharged from the maternity hospital, and at the 2nd, 4th, and 6th month of the infant's life. The results were compared with the data of the national study from 2017 (concerning births from general maternity hospitals and not only from BFHs).
The EBF rate within 1 h after birth was 71.3%, which gradually declined to 21.2% in the 6th month. Between the two studies, differences were recorded in BF and EBF rates at the 6th and 4th month of the infants' life, respectively, especially in mothers who are less likely to breastfeed (e.g., those without breastfeeding experience, those over 40 years old, etc.).
This study showed that EBF and BF rates are higher in infants born in BFHs compared to non-BFHs both during their hospitalization in the first days of life and during the first 6 months of life. BFHs also play a decisive role in mothers who, due to their socio-economic profile, have lower chances of starting to breastfeed.
背景/目的：本研究的主要目的是关联希腊爱婴医院（BFHs）中影响纯母乳喂养（EBF）开始时间、持续时间以及不同时间点母乳喂养（BF）率的因素。
本研究于2020年10月至2022年1月进行。样本包括在同期发生的7201例分娩中的1201名有相应新生儿出生的母亲。我们使用了一份问卷，母亲们在产后第一小时、从妇产医院出院前以及婴儿出生后第2、4和6个月时回答该问卷。结果与2017年全国性研究的数据（涉及普通妇产医院的分娩，而非仅爱婴医院的分娩）进行了比较。
出生后1小时内的纯母乳喂养率为71.3%，在第6个月时逐渐降至21.2%。在两项研究之间，分别在婴儿出生后第6个月和第4个月的母乳喂养和纯母乳喂养率方面记录到差异，尤其是在不太可能进行母乳喂养的母亲中（例如，没有母乳喂养经验的母亲、40岁以上的母亲等）。
本研究表明，与非爱婴医院出生的婴儿相比，爱婴医院出生的婴儿在出生后第一天住院期间以及出生后的前6个月内，纯母乳喂养和母乳喂养率更高。爱婴医院对于那些由于社会经济状况而开始母乳喂养机会较低的母亲也起着决定性作用。
