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波兰女性对母乳喂养的态度及障碍——描述性横断面在线调查

Attitudes and Barriers of Polish Women towards Breastfeeding-Descriptive Cross-Sectional On-Line Survey.

作者信息

Kolmaga Agnieszka, Dems-Rudnicka Katarzyna, Garus-Pakowska Anna

机构信息

Department of Nutrition and Epidemiology, Medical University of Lodz, 90-752 Lodz, Poland.

Centre of Mathematics and Physics, Lodz University of Technology, 90-924 Lodz, Poland.

出版信息

Healthcare (Basel). 2024 Sep 2;12(17):1744. doi: 10.3390/healthcare12171744.

Abstract

BACKGROUND

Breastfeeding is the gold standard in infant nutrition. Successful breastfeeding depends on many factors, including the help of medical personnel in teaching breastfeeding, the need for professional work, and breastfeeding-friendly places in public spaces. The main goal was to identify various barriers among mothers to breastfeeding.

METHODS

This study used a quantitative descriptive research design. We recruited 419 mothers aged at least 18 years old through social media. Results were analysed using Pearson's chi-squared and Fisher's tests of independence for pairs of dependent and independent variables.

RESULTS

Most often, women gave birth at the age of 25-30, had one or two children, and attended higher education. Almost half of them lived in a large city and gave birth to a child by caesarean section. A total of 83.1% of mothers planned to breastfeed, but not all of them were able to do so for various reasons. One-third of them felt sorry for themselves that they had to change their feeding method. The majority of mothers did not receive sufficient help in the hospital in terms of learning how to breastfeed (61%), did not use the help of a lactation consultant (67%), and answered that there was no lactation consultant in their place of residence (65%). Only 43.2% of mothers returned to work without ceasing breastfeeding. A total of 42% of mothers experienced feelings of embarrassment when breastfeeding in a public place. The most frequently indicated barrier to breastfeeding in a public place was the lack of a suitable location where a woman would feel comfortable, calm, and intimate.

CONCLUSION

There are various barriers towards breastfeeding: too few lactation consultants, problems with breastfeeding when the mother wants to return to work, and unfriendly places for breastfeeding in public spaces. Efforts must be made to support mothers in breastfeeding.

摘要

背景

母乳喂养是婴儿营养的黄金标准。成功的母乳喂养取决于许多因素,包括医务人员在传授母乳喂养知识方面的帮助、专业工作的需求以及公共场所对母乳喂养友好的环境。主要目标是确定母亲在母乳喂养方面面临的各种障碍。

方法

本研究采用定量描述性研究设计。我们通过社交媒体招募了419名年龄至少18岁的母亲。使用Pearson卡方检验和Fisher独立性检验对成对的因变量和自变量进行结果分析。

结果

大多数女性在25至30岁生育,育有一两个孩子,并接受过高等教育。其中近一半居住在大城市,通过剖宫产分娩。共有83.1%的母亲计划进行母乳喂养,但并非所有人都能因各种原因如愿。三分之一的母亲因不得不改变喂养方式而感到遗憾。大多数母亲在医院学习母乳喂养时没有得到足够的帮助(61%),没有利用哺乳顾问的帮助(67%),并表示她们居住的地方没有哺乳顾问(65%)。只有43.2%的母亲在不停母乳喂养的情况下重返工作岗位。共有42%的母亲在公共场所母乳喂养时感到尴尬。在公共场所母乳喂养最常指出的障碍是缺乏一个让女性感到舒适、平静和私密的合适场所。

结论

母乳喂养存在各种障碍:哺乳顾问太少、母亲想重返工作岗位时母乳喂养出现问题以及公共场所对母乳喂养不友好。必须努力支持母亲进行母乳喂养。

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