Ballesta-Castillejos Ana, Rodríguez-Almagro Julián, De-Mateos Silvia García, Ortiz-Esquinas Inmaculada, Martínez-Galiano Juan Miguel, Hernández-Martínez Antonio
Universidad de Castilla la Mancha, Albacete, España.
Universidad de Castilla la Mancha, Ciudad Real, España.
Int Breastfeed J. 2025 Mar 18;20(1):15. doi: 10.1186/s13006-025-00709-5.
An increasing trend among women and professionals is recognizing the existence of abuse and disrespect by professionals toward women during childbirth. The promotion of breastfeeding is a priority objective, and few studies address the relationship between this mistreatment during birth and its impact on breastfeeding rates. Our objective was to evaluate the relationship between abusive treatment and the disrespect that women receive from professionals during childbirth with the early initiation and maintenance of breastfeeding on hospital discharge.
A cross-sectional observational study conducted in Spain with women who had become mothers in 2022. The data were obtained through an online questionnaire distributed via women's associations in which breastfeeding rates in the first hour of life and upon hospital discharge were included as dependent variables, and sociodemographic, obstetric, breastfeeding variables, and abuse and lack of respect during childbirth were included as independent variables. Crude Odds Ratio (OR) and adjusted (aOR) were calculated with their respective 95% CI.
2048 women participated. The perception of abuse and disrespect, expressed as higher scores on the CARE-MQ scale, showed a lower probability of breastfeeding in the first hour of life by 0.69 to 0.43 (percentile 50-74 aOR:0.69; 95% CI:0.49, 0.97; p74-89 aOR:0.59; 95% CI:0.39, 0.87; p > 90 aOR:0.43; 95% CI:0.32, 0.76). Attending more than 5 prenatal education sessions, skin-to-skin contact, and previous breastfeeding experience increase the probability of early initiation of breastfeeding and maintaining it when the woman is discharged from the hospital.
Women who perceive more abuse and disrespect from professionals during childbirth are less likely to initiate breastfeeding early; however, this relationship is not observed when assessing breastfeeding at hospital discharge.
女性和专业人士中有一种日益增长的趋势，即认识到分娩期间专业人士对女性存在虐待和不尊重行为。促进母乳喂养是一项优先目标，很少有研究探讨分娩期间这种虐待行为与其对母乳喂养率的影响之间的关系。我们的目标是评估分娩期间女性受到专业人士的虐待和不尊重与出院时母乳喂养的早期开始和维持之间的关系。
在西班牙对2022年成为母亲的女性进行了一项横断面观察性研究。数据通过经由妇女协会分发的在线问卷获得，其中将出生后第一小时和出院时的母乳喂养率作为因变量，将社会人口统计学、产科、母乳喂养变量以及分娩期间的虐待和不尊重作为自变量。计算粗比值比（OR）和调整后比值比（aOR）及其各自的95%置信区间。
2048名女性参与了研究。在CARE-MQ量表上得分较高所体现出的对虐待和不尊重的感知表明，出生后第一小时进行母乳喂养的可能性较低，aOR为0.69至0.43（第50 - 74百分位数aOR：0.69；95%置信区间：0.49，0.97；第74 - 89百分位数aOR：0.59；95%置信区间：0.39，0.87；第90百分位数以上aOR：0.43；95%置信区间：0.32，0.76）。参加超过5次产前教育课程、母婴皮肤接触以及既往母乳喂养经历会增加女性出院时早期开始并维持母乳喂养的可能性。
在分娩期间感受到专业人士更多虐待和不尊重的女性早期开始母乳喂养的可能性较小；然而，在评估出院时的母乳喂养情况时未观察到这种关系。
