Dressler Caitlin M, Shreffler Karina M, Wilhelm Ingrid R, Price Jameca R, Gold Karen P
Fran and Earl Ziegler College of Nursing, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73117, USA.
Department of Obstetrics and Gynecology, The University of Oklahoma School of Community Medicine, Tulsa, OK 74135, USA.
Int J Environ Res Public Health. 2025 Aug 9;22(8):1246. doi: 10.3390/ijerph22081246.
Positive childbirth experiences increase breastfeeding in the early postpartum period. Using a diverse, clinic-based sample of predominately low-income women (n = 118) recruited at their first prenatal appointment in 2017-2018 and followed through six months postpartum, binary logistic regression analyses were used to examine the association between maternal satisfaction with perinatal care measured two weeks postpartum and breastfeeding at six months postpartum. Participants reported high satisfaction with perinatal care overall (mean = 25.7; range of 6-30), and 25% of participants reported breastfeeding at six months postpartum. Regression results found that greater satisfaction with perinatal care is associated with higher odds of breastfeeding at six months postpartum (OR = 1.19; < 0.05), controlling for sociodemographic characteristics. These findings that have important implications for providers as they identify a group at risk for shorter breastfeeding duration: those who are less satisfied with their perinatal care. More research is needed to identify methods providers can use to increase satisfaction with care as well as to successfully encourage and assist mothers with breastfeeding despite challenges that might arise during pregnancy or childbirth that are associated with low satisfaction.
积极的分娩体验会增加产后早期的母乳喂养率。本研究以2017 - 2018年首次产前检查时招募的、以低收入女性为主的多样化临床样本（n = 118）为对象，跟踪至产后六个月，采用二元逻辑回归分析来检验产后两周测量的产妇对围产期护理的满意度与产后六个月母乳喂养之间的关联。参与者对围产期护理总体满意度较高（平均分为25.7；范围为6 - 30），25%的参与者报告在产后六个月进行母乳喂养。回归结果发现，在控制社会人口学特征后，对围产期护理更高的满意度与产后六个月母乳喂养的更高几率相关（OR = 1.19；P < 0.05）。这些发现对医疗服务提供者具有重要意义，因为他们识别出了母乳喂养持续时间较短的风险群体：那些对围产期护理不太满意的人。需要更多研究来确定医疗服务提供者可以采用哪些方法来提高护理满意度，以及如何在尽管孕期或分娩期间可能出现与低满意度相关的挑战的情况下，成功鼓励和协助母亲进行母乳喂养。
