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[临床及出院后的母乳喂养]

[Breast-feeding in the clinic and following discharge].

作者信息

Garbe U, Martin K

出版信息

Fortschr Med. 1983 Dec 8;101(46):2133-6.

PMID:6662464
Abstract

In 1980 we asked 491 women in childbed about their breast-feeding behaviour in the hospital and later at home. For 11,3 weeks on an average a woman supported her baby by breast-feeding, the total breast-feeding-time on an average was 20,02 weeks. The immediate breast-feeding after the delivery seems not to have such an important influence as the general breast-feeding situation in the hospital, which is influenced by the rooming-in-system and the free-demand-feeding. The parity had no influence on the intensity of breast-feeding, but women over 30 supported their children much longer by breast-feeding than younger ones. Also we found out, that women with a better school education and a higher qualified profession nursed their babies longer than other ones with a less qualified education. The way of delivery had no influence on the breast-feeding behaviour. In our region, female babies were nursed longer than male ones. We could clearly find out, that the partner influenced the breast-feeding behaviour of the young mother. The main reason for the delactation was the hypogalactia, it influenced the total breast-feeding time negatively, naturally. Those women, who were advised by their gynecologists appear to nurse a shorter time and to complain more frequently about complications. Multiparas with breast-feeding complications consulted the doctor more often than primiparas. As we think, that young mothers are fixing their breast- feeding intention already during their pregnancy, we present a model of the integration of the La Leche League in our hospital week day and also in our delivery preparation courses.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

1980年,我们询问了491名产后妇女在医院及之后在家中的母乳喂养情况。平均而言,一名妇女通过母乳喂养支持婴儿11.3周,母乳喂养总时长平均为20.02周。分娩后立即进行母乳喂养似乎不如医院的总体母乳喂养情况有重要影响,医院的母乳喂养情况受母婴同室制度和按需喂养的影响。胎次对母乳喂养强度没有影响,但30岁以上的妇女通过母乳喂养支持孩子的时间比年轻妇女长得多。我们还发现,受过良好学校教育和从事较高职业的妇女比受教育程度较低的其他妇女母乳喂养婴儿的时间更长。分娩方式对母乳喂养行为没有影响。在我们地区,女婴母乳喂养的时间比男婴长。我们可以清楚地发现,伴侣会影响年轻母亲的母乳喂养行为。断奶的主要原因是乳汁分泌不足,这自然会对母乳喂养总时长产生负面影响。那些听从妇科医生建议的妇女似乎母乳喂养时间较短,且更频繁地抱怨出现并发症。有母乳喂养并发症的经产妇比初产妇更常咨询医生。我们认为年轻母亲在孕期就已确定母乳喂养意向,因此我们展示了在我院工作日以及分娩准备课程中融入国际母乳会的模式。(摘要截选至250字)

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