Maehr J C, Lizarraga J L, Wingard D L, Felice M E
Department of Family and Preventive Medicine, University of California, San Diego, La Jolla 92093-0607.
J Adolesc Health. 1993 Sep;14(6):453-7. doi: 10.1016/1054-139x(93)90117-8.
The purpose of this study was to compare reasons for choosing to breastfeed, timing of the infant feeding decision, and intended duration of breastfeeding between adolescent and adult mothers. The study population consisted of primiparous teens and adults who were matched by ethnicity, and interviewed within 48 hours postpartum at the University of California, San Diego Medical Center from August to December, 1989. Of the 48 women in each age group, there were 40 Hispanics, 5 non-Hispanic whites, 2 blacks, and 1 Southeast Asian. Results showed that the teens differed from their adult counterparts in that they cited naturalness or convenience less often as a reason for breastfeeding. The adolescent mothers were also less likely than the adults to make the decision to breastfeed before the pregnancy, than during pregnancy or after birth. There was no difference in intended duration of breastfeeding between these two groups: the majority of women planned to breastfeed for less than 26 weeks. Early introduction of infant feeding education may serve to increase the adolescent's knowledge base from which to make the decision to breastfeed. Even though the adolescents intended to breastfeed for as long as the adults, they may benefit from increased exposure to prenatal care and childbirth classes as well as from a supportive school or work environment in order to achieve success in breastfeeding.
本研究的目的是比较青少年母亲和成年母亲选择母乳喂养的原因、婴儿喂养决策的时间以及母乳喂养的预期时长。研究对象包括初产的青少年和成年人，他们按种族匹配，并于1989年8月至12月在加利福尼亚大学圣地亚哥分校医学中心产后48小时内接受访谈。每个年龄组的48名女性中，有40名西班牙裔、5名非西班牙裔白人、2名黑人以及1名东南亚人。结果显示，青少年与成年母亲的不同之处在于，他们较少将自然性或便利性作为母乳喂养的理由。青少年母亲在怀孕前做出母乳喂养决定的可能性也低于成年人，相较于在孕期或产后做出该决定。两组在母乳喂养的预期时长上没有差异：大多数女性计划母乳喂养少于26周。尽早开展婴儿喂养教育可能有助于增加青少年做出母乳喂养决定所需的知识储备。尽管青少年打算和成年人一样长时间进行母乳喂养，但他们可能会从更多地接触产前护理和分娩课程以及支持性的学校或工作环境中受益以成功实现母乳喂养。
