Valdés V, Pérez A, Labbok M, Pugin E, Zambrano I, Catalan S
Department of Obstetrics and Gynecology, School of Medicine, Pontificia Universidad Católica de Chile.
J Trop Pediatr. 1993 Jun;39(3):142-51. doi: 10.1093/tropej/39.3.142.
Hospital interventions in support of breastfeeding have been highly successful in areas where the indigenous population has a well established environment of breastfeeding. However, programmes designed to improve breastfeeding patterns in urban populations have met with mixed success. This paper presents a prospective intervention study with a control group in which a health system-based breastfeeding promotion programme was initiated to support optimal breastfeeding for both child health and child spacing. Following collection of control data, a four-step intervention programme (Breastfeeding Promotion Program) was instituted. This paper reports the process of the development of the intervention programme as well as the comparison of the control and study populations. Major findings include significant increases in duration of full breastfeeding from 31.6 per cent at 6 months in the control group to 66.8 per cent in the intervention group. The duration of lactational amenorrhea was similarly increased: 22 per cent of the control mothers and 56 per cent of the intervention group women were in amenorrhoea at 180 days. The cost-effectiveness of the hospital changes is illustrated.
在土著人口有着成熟母乳喂养环境的地区，医院支持母乳喂养的干预措施非常成功。然而，旨在改善城市人口母乳喂养模式的项目成效不一。本文介绍了一项有对照组的前瞻性干预研究，其中启动了一项基于卫生系统的母乳喂养促进项目，以支持实现有利于儿童健康和生育间隔的最佳母乳喂养。在收集对照数据后，制定了一个四步干预项目（母乳喂养促进项目）。本文报告了干预项目的制定过程以及对照人群和研究人群的比较情况。主要研究结果包括，纯母乳喂养持续时间显著增加，对照组6个月时为31.6%，干预组为66.8%。哺乳期闭经的持续时间也有类似增加：对照组22%的母亲和干预组56%的女性在180天时处于闭经状态。文中还说明了医院变革的成本效益。
