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基于妇女、婴儿和儿童营养补充计划(WIC)的干预措施对巴尔的摩非裔美国女性母乳喂养情况的影响:对母乳喂养开始和持续情况的作用

WIC-based interventions to promote breastfeeding among African-American Women in Baltimore: effects on breastfeeding initiation and continuation.

作者信息

Caulfield L E, Gross S M, Bentley M E, Bronner Y, Kessler L, Jensen J, Weathers B, Paige D M

机构信息

Center for Human Nutrition, Johns Hopkins University (JHU), Baltimore, MD, USA.

出版信息

J Hum Lact. 1998 Mar;14(1):15-22. doi: 10.1177/089033449801400110.

DOI:10.1177/089033449801400110
PMID:9543954
Abstract

We evaluated the single and combined effects of introducing a motivational video and peer counseling into four matched WIC clinics on breastfeeding initiation and continuation at 7-10 days among African-American WIC participants. Of the 242 women with complete data, 48% initiated breastfeeding, but only 31% were still breastfeeding at 7-10 days. Initiation was associated with cesarean delivery, infant feeding instruction, no artificial milk discharge pack, attending the peer counselor only-intervention site, and intention to breastfeed. Continuation was influenced by infant feeding instruction, no artificial milk discharge pack, and intention to breastfeed. Overall, trends toward a positive impact of the breastfeeding promotion activities were evident but weak, and largely gone by 7-10 days postpartum.

摘要

我们评估了在四家匹配的妇女、婴儿与儿童营养补充计划(WIC)诊所引入激励视频和同伴咨询对非裔美国WIC参与者在产后7至10天开始母乳喂养及持续母乳喂养的单一和综合影响。在242名有完整数据的女性中,48%开始了母乳喂养,但只有31%在7至10天时仍在进行母乳喂养。开始母乳喂养与剖宫产、婴儿喂养指导、没有人工喂养出院包、在仅接受同伴咨询干预的站点就诊以及母乳喂养意愿有关。持续母乳喂养受到婴儿喂养指导、没有人工喂养出院包和母乳喂养意愿的影响。总体而言,母乳喂养促进活动产生积极影响的趋势明显但微弱,并且在产后7至10天时基本消失。

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