Sable M R, Patton C B
School of Social Work, University of Missouri-Columbia 65211, USA.
J Hum Lact. 1998 Mar;14(1):35-40. doi: 10.1177/089033449801400113.
This study uses data from the NICHD/MMIHS to examine the relationship among maternal characteristics and (a) whether mothers were asked by their prenatal providers to consider breastfeeding and (b) mothers' prenatal plans on how to feed their infants. Only 37% of the study population reported that their providers advised them to consider breastfeeding. Proportions of women who received prenatal advice to breastfeed and who intended to breastfeed were higher among married, Caucasian non-Hispanic, primiparous mothers, and women who were not enrolled in WIC. Women who received advice to breastfeed had significantly higher rates of planning to breastfeed (61.1%) than women who did not receive this advice (34.7%; p < 0.005). Efforts to meet the DHHS Healthy People 2000 objective for 75% of women to breastfeed in the early postpartum period will require a concentrated effort by prenatal providers to help women overcome their resistance to breastfeeding by offering support and encouragement.
本研究使用来自国家儿童健康与人类发展研究所/产妇和婴儿健康调查（NICHD/MMIHS）的数据，来检验母亲的特征与以下两方面的关系：（a）母亲是否被产前护理人员要求考虑母乳喂养，以及（b）母亲关于如何喂养婴儿的产前计划。研究人群中只有37%报告称其护理人员建议他们考虑母乳喂养。在已婚、非西班牙裔白人初产妇以及未参加妇女、婴儿与儿童营养补充计划（WIC）的女性中，接受产前母乳喂养建议且打算母乳喂养的女性比例更高。接受母乳喂养建议的女性计划母乳喂养的比例（61.1%）显著高于未接受该建议的女性（34.7%；p<0.005）。要实现美国卫生与公众服务部（DHHS）“健康人民2000”计划中关于75%的女性在产后早期进行母乳喂养的目标，产前护理人员需要集中精力，通过提供支持和鼓励来帮助女性克服对母乳喂养的抵触情绪。
