妊娠期糖尿病患者产后6个月母乳喂养方式的影响因素分析  

Factors influencing breastfeeding status in gestational diabetes mellitus women in six months postpartum

作　　者：张诗毅 陈伟菊[1] 陈志丽[1] 黎静[1] ZHANG Shiyi;CHENWeiju;CHENZhili;LI Jing(The First Affiliated Hospital, Jinan University, Guangzhou 510632,China)

机构地区：[1]暨南大学附属第一医院,广东广州510632

出　　处：《暨南大学学报（自然科学与医学版）》2018年第3期242-248,共7页Journal of Jinan University(Natural Science & Medicine Edition)

基　　金：广州市科技计划项目(201510010271)

摘　　要：目的:调查分析妊娠期糖尿病(GDM)患者产后6个月母乳喂养方式的影响因素.方法:采用自行设计的问卷,通过电话回访的方式对236例生产6个月以上的GDM产妇进行调查,了解其产后6个月母乳喂养的方式并采用非条件logistic多元回归方法探讨影响其产后母乳喂养方式的因素.结果:GDM患者产后6个月纯母乳喂养率为48.73%.GDM产妇对母乳喂养更有信心(OR=4.545,95%CI 1.897~10.890),不因为睡眠质量影响母乳喂养方式的选择(OR=3.856,95%CI 1.649~9.014),产后6月内没有自觉乳汁分泌不足(OR=20.860,95%CI7.978~54.540),产后6月内社区工作人员有过母乳喂养的随访指导(OR=3.612,95%CI 1.500~8.697),产后6月内注重运动(OR=2.660,95%CI 1.099~6.437)则更易坚持纯母乳喂养.结论:应建立系统的GDM产妇母乳喂养支持体系,加强GDM产妇的个性化的母乳喂养指导干预,提高GDM产妇的母乳喂养率及喂养时间.Objectives： To analyze the influencing factors of breastfeeding status in gestational diabetes mellitus（ GDM） women in 6 months postpartum. Methods： A self-designed questionnaire was used to investigate the breastfeeding status in 236 cases of GDM women who had been discharged from hospital for more than six months after delivery by telephone return visit. The factors influencing postpartum breastfeeding status were discussed using unconditional logistic multiple regression method.Results： In six months postpartum,the exclusive breastfeeding rates in GDM women were 48. 73%. The results of multivariate unconditional logistic regression showed that GDM women were more confident in breastfeeding（ OR = 4. 545,95% CI 1. 897 ～ 10. 890）. The selection of breastfeeding was not be affected by the sleep quality（ OR = 3. 856,95% CI 1. 649 ～ 9. 014）. Within 6 months postpartum,lackof milk secretion was not reported（ OR = 20. 860,95% CI 7. 978 ～ 54. 540）,and the GDM women got the follow-up guidance of breastfeeding from community staff（ OR = 3. 612,95% CI 1. 500 ～ 8. 697）.More attention to exercise（ OR = 2. 660,95% CI 1. 099 ～ 6. 437） is more likely to insist on exclusive breastfeeding. Conclusion：It is necessary to establish a systematic breastfeeding support system for GDM women to strengthen individualized breastfeeding guidance intervention,thus to improve the rate and duration of breastfeeding in GDM women.

关 键 词：妊娠期糖尿病 母乳喂养 产后 影响因素 

分 类 号：R714.256[医药卫生—妇产科学]