上海某区产后母乳喂养启动情况及相关因素分析  

Breastfeeding initiation and related factors in postpartum mothers in a district of Shanghai

作　　者：黄迎 卜方 王洁[1] 方文莉 HUANG Ying;BU Fang;WANG Jie;FANG Wenli(Changning Maternity and Infant Health Hospital,Infant Health Hospital Affiliated to East China Normal University,Shanghai 200050,China)

机构地区：[1]上海市长宁区妇幼保健院,华东师范大学附属妇幼保健院,上海200050

出　　处：《上海预防医学》2022年第8期787-794,共8页Shanghai Journal of Preventive Medicine

基　　金：上海市医学重点专科项目(ZK2019B02);上海市长宁区卫生健康系统科研人才专项资金项目。

摘　　要：【目的】了解产后母乳喂养启动情况,并对可能造成影响的相关因素进行分析。【方法】对790名0~23月龄婴幼儿的母亲进行问卷调查。【结果】早期母乳喂养启动率(婴儿出生后1 h之内吸吮母乳的比例)为67.7%。出生后吃的第一口食物是母乳的比例为78.4%。出生后1 h内第一口食物为母乳的比例为62.8%。Logistic回归分析出生后1 h内第一口食物是否为母乳的影响因素,结果显示顺产分娩、妊娠期间参加过母乳喂养课程、相信母乳喂养有益于或可能有益于孩子智力发展、计划喂养方式为母乳喂养、分娩住院时长为1~3 d的孕产妇,更倾向于产后1 h内开始第一口母乳喂养。【结论】出生后1 h内第一口食物为母乳的比例仍需提升。应关注孕期母乳喂养教育,帮助母亲做出正确的喂养决定;倡导自然分娩,顺利对接启动早期母乳喂养。[Objective]To understand the initiation of breastfeeding,and to analyze the related factors in postpartum mothers.[Methods]A questionnaire survey was conducted among 790 mothers whose children aged 0-23 months.[Results]The early initiation breastfeeding rate(the proportion of breastfeeding within 1 hour after birth)was 67.7%.The proportion of feeding breast milk as the first food after birth was78.4%.62.8%children were first breastfed within 1 hour after birth.Logistic regression analysis showed that mothers were more likely to initiate breastfeeding within 1 hour after delivery,if they delivered naturally,attended breastfeeding courses during pregnancy,believed that breastfeeding is or might be beneficial to the intellectual development of their children,intended to breastfeed their children,and were hospitalized for 1-3 days.[Conclusion]The proportion of feeding breast milk as the first food within 1 hour after birth needs to increase.Attentions should be paid to breastfeeding education during pregnancy to help mothers make correct feeding decisions,and to the advocacy for natural delivery to start a smooth initiation of breastfeeding.

关 键 词：母乳喂养 早期母乳喂养启动 第一口奶 影响因素 

分 类 号：R[医药卫生]