西安市2479名孕晚期孕妇纯母乳喂养意愿及其影响因素研究  

Intention of exclusive breastfeeding among 2 479 pregnant women in the third trimester in Xi'an and its influencing factors

作　　者：赵红 马莉 李蒙[3] 米阳 高若瑄 魏君香 袁展望 Zhao Hong;Ma Li;Li Meng;Mi Yang;Gao Ruoxuan;Wei Junxiang;Yuan Zhanwang(Second Department of Obstetrics,Northwest Women's and Children's Hospital,Xi'an 710061,China;Nursing Department,Northwest Women's and Children's Hospital,Xi'an 710061,China;Department of Endocrinology,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)

机构地区：[1]西北妇女儿童医院产二科,西安710061 [2]西北妇女儿童医院护理部,西安710061 [3]西安交通大学第一附属医院内分泌科,西安710061

出　　处：《中华现代护理杂志》2022年第30期4197-4201,共5页Chinese Journal of Modern Nursing

基　　金：陕西省重点研发计划项目(2018SF-224;2022SF-436)。

摘　　要：目的探讨西安市孕晚期孕妇分娩后6个月内纯母乳喂养意愿及其影响因素。方法采用便利抽样法,选取2019年1—2月在西安市5家医院产科门诊行规律产检的2671名孕晚期孕妇为研究对象进行横断面调查。通过现场调查的方式使用自行设计的孕晚期孕妇纯母乳喂养意愿调查问卷对孕妇进行调查。采用多因素Logistic回归分析孕晚期孕妇纯母乳喂养意愿影响因素。共发放调查问卷2671份,回收有效问卷2479份,有效回收率为92.8%(2479/2671)。结果60.8%(1507/2479)的孕妇计划在产后6个月内进行纯母乳喂养。丈夫(OR=2.950,95%CI:2.097~4.066)和家人(OR=2.171,95%CI:1.571~3.000)支持纯母乳喂养的孕晚期孕妇有更高的纯母乳喂养意愿,参加母乳喂养课程的孕妇纯母乳喂养意愿较高(OR=1.436,95%CI:1.199~1.719)。结论超过一半的孕晚期孕妇产后6个月内计划进行纯母乳喂养,丈夫和家人支持及参加母乳喂养课程使孕妇有更高的纯母乳喂养的意愿。应开展产前母乳喂养课程教育,以提高孕妇和家庭成员对纯母乳喂养的认识,并注重丈夫及家庭成员对纯母乳喂养的支持,以提高分娩后6个月内纯母乳喂养率。Objective To explore the intention of exclusive breastfeeding and its influencing factors within six months after delivery of pregnant women in the third trimester of pregnancy in Xi'an.Methods From January to February 2019,convenience sampling was used to select 2671 pregnant women in the third trimester of pregnancy who underwent regular obstetric examinations in Obstetrics Clinic of five hospitals in Xi'an for a cross-sectional survey.Pregnant women were surveyed by means of a field survey using a self-designed Exclusive Breastfeeding Intention of Pregnant Women in the Third Trimester Questionnaire.Multivariate Logistic regression was used to analyze the influencing factors of the intention of exclusive breastfeeding among pregnant women in the third trimester.A total of 2671 questionnaires were distributed,2479 valid questionnaires were recovered,and the valid recovery rate was 92.8%(2479/2671).Results A total of 60.8%(1507/2479)of pregnant women planned to exclusively breastfeed within 6 months of delivery.Pregnant women in the third trimester of pregnancy whose husbands(OR=2.950,95%CI:2.097-4.066)and family members(OR=2.171,95%CI:1.571-3.000)supported exclusive breastfeeding had high intention to exclusively breastfeed,and those who participated in breastfeeding courses had a high intention to exclusively breastfeed(OR=1.436,95%CI:1.199-1.719).Conclusions More than half of third-trimester women plan to exclusively breastfeed within six months postpartum.Husband and family support and enrolment in breastfeeding classes increase the intention of pregnant women to exclusively breastfeed.Prenatal breastfeeding courses should be carried out to raise the awareness of pregnant women and family members about exclusive breastfeeding,and focus on the support of husbands and family members for exclusive breastfeeding,so as to increase the exclusive breastfeeding rate within six months after delivery.

关 键 词：孕妇 孕晚期 纯母乳喂养 意愿 影响因素 

分 类 号：R473.71[医药卫生—护理学]