孕晚期断奶预测量表得分与产前母乳喂养计划及产后实际喂养行为的关系研究  

Study on the Relationship Between the Score of Breastfeeding Attrition Prediction Tool in the Third Trimester of Pregnancy,Antenatal Feeding Plan and Actual Breastfeeding Behaviors

作　　者：李静[1] 周菲菲 高广云 周天纯 王娜[1] LI Jing;ZHOU Feifei;GAO Guangyun;ZHOU Tianchun;WANG Na(Obstetrics and Gynecology Hospital of Fudan University,Shanghai 200090;School of Nursing Fudan University,Shanghai 200032)

机构地区：[1]复旦大学附属妇产科医院,上海200090 [2]复旦大学护理学院,上海200032

出　　处：《上海护理》2023年第2期45-49,共5页Shanghai Nursing

基　　金：复旦大学护理科研基金(FNF201927)。

摘　　要：目的分析、评价孕晚期断奶预测量表(BAPT)得分与产前喂养计划的关系,以及对产妇产后早期停止母乳喂养行为的影响,为相关干预措施的制订和实施提供依据。方法采用前瞻性观察性研究,选取2019年6-10月在上海市某妇产科医院进行产检的370名孕妇作为研究对象,随访至产后6个月。分别于建卡时及孕晚期(妊娠32~36周)对其进行问卷调查,了解其一般资料、BAPT得分[包括消极母乳喂养情绪量表(NBS)、积极母乳喂养情绪量表(PPBS)和母乳喂养控制量表(BFC)3个分量表]、婴儿喂养计划及实际喂养行为等;并在产后7~12个月通过电话随访了解母乳喂养情况;采用多因素logistic回归分析产妇产后6个月停止母乳喂养行为的影响因素。结果最终有328名研究对象纳入数据分析,产后6个月断奶率为23.2%。单因素分析显示,计划母乳喂养的产妇NBS得分最低,PPBS和BFC得分最高;在孕前即确立喂养方式的产妇NBS得分最低、PBS和BFC得分最高;计划喂养13~24个月的产妇NBS得分最低、BFC得分最高,差异均有统计学意义(P<0.05)。多因素分析显示BAPT相关得分与产妇产后6个月断奶行为无关,而丈夫吸烟[OR=2.325,95%CI(1.156,4.678),P=0.018]和婴儿出生时添加配方奶[OR=3.887,95%CI(2.147,7.035),P<0.001]可显著增加产妇产后6个月断奶的风险。结论BAPT得分与婴儿喂养计划相关,但与实际的婴儿喂养行为并不一致,建议适时、持续提供母乳喂养支持以提升产妇的母乳喂养知识和技能,进一步降低产后早期断奶率,促进母婴健康。Objectives To analyze and evaluate the relationship between the score of Breastfeeding Attrition Prediction Tool(BAPT)in the third trimester of pregnancy and the antenatal feeding plan,as well as the impact on the early postpartum breastfeeding cessation,providing a reference for developing and implementing relevant interventions.Methods A total of 370 pregnant women who underwent antenatal care in an obstetrics and gynecology hospital in Shanghai from June to October 2019 were included in a prospective observational study.All of them were followed up to 6 months postpartum.The subjects were investigated with the questionnaire at the time of registration and in the third trimester(Week 32~36 of pregnancy)to understand their general information,BAPT score[include three subscales:Negative Breastfeeding Sentiment(NBS),Positive Breastfeeding Sentiment(PBS)and Breastfeeding Control Scale(BFC)],breastfeeding plan and actual breastfeeding behaviors.Their breastfeeding status was followed up on phone to 7~12 months postpartum,and the influencing factors of breastfeeding cessation at 6 months postpartum were analyzed by multivariate logistic regression.Results A total of 328 subjects were included in the data analysis.The breastfeeding attrition rate at 6 months postpartum was 23.2%.Univariate analysis showed that lying-in women who planned to breastfeed had the lowest score for the NBS,and the highest score for the PBS and BFC;lying-in women who established breastfeeding patterns before pregnancy had the lowest score for NBS and the highest score for PBS and BFC;lying-in women who planned to breastfeed for 13-24 months had the lowest score for NBS and the highest score for BFC,with a significant difference(P<0.05).Multivariate analysis showed that the BAPT score was not associated with breastfeeding attrition at 6 months postpartum,whereas husband smoking[OR=2.325,95%CI(1.156,4.678),P=0.018]and addition of formula milk at birth[OR=3.887,95%CI(2.147,7.035),P<0.01]significantly increased the risk of breastfeeding attrition

关 键 词：孕晚期 母乳喂养 断奶 预测 随访 影响因素 

分 类 号：R473.71[医药卫生—护理学]