产科服务质量与产妇出院时母乳喂养率的关系  

Study on Relationship between Quality of Obstetrical Service and Breastfeeding Rate at Discharging Hospital

作　　者：王临虹[1] 郭素芳[1] 张文坤[1] 赵卫红[1] 吴久玲[1] 

机构地区：[1]北京大学第一医院妇产科妇儿保健中心,100034

出　　处：《中华围产医学杂志》2002年第4期256-260,共5页Chinese Journal of Perinatal Medicine

基　　金：本课题为世界卫生组织;联合国儿童基金会和卫生部合作课题

摘　　要：目的　了解产妇出院时母乳喂养情况及分析产科服务质量对产妇出院时母乳喂养率的影响 ,以提高产科质量 ,促进母乳喂养。　方法　于 2 0 0 0年 8月～ 10月用分层整群抽样的方法对北京、长春、呼和浩特、洛阳、西安、昆明及厦门七个城市进行横断面调查 ,对 112 3例 6～ 12个月婴儿的母亲进行接受产科服务情况、母乳喂养状况、母乳喂养知识和行为的问卷调查 ,使用 SPSS 10 .0软件进行计算机统计分析。　结果　出院时纯母乳喂养率平均为 5 2 % ,全母乳喂养率为 73% ;影响出院时母乳喂养率的因素有 :母亲的年龄、医疗费支付类型、剖宫产、孩子出生有无疾病、按需哺乳、住院期间见过奶瓶、住院时喂过奶粉和糖水、医务人员给母亲提供奶粉商电话、母亲掌握的母乳喂养知识等因素。　结论　产后出院时母乳喂养率较低 ,并与产科服务质量有一定关系 ,因此应加强产科服务质量 ,加强母乳喂养的健康教育 ,提高母乳喂养率。Objective To investigate the status of breastfeeding rate at discharging hospital and analyze influence of obstetrical service quality on breastfeeding rate, in order to improve the quality of obstetrical service and increase the breastfeeding rate. Methods A total number of 1 123 mothers who have 6~12 months babies were investigated through questionnaire including obstetrical service accepted, situation of breastfeeding rate at discharging hospital, mother's breastfeeding knowledge and behaviors with across-sectional method from August to October in 2000. Seven cities were chosen as the research site including Beijing, Changchun, Huhehaote, Xi'an, Luoyang, Kunming and Xiamen. The data were analyzed with SPSS/PC 10.0 statistical software. Results The exclusive breastfeeding rate was 52%, the full breastfeeding rate was 73% at discharging hospital. The influencing factors of breastfeeding rate at discharging hospital include mother's age, medical expenditure type, caesarean section, breastfeeding on demand, neonatal status, having milk bottle, feeding milk-powder and sweeten water in obstetrical wards, mother's breastfeeding knowledge and behavior, et al. Conclusions Breastfeeding rate at discharging hospital was low and it was related with quality of obstetrical service. So it is important to improve the quality of obstetrical service and health education on breastfeeding, in order to enhance the breastfeeding rate.

关 键 词：母乳喂养 母婴护理 健康教育 

分 类 号：R714.7[医药卫生—妇产科学]