Breastfeeding promotion and support: a quality improvement study.

IF 1.1 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Annali dell'Istituto superiore di sanita Pub Date : 2021-04-01 DOI:10.4415/ANN_21_02_08

Daniela Menichini, Francesca Zambri, Laura Govoni, Alba Ricchi, Ramona Infante, Elisabetta Palmieri, Maria Cristina Galli, Maria Teresa Molinazzi, Marisa Patrizia Messina, Angela Putignano, Federico Banchelli, Sofia Colaceci, Isabella Neri, Angela Giusti

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引用次数: 5

Abstract

Background: Breastfeeding success is determined by early skin to skin contact, early initiation of breastfeeding, rooming-in, baby-led breastfeeding, creation of a favorable environment, specific training of health professionals, and continuity of care.

Objective: To investigate the women's satisfaction regarding the care and support received in the first days after childbirth.

Material and methods: A questionnaire of 24 items was administered to mothers before discharge, from May to September 2019 at the University Hospital of Modena.

Results: The predictive variables of exclusive breastfeeding were the delivery mode, age at birth and parity. The multivariate analysis showed that a high satisfaction score was associated with vaginal birth (OR=2.63, p=0.005), rooming-in during the hospitalization (OR=8.64, p<0.001), the skin to skin contact (OR=6.61, p=0.001) and the first latch-on within 1 hour after birth (OR=3.00, p=0.02).

Conclusions: Mothers' satisfaction is one of the important factors of positive experience during hospital stay and of better health outcomes.

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母乳喂养促进和支持:一项质量改进研究。

背景:母乳喂养的成功取决于早期皮肤接触、早期开始母乳喂养、同住、婴儿主导的母乳喂养、创造有利的环境、对卫生专业人员的专门培训以及护理的连续性。目的:了解产妇对产后早期护理支持的满意度。材料与方法:于2019年5月至9月在摩德纳大学医院对产妇进行出院前问卷调查，问卷共24项。结果:纯母乳喂养的预测变量为分娩方式、出生年龄和胎次。多因素分析显示，产妇满意度得分高与顺产(OR=2.63, p=0.005)、住院期间合住(OR=8.64, p)相关。结论:产妇满意度是产妇住院期间积极体验和健康结局的重要因素之一。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annali dell'Istituto superiore di sanita PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.80

自引率

4.80%

发文量

审稿时长

>12 weeks

期刊介绍： Annali dell’Istituto Superiore di Sanità is a peer reviewed quarterly science journal which publishes research articles in biomedicine, translational research and in many other disciplines of the health sciences. The journal includes the following material: original articles, reviews, commentaries, editorials, brief and technical notes, book reviews. The publication of Monographic Sections has been discontinued. In case you wish to present a small number of coordinated contributions on specific themes concerning priorities in public health, please contact the Editorial office. The journal is in English.