Jeevithan Shanmugam, Mohan Kumar, Naveen P. Jayaraj, Palanivel Rajan
{"title":"孕产妇怀孕、分娩和母乳喂养的经历:一项基于社区的横断面分析研究","authors":"Jeevithan Shanmugam, Mohan Kumar, Naveen P. Jayaraj, Palanivel Rajan","doi":"10.4103/ijcm.ijcm_636_22","DOIUrl":null,"url":null,"abstract":"\n \n Evidence on variation in the information provided to mothers during antenatal and postnatal periods, its influence on breastfeeding awareness, and practice in urban and rural settings of India is scarce. The aim of the study was to assess the variation in mothers experience during pregnancy, delivery, and maternity period across settings and its influence on breastfeeding practices in the first six months of infants’ life.\n \n \n \n A community-based analytical cross-sectional study was carried out in urban and rural settings of Coimbatore, Tamil Nadu, among 800 mothers who had delivered between one year and six months before the date of the survey using simple random sampling.\n \n \n \n The proportion of mothers with less than four antenatal visits were significantly higher in urban areas (urban vs rural, 11.4% vs 6.2%). The mean scores for positive experiences during pregnancy (MD −0.99, 95% CI −1.31 to −0.69), experiences during birth and maternity period (MD −0.59, 95% CI −0.83 to −0.35) were significantly lower in the urban areas compared to rural areas. The prevalence of exclusive breastfeeding was 75.8% and 85.0% in urban and rural areas, respectively. Mothers not satisfied with experiences during delivery and maternity period (OR 1.69, 95% CI 1.18 to 2.42) and from urban areas (OR 1.81, 95% CI 1.27 to 2.59) were at significantly increased risk of nonexclusive breastfeeding.\n \n \n \n The present study showed that mothers from urban areas were not provided with appropriate, adequate, and timely information by the healthcare providers. It is the need of the hour to train and motivate healthcare providers regarding maternal awareness of antenatal, intranatal, and postnatal care practices including breastfeeding and infant care.\n","PeriodicalId":45040,"journal":{"name":"Indian Journal of Community Medicine","volume":null,"pages":null},"PeriodicalIF":0.9000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Maternal Experiences during Pregnancy, Delivery, and Breastfeeding Practices: A Community-based Analytical Cross-sectional Study\",\"authors\":\"Jeevithan Shanmugam, Mohan Kumar, Naveen P. Jayaraj, Palanivel Rajan\",\"doi\":\"10.4103/ijcm.ijcm_636_22\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"\\n \\n Evidence on variation in the information provided to mothers during antenatal and postnatal periods, its influence on breastfeeding awareness, and practice in urban and rural settings of India is scarce. The aim of the study was to assess the variation in mothers experience during pregnancy, delivery, and maternity period across settings and its influence on breastfeeding practices in the first six months of infants’ life.\\n \\n \\n \\n A community-based analytical cross-sectional study was carried out in urban and rural settings of Coimbatore, Tamil Nadu, among 800 mothers who had delivered between one year and six months before the date of the survey using simple random sampling.\\n \\n \\n \\n The proportion of mothers with less than four antenatal visits were significantly higher in urban areas (urban vs rural, 11.4% vs 6.2%). The mean scores for positive experiences during pregnancy (MD −0.99, 95% CI −1.31 to −0.69), experiences during birth and maternity period (MD −0.59, 95% CI −0.83 to −0.35) were significantly lower in the urban areas compared to rural areas. The prevalence of exclusive breastfeeding was 75.8% and 85.0% in urban and rural areas, respectively. Mothers not satisfied with experiences during delivery and maternity period (OR 1.69, 95% CI 1.18 to 2.42) and from urban areas (OR 1.81, 95% CI 1.27 to 2.59) were at significantly increased risk of nonexclusive breastfeeding.\\n \\n \\n \\n The present study showed that mothers from urban areas were not provided with appropriate, adequate, and timely information by the healthcare providers. It is the need of the hour to train and motivate healthcare providers regarding maternal awareness of antenatal, intranatal, and postnatal care practices including breastfeeding and infant care.\\n\",\"PeriodicalId\":45040,\"journal\":{\"name\":\"Indian Journal of Community Medicine\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2024-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Community Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/ijcm.ijcm_636_22\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Community Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/ijcm.ijcm_636_22","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
在印度的城市和农村地区,产前和产后为母亲提供的信息差异及其对母乳喂养意识和实践的影响方面的证据很少。本研究旨在评估不同环境下母亲在怀孕、分娩和产期经历的差异及其对婴儿出生后头六个月母乳喂养做法的影响。 在泰米尔纳德邦哥印拜陀的城市和农村地区,采用简单随机抽样的方法,对调查日期前一年至六个月期间分娩的 800 名母亲进行了一项基于社区的横断面分析研究。 产前检查少于四次的母亲比例在城市地区明显较高(城市对农村,11.4% 对 6.2%)。与农村地区相比,城市地区在孕期积极体验(MD -0.99,95% CI -1.31 至 -0.69)、分娩和产期体验(MD -0.59,95% CI -0.83至 -0.35)方面的平均得分明显较低。城市和农村地区纯母乳喂养率分别为 75.8%和 85.0%。对分娩和产期经历不满意(OR 1.69,95% CI 1.18 至 2.42)和来自城市地区(OR 1.81,95% CI 1.27 至 2.59)的母亲非纯母乳喂养的风险明显增加。 本研究表明,医疗保健提供者没有为来自城市地区的母亲提供适当、充分和及时的信息。当务之急是对医疗保健提供者进行培训,提高他们对产前、产中和产后护理措施(包括母乳喂养和婴儿护理)的认识。
Maternal Experiences during Pregnancy, Delivery, and Breastfeeding Practices: A Community-based Analytical Cross-sectional Study
Evidence on variation in the information provided to mothers during antenatal and postnatal periods, its influence on breastfeeding awareness, and practice in urban and rural settings of India is scarce. The aim of the study was to assess the variation in mothers experience during pregnancy, delivery, and maternity period across settings and its influence on breastfeeding practices in the first six months of infants’ life.
A community-based analytical cross-sectional study was carried out in urban and rural settings of Coimbatore, Tamil Nadu, among 800 mothers who had delivered between one year and six months before the date of the survey using simple random sampling.
The proportion of mothers with less than four antenatal visits were significantly higher in urban areas (urban vs rural, 11.4% vs 6.2%). The mean scores for positive experiences during pregnancy (MD −0.99, 95% CI −1.31 to −0.69), experiences during birth and maternity period (MD −0.59, 95% CI −0.83 to −0.35) were significantly lower in the urban areas compared to rural areas. The prevalence of exclusive breastfeeding was 75.8% and 85.0% in urban and rural areas, respectively. Mothers not satisfied with experiences during delivery and maternity period (OR 1.69, 95% CI 1.18 to 2.42) and from urban areas (OR 1.81, 95% CI 1.27 to 2.59) were at significantly increased risk of nonexclusive breastfeeding.
The present study showed that mothers from urban areas were not provided with appropriate, adequate, and timely information by the healthcare providers. It is the need of the hour to train and motivate healthcare providers regarding maternal awareness of antenatal, intranatal, and postnatal care practices including breastfeeding and infant care.
期刊介绍:
The Indian Journal of Community Medicine (IJCM, ISSN 0970-0218), is the official organ & the only official journal of the Indian Association of Preventive and Social Medicine (IAPSM). It is a peer-reviewed journal which is published Quarterly. The journal publishes original research articles, focusing on family health care, epidemiology, biostatistics, public health administration, health care delivery, national health problems, medical anthropology and social medicine, invited annotations and comments, invited papers on recent advances, clinical and epidemiological diagnosis and management; editorial correspondence and book reviews.