对分娩的恐惧会影响母乳喂养的成功率,与分娩方式无关。

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Breastfeeding Medicine Pub Date : 2024-10-02 DOI:10.1089/bfm.2024.0024
Maija Vasanen, Anni Kukkonen, Katri Backman, Sari Hantunen, Leea Keski-Nisula
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引用次数: 0

摘要

背景介绍母乳喂养的优点众所周知。本研究旨在仔细研究特定的产妇、产前、产科和新生儿早期因素对母乳喂养成功率的影响。材料和方法我们使用库奥皮奥出生队列研究的数据,分析了 2,521 份在线问卷,这些问卷由产后一年的妇女填写。母乳喂养变量分为成功母乳喂养(纯母乳喂养≥4 个月或配方奶喂养≥6 个月)和不成功母乳喂养(纯母乳喂养结果):在这项研究中,97.8%(样本数 = 2 466)的母亲在产后≥1 周内对新生儿进行了母乳喂养,75.2%(样本数 = 1 896)的母亲对新生儿进行了≥6 个月的母乳喂养。2013年至2020年间,母乳喂养≥6个月的比例从71.3%增至84.7%。15)、产妇肥胖(体重指数大于 35)(aOR 3.27;95% CI:2.15-4.99)、对分娩的恐惧(aOR 2.80;95% CI:1.89-4.13)以及分娩时间为 2013-2014 年(aOR 2.94;95% CI:2.08-4.14)或 2015-2016 年(aOR 2.62;95% CI:1.85-3.70)。与成功率低有关的其他重要因素包括:产妇年龄较小、非婚姻家庭关系、妊娠前三个月或妊娠前三个月被动吸烟或戒烟、妊娠期高血压疾病、非选择性剖宫产以及出生体重最低或最高四分位数。结论即使控制了分娩方式,母亲对分娩的恐惧仍与母乳喂养成功率低密切相关。
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Fear of Childbirth Impairs Breastfeeding Success Independent of Mode of Birth.

Background: The good qualities of breastfeeding are well known. The aim of this study was to closely examine the impact of specific maternal, prenatal, obstetric, and early neonatal factors on the success of breastfeeding. Materials and Methods: We used data from the Kuopio Birth Cohort study and analyzed 2,521 online questionnaires, which were answered by women 1 year after giving birth. Breastfeeding variables were divided into successful breastfeeding (breastfeeding exclusively with one's own breast milk ≥4 months or breastfeeding with formula ≥6 months) and poor breastfeeding (breastfeeding exclusively with one's own milk <4 months and duration of all breastfeeding <6 months) for univariate and multivariable analyses. Results: In this study, 97.8% (N = 2,466) reported breastfeeding their newborns for ≥1 postnatal week, and 75.2% (N = 1,896) breastfed newborns for ≥6 months. The rate of breastfeeding for ≥6 months increased from 71.3% to 84.7% between 2013 and 2020. In the multivariable analysis, poor breastfeeding success was associated most significantly with smoking during pregnancy (adjusted odds ratio [aOR] 4.64; 95% confidence interval [CI] 2.75-7.81), twin pregnancy (aOR 4.13; 95% CI: 2.10-8.15), maternal obesity (body mass index > 35) (aOR 3.27; 95% CI: 2.15-4.99), fear of childbirth (aOR 2.80; 95% CI: 1.89-4.13), and birth during the period of 2013-2014 (aOR 2.94; 95% CI: 2.08-4.14) or 2015-2016 (aOR 2.62; 95% CI: 1.85-3.70). Other significant factors related to poor success were younger maternal age, nonmarried family relationships, passive or quitting smoking before or in the first trimester, any hypertensive disorder during pregnancy, birth by nonelective cesarean, and lowest or highest quartiles of birth weight. Conclusions: Mother's fear of childbirth is strongly associated with the poor breastfeeding success even after controlling for mode of birth.

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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
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