母乳喂养实践、人口统计学变量及其与儿童发病率的关系。

Advances in Preventive Medicine Pub Date : 2015-01-01 Epub Date: 2015-08-10 DOI:10.1155/2015/892825
Dipen V Patel, Satvik C Bansal, Archana S Nimbalkar, Ajay G Phatak, Somashekhar M Nimbalkar, Rajendra G Desai
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引用次数: 59

摘要

适当的喂养做法是降低五岁以下儿童发病率和死亡率的关键因素。采用横断面问卷法对781名5岁以下儿童的母亲进行调查。超过一半(57.5%)的母亲在出生后一小时内开始喂养,55.9%的母亲在6个月内完全母乳喂养,89.1%的母亲在两岁前停止母乳喂养,18.2%的母亲用奶瓶喂养婴儿,15.6%的母亲在前6个月母乳喂养出现问题。在出生后一小时内尽早开始母乳喂养,可促进纯母乳喂养和更长时间的母乳喂养。纯母乳喂养增加了喂养频率。多变量logistic回归显示,在出生一小时后开始母乳喂养(p = 0.035)、6个月不提供纯母乳喂养(p < 0.0001)、失业母亲(p = 0.035)、有两个或两个以上孩子(p = 0.001)以及由母亲以外的人提供补充饲料(p = 0.007)增加了住院率。出生一小时后开始母乳喂养(p = 0.045)、严重营养不良(p = 0.018)以及母乳喂养不足两年(p = 0.026)会增加腹泻的发生率。母乳喂养做法并非最佳做法,需要加强改善这些做法的干预措施。
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Breastfeeding Practices, Demographic Variables, and Their Association with Morbidities in Children.

Appropriate feeding practices are the key contributor to reducing morbidities and mortalities in under-five children. A cross-sectional questionnaire based survey of mothers of children aged less than 5years was conducted in 781 mothers. More than half of mothers (57.5%) started feeding within an hour of birth, 55.9% gave exclusive breastfeeding for six months, 89.1% of the mothers stopped breastfeeding before two years of age, 18.2% of the mothers bottle-fed the babies, and 15.6% had problems during breastfeeding in first 6 months. Early initiation of breastfeeding within one hour of birth promoted exclusive breastfeeding, and breastfeeding for longer duration. Exclusive breastfeeding increased frequency of feeds. Multivariable logistic regression showed that initiation of breastfeeding after an hour of birth (p = 0.035), not providing exclusive breastfeeding for 6 months (p < 0.0001), unemployed mothers (p = 0.035), having two or more kids (p = 0.001), and complementary feeds given by person other than mother (p = 0.007) increased hospitalization. Starting breastfeeding after an hour of birth (p = 0.045), severe malnutrition (p = 0.018), and breastfeeding for < two years (p = 0.026) increased rates of diarrhea. Breastfeeding practices were not optimum and interventions to improve these practices need to be strengthened.

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