与母乳养在母亲恢复工作后的第一个月中放弃母乳养相关的因素
Monique Schorn1, Michele Saraiva Mendes1, Elsa R J Giugliani1
1Departamento de Pediatria, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul. R. Ramiro Barcelos 2400, Santa Cecília. 90035-003 Porto Alegre RS Brasil. mo_schorn@yahoo.com.br.
Ciencia & saude coletiva
|September 6, 2023
概括
返回工作可以中断母乳养. 像使用乳头和缺乏护理人员支持这样的因素显著增加了早期放弃母乳养的情况,而更长的独家母乳养时间提供了保护.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 哺乳期研究 哺乳期研究
背景情况:
- 对于母乳养的母亲来说,恢复工作是一个关键时期,通常会导致中断.
- 了解与早期放弃母乳养工作回归后早期放弃母乳养相关的因素对于干预措施的开发至关重要.
研究的目的:
- 为了确定与哺乳母亲返回工作后的第一个月内放弃母乳养相关的因素.
- 分析社会人口统计学,怀孕,分娩,母乳养和与工作有关的因素对继续母乳养的影响.
主要方法:
- 对252名在医院工作的母亲和12-36个月的孩子进行了问卷调查,这些母亲在返回工作时正在哺乳.
- 使用分层Poisson多变量回归模型来计算放弃母乳养的调整流行率 (aPR).
主要成果:
- 与放弃母乳养相关的重要因素包括使用乳头 (aPR 4.58),与伴侣以外的人一起生活 (aPR 3.77),以及对母乳养的最初怀疑 (aPR 3.39).
- 母亲的大学教育 (aPR 2.66),缺乏照顾者支持 (aPR 2.26),以及在返回工作时更大的婴儿年龄 (每月aPR 1.16) 也与放弃有关.
- 长时间的纯母乳养表明有保护作用 (aPR 0.990).
结论:
- 工作回归后放弃母乳养受到各种因素的影响,许多因素与工作环境本身无关.
- 干预措施应针对乳头使用,社会支持系统,孕产妇意图和护理人员支持,以促进继续母乳养.
- 支持母亲的意图和提供足够的护理人员支持是克服工作回归后早期停止母乳养的关键.
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