妇女对母乳养的满意度和独家母乳养中断的风险
Agnes Meire Branco Leria Bizon1, Camila Giugliani2,3, Elsa Regina Justo Giugliani1,3
1Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90035-003, RS, Brazil.
产后一个月母亲对母乳养的满意度显著影响了纯母乳养 (EBF) 持续时间. 较低的满意度增加了EBF在六个月前中断的风险.
科学领域:
- 孕产妇和儿童的健康
- 哺乳期科学 哺乳期科学
- 公共卫生 公共卫生
背景情况:
- 专用母乳养 (EBF) 建议用于婴儿健康,直到六个月.
- 母亲的满意度是影响母乳养延续的潜在因素.
- 了解早期产后因素对于支持持续的EBF至关重要.
研究的目的:
- 评估产后一个月母亲对母乳养的满意度与六个月前EBF中断风险之间的关联.
- 为了确定早期母亲的满意度是否预测了母乳养的结果.
主要方法:
- 对287个母婴双进行前性队列研究.
- 产后一个月使用母乳养评估量表 (MBFES) 评估母亲的满意度.
- 考克斯的比例危险模型和卡普兰-梅尔曲线用于分析EBF中断风险.
主要成果:
- 较低的母亲满意度 (MBFES分数<124) 与明显更高的EBF中断风险相关 (调整后的危险比率为1.86).
- 与更满意的母亲 (120天) 相比,不太满意的母亲 (26天) 的EBF平均持续时间要短得多.
- 每增加一分的MBFES得分,EBF中断风险都会降低2.0%,每增加一分的MBFES得分,EBF中断风险会降低2.0%.
结论:
- 产后第一个月母乳养对母亲的满意度是EBF持续时间的关键预测指标.
- 加强早期母亲满意度的干预措施可能会改善母乳养延续率.
- 支持母亲早期的母乳养经验对于实现EBF目标至关重要.
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