我们如何支持个人的母乳养经验? 混合方法研究的定量结果
Theresa Philomena Ertlmaier1, Oana Costea1, Anja Borgmann-Staudt1,2
1Department of Pediatric Oncology and Hematology, Charité-Universitätsmedizin Berlin, corporate member of, Freie Universität Berlin and Humboldt Universität Zu Berlin, Augustenburger Platz 1, Berlin, 13353, Germany.
International breastfeeding journal
|May 17, 2025
概括
孕产妇的舒适度显著影响了母乳养的持续时间. 提高母亲的福祉和满意度对于支持更长的纯母乳养 (EBF) 旅程至关重要.
科学领域:
- 孕产妇和儿童的健康
- 公共卫生 公共卫生
- 哺乳期科学 哺乳期科学
背景情况:
- 德国的纯母乳养 (EBF) 率 (2017-2019) 低于推值,只有57%的婴儿在产后4个月完全母乳养.
- 在推和实际的EBF利率之间存在差距,需要进一步调查影响因素.
研究的目的:
- 调查影响初母母乳养时间的因素.
- 确定母亲舒适度和医院特征在实现纯母乳养方面的作用.
主要方法:
- 柏林的前性观察研究 (11/2022-05/2024) 采用混合方法设计.
- 通过出生,分娩后2,6个月和12个月的调查收集的定量数据.
- 分析了母乳养状况,母亲的舒适度和医院数据 (人性化婴儿友好,婴儿友好,未经认证).
主要成果:
- 大多数母亲 (94.7%) 在分娩室开始母乳养;平均EBF持续时间为5.7个月,其中76.6%达到≥4个月.
- 产后2个月的高孕产妇舒适度与EBF持续时间≥4个月 (aOR 7.25) 有意义地相关.
- 预期的EBF持续时间,早期的孕产妇舒适度,在人类学婴儿友好的诊所分娩,以及对医院支持的满意度也增加了EBF的可能性.
结论:
- 孕产妇的舒适度是影响母乳养时间的关键因素.
- 提高孕产妇舒适度的策略应纳入孕产妇护理.
- 进一步的定性研究将探索个体经验,并确定以家长为中心的可持续母乳养策略.
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