新生儿院内纯母乳喂养情况及其影响因素分析

Status of in-hospital exclusive breastfeeding and its influence factors

【目的】了解我国城市地区新生儿院内纯母乳喂养情况及孕产情况、产后医院护理行为对院内纯母乳喂养的影响。【方法】以全国32所省、市级妇幼保健院的1 288例产妇为研究对象,采用单因素和Logistic回归法分析产妇出院前24h内母乳喂养情况及影响院内纯母乳喂养的可能因素。【结果】出院前产妇的纯母乳喂养率为46.6%。文化程度高、家庭收入高对纯母乳喂养有负性作用;生后半小时早开奶、生后第1天母乳喂养、不添加糖水对纯母乳喂养是正性作用。【结论】积极贯彻爱婴医院的措施,开展有针对性的母乳喂养干预,将有利于促进住院期间母乳喂养成功。

Abstract： [Objective] To find out the status of in-hospital exclusive breastfeeding in urban areas of China,and ex- plore the influence factors to in-hospital exclusive breastfeeding. [Methods] 1 288 data were collected in 32 maternity and children health care hospitals of provincial and municipal levels. The breast{ceding status within 24 hours were recalled. The associations between in-hospital exclusive breastfeeding with socio-demographic variables, pregnant and puerperal factors and hospital related factors were explored by Chi-square analyses and binary Logistic regression analyses. [Results] The rate of in-hospital exclusive breastfeeding was 46.6 %. Logistic regression showed that high education level,high family in- come were negative effects to in-hospital exclusive breastfeeding;sucking breast within 30 minutes after-born, breastfeeding during the first day and without feeding sugar water were positive effects to in-hospital exclusive breastfeeding. [Conclusion] Actively carrying out baby-friendly hospital implementation, promoting breastfeeding of focus person, will promote breastfeeding success.