健康宣教对城市地区产妇院内母乳喂养的影响

Influence of health propaganda and education on in-hospital breastfeeding in urban areas

目的了解我国城市地区产妇接受母乳喂养健康宣教情况，分析健康教育对院内母乳喂养的影响。方法以全国17个省32所省、市级妇幼保健院分娩的1288名产妇为研究对象，采用自填式问卷了解产妇在孕产期接受母乳喂养知识的健康宣教情况。通过（，检验比较母乳喂养组和混A／人工喂养组产妇接受健康教育情况差异，采用Logistic回归控制社会人口学特征等影响，分析医院健康宣教与早期母乳喂养行为的相关性。结果入院前接受过医院母乳喂养宣传者占78．9％，98．5％的产妇在入院后接受了本院母乳喂养宣教。排除年龄、文化程度、家庭收入及接受宣教意愿的影响，入院前接受医院宣教者更容易采取母乳喂养行为，OR=1．55（95％CI：1．04～2．32）。入院后随母乳喂养宣教次数增加，产妇进行母乳喂养的可能性增加（OR=1．36，95％CI：1．15～1．61）。结论积极开展从孕期到产后的母乳喂养健康宣教，增加产后宣教次数，将有利于产妇母乳喂养的成功。

Objective To understand the health propaganda and education on breastfeeding to mothers in urban areas and explore the influence of it on in-hospital breastfeeding. Methods One thousand two hundred and eighty-eight parturients were collected from 32 provincial and municipal maternal and children health care hospitals （MCH） of 17 provinces. Self-administered questionnaires were filled to understand the health propaganda and education on breasffeeding received by parturients during pregnant and puerperal period. Chisquare analysis was made to compare the health propaganda and education received by breasffeeding group and mixed/artificial feeding group, and Logistic regression method was used to control the influence of socio-demographic characteristics so as to analyze the association between health propaganda and education and early breast feeding behavior. Results There were 78.9% paturients accepting propaganda on breastfeeding before hospitalization, and 98.5% received in-hospital propaganda and education. Regardless of the influence of age, education degree, family income and willingness to receiving propaganda, paturients who received pre-hospital propaganda were more likely to take breasffeeding behavior （ OR = 1. 55,95% CI： 1.04-2. 32 ）. With the increasing of in-hospital breastfeeding propaganda and education, the possibility of breastfeeding increased （ OR = 1.36,95% CI： 1. 15-1.61 ）. Conclusion Active health propaganda and education on breasffeeding during pregnant and puerperal period and increasing education after delivery will be helpful to the success of breastfeeding.