初产妇母乳喂养认知能力调查及新生儿喂养影响因素分析

Investigation on cognition ability of primiparous women breast-feeding and analysis of influencing factors of newborn breast-feeding

目的分析初产妇母乳喂养认知能力及其新生儿喂养影响因素。方法对我院2022年1月至2023年1月产科收治的100例初产妇临床资料进行回顾性分析,以科室自制调查问卷评价其母乳喂养认知能力,统计母乳喂养率,同时根据是否进行母乳喂养将其分为母乳喂养组(53例)和未母乳喂养组(47例),采集两组初产妇一般资料,对可能影响其新生儿喂养的相关因素行单因素和多因素logistic回归分析。结果100例初产妇母乳喂养认知能力优20例(20%),良33例(33%),差47例(47%),母乳喂养率为53.00%。母乳喂养组与未母乳喂养组间年龄、文化水平、足月新生儿、孕期并发症、分娩方式、孕前营养状况以及产后抑郁的分布,差异均有统计学意义(P<0.05)。母乳喂养组母乳喂养认知能力评分明显高于未母乳喂养组,差异有统计学意义(t=19.221,P<0.001)。多因素logistic回归分析显示早产、剖宫产、孕期营养状况差、产后抑郁及母乳喂养认知能力评分低是影响初产妇新生儿喂养的独立影响因素。结论初产妇母乳喂养认知能力及母乳喂养率相对较低,临床需要根据其相关干预策略,提升初产妇母乳喂养认知能力,以提高新生儿母乳喂养率。

Objective To analyze the cognitive ability of primiparas breast-feeding and the influencing factors of newborn feeding.Methods A retrospective analysis was conducted on the clinical data of 100 primiparas admitted to the obstetrics department of our hospital from January 2022 to January 2023.The cognitive ability of the primiparas was evaluated by self-made questionnaire in the department,and the breast-feeding rate was calculated.At the same time,the primiparas were divided into group breast-feeding(n=53)and group non-breast-feeding(n=47)according to whether they were breast-feeding.General data of primiparas in the two groups were collected,and univariate and multivariate Logistic regression analysis was performed on the related factors that might affect the feeding of their newborns.Result The constituent ratio of excellent,good and poor cognitive ability of 100 primiparas were 20.00%,33.00%and 47.00%,respectively,and the rate of breastfeeding was 53.00%.The proportion of age、education level、term newborn、complications during pregnancy、vaginal delivery、nutrition before pregnancy and depression after childbirth in group breast-feeding were significantly higher than those in group non-breast-feeding,with statistical significance,the cognitive ability score of breast feeding in group breast-feeding was significantly higher than that in group non-breast-feeding,and the difference was statistically significant(t=19.221,P<0.001).Multivariate Logistic regression analysis showed that preterm birth,cesarean section,poor nutritional status during pregnancy,postpartum depression and low cognitive ability score of breast-feeding were independent risk factors for neonatal feeding in primipara.Conclusion The cognitive ability and breast-feeding rate of primipara are relatively low.Clinical intervention strategies need to be formulated according to the relevant influencing factors to further strengthen the intervention of cognitive ability of primipara breast-feeding in order to effectively improve the rate of newborn breast-feeding.